A quality improvement approach to reducing hospital ...
Identified factors contributing to frequent hospital readmission were divided into categories, including patient, staff, and process and workflow factors, and incorporated into a fishbone …
User testing of an adaptation of fishbone diagrams to depict ...
The diagram was first termed an “Ishikawa diagram” but was later dubbed “fishbone diagram” because of its resemblance to the skeleton of a fish—a horizontal spine with the “head” …
Modeling Causal Relationships in Quality Improvement
FMEAs aid in the development of causal relationships between a failure mode and its effects, priming the quality improver to create interventions. An additional way to model causal …
Improvement of Hand Hygiene Compliance Using the Plan-Do ...
The QI team conducted several meetings, and a root cause analysis was performed with the help of the Fishbone diagram. It was decided to target three probable causes, namely, (a) less …
Investigation of Medication Safety Incidents Using Root Cause ...
Tools that facilitate this include fishbone diagrams (see Supplemental Figure, available online), cause and effect tools, and the like. Examples of suitable categories for contributing factors …
Use of a novel, modified fishbone diagram to analyze ...
Jun 1, 2014 · The fishbone diagram is a widely utilized patient safety tool that helps to facilitate root cause analysis discussions. This tool was expanded by the authors to reflect the …
Inpatient Falls: Defining the Problem and Identifying ...
In-Depth Fall Analysis Consider creation of a cause and effect (fishbone, Figure 3) diagram to examine factors contributing to falls. For a specific fall, examine all the contributors from …
Root Cause Analysis for Hospital-Acquired Pressure Injury
Root cause analysis (RCA) is a systematic process for identifying the causes of an adverse occurrence or combined with an approach for a response designed to prevent recurrences. …