Download Also called Fishbone diagram / Ishikawa diagram. • A cause–effect diagram helps a team organize theories for systematic review. • Answers t...
Download In a typical Fishbone diagram, the effect is usually a problem needs to be resolved, and is placed at the "fish head". The causes of the effect are then laid out along the "bones", and classified into different types along the branches.
Download In a typical Fishbone diagram, the effect is usually a problem needs to be resolved, and is placed at the "fish head". The causes of the effect are then laid out along the "bones", and classified into different types along the branches.
Download The Fishbone (Cause and Effect) Diagram is a tool to help your team create a common understanding of potential sources (root causes) that most significantly contribute to the problem in question. It is used when the team needs to identif
Download Also called Fishbone diagram / Ishikawa diagram. • A cause–effect diagram helps a team organize theories for systematic review. • Answers the question “ Why” for given problem. • The diagram challenges team members to come up with theor
Download The Fishbone (Cause and Effect) Diagram is a tool to help your team create a common understanding of potential sources (root causes) that most significantly contribute to the problem in question. It is used when the team needs to identif
Download In a typical Fishbone diagram, the effect is usually a problem needs to be resolved, and is placed at the "fish head". The causes of the effect are then laid out along the "bones", and classified into different types along the branches.
Download Diagram Fishbone. Diagram Cause and Effect atau Diagram Sebab Akibat adalah alat yang membantu mengidentifikasi, memilah, dan menampilkan berbagai penyebab yang mungkin dari suatu masalah atau karakteristik kualitas tertentu. Diagram i
Download The Fishbone (Cause and Effect) Diagram is a tool to help your team create a common understanding of potential sources (root causes) that most significantly contribute to the problem in question. It is used when the team needs to identif
Download Also called Fishbone diagram / Ishikawa diagram. • A cause–effect diagram helps a team organize theories for systematic review. • Answers the question “ Why” for given problem. • The diagram challenges team members to come up with theor
Download The Fishbone (Cause and Effect) Diagram is a tool to help your team create a common understanding of potential sources (root causes) that most significantly contribute to the problem in question. It is used when the team needs to identif
Download Also called Fishbone diagram / Ishikawa diagram. • A cause–effect diagram helps a team organize theories for systematic review. • Answers the question “ Why” for given problem. • The diagram challenges team members to come up with theor
Download Diagram Fishbone. Diagram Cause and Effect atau Diagram Sebab Akibat adalah alat yang membantu mengidentifikasi, memilah, dan menampilkan berbagai penyebab yang mungkin dari suatu masalah atau karakteristik kualitas tertentu. Diagram i
Download Diagram Fishbone. Diagram Cause and Effect atau Diagram Sebab Akibat adalah alat yang membantu mengidentifikasi, memilah, dan menampilkan berbagai penyebab yang mungkin dari suatu masalah atau karakteristik kualitas tertentu. Diagram i
Download Diagram Fishbone. Diagram Cause and Effect atau Diagram Sebab Akibat adalah alat yang membantu mengidentifikasi, memilah, dan menampilkan berbagai penyebab yang mungkin dari suatu masalah atau karakteristik kualitas tertentu. Diagram i
Download In a typical Fishbone diagram, the effect is usually a problem needs to be resolved, and is placed at the "fish head". The causes of the effect are then laid out along the "bones", and classified into different types along the branches.
Download Diagram Fishbone. Diagram Cause and Effect atau Diagram Sebab Akibat adalah alat yang membantu mengidentifikasi, memilah, dan menampilkan berbagai penyebab yang mungkin dari suatu masalah atau karakteristik kualitas tertentu. Diagram i
Download 1. Fishbone Diagram dan Langkah-. Langkah Pembuatannya. By Eris Kusnadi. Fishbone diagram (diagram tulang ikan — karena bentuknya seperti tulang ikan) sering juga disebut Cause-and-Effect Diagram atau Ishikawa Diagram diperkenalkan ole
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
Download 1. Fishbone Diagram dan Langkah-. Langkah Pembuatannya. By Eris Kusnadi. Fishbone diagram (diagram tulang ikan — karena bentuknya seperti tulang ikan) sering juga disebut Cause-and-Effect Diagram atau Ishikawa Diagram diperkenalkan ole
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
Download Example of Fishbone Diagram. Progressive Safety Services LLC – All Rights Reserved. Man. Mother Nature. Machine. Materials. Method. Employee in maintenance shop injured his eye while using a powered portable hand grinder. Management. E
MODULE 4: Quality Improvement Tools and their Application in KQMH
Unit 4.3: Tools for Continuous Quality Improvement and their Application Part 5: Fishbone Diagram
Objectives • Understand the cause–effect relationship in root cause analysis • Apply the fishbone diagram to explore all the possible causes of a problem
Content • Components of the fish bone diagram • Constructing the fish bone diagram • Analysis of the fish bone diagram
Cause & Effect Analysis
Cause & effect analysis / diagram • Also called Fishbone diagram / Ishikawa diagram • A cause–effect diagram helps a team organize theories for systematic review • Answers the question “Why” for given problem • The diagram challenges team members to come up with theories by asking: why? • It must be presided by a study of how things are currently (Situation analysis)
Cause and effect analysis / diagram • Definition: The cause and effect diagram is a tool generally used to gather all possible root causes. • The ultimate goal being to uncover the root cause(es) of a problem.
Cause & effect analysis diagram • The specific problem is usually stated as a negative outcome ("effect") of a process o late transfer of patients from the inpatient facility to skilled nursing facilities • The diagram is a visualization of relationships between the outcome of a particular system or process o the major categories of that system or process (the main branches) and causes and sub-causes (sub-branches off main branches).
Cause-and-effect analysis / diagram • Start with the outcome (problem statement) on the right of the paper, halfway down, draw a horizontal line across the middle of the paper with an arrow pointing to the outcome • Determine and define the major categories which describe the system or process under review, e.g., 5 Ps: (or) People Provisions Policies Procedures Place
5 Ms or Manpower Materials Machines Methods Measurements
Hard Soft Life Environment Management
Basic layout of cause and effect diagrams Manpower (People)
Methods (Procedures)
EFFECT Materials (Policies)
Environment
Machines (Plant)
Cause & effect analysis
H
M
S
Effect
E
L
M: Management S: Soft H: Hard E: Environment L: Life 10
Soft (order)
Ineffective use of prescription card Misunderstanding
Wrong transfer of prescription
dropping
Unstable stock condition
Narrow space for preparation
Similar name of injection
Hard (material, machine)
No confirmation of expiration of injection
Too many injections
Environment
More than one depository
Why are injections frequently discarded due to damage or false use?
Undecided ordering system
Life (Dr, Nrs)
No confirmation of expiration of injection Difficult picking the article from drug cart
Poor management of inventory
Life (Dr, Nrs)
No exclusive shelf for drug
Prescription card missing No exclusive box for depository of cards
No use of the exclusive tray No exclusive arrangement for injections dropping Narrow space for preparation Too many articles in the preparation box
Misunderstanding Difficult abbreviations Similar name of injections Too busy to check Job interruption by patient’s call
Example of cause–effect diagram •The effect: delay in lab test results, is stated in a box at the right of the diagram, and an arrow points to the box. •Five major categories of causes are indicated by branches extending diagonally from the arrow: materials, equipment, people, measurement and procedures. •For each major category, possible causes are written on smaller branches extending from the diagonal lines.
Practicum Case 1: Main Hospital store Main Hospital store section had problems of: • goods haphazardly arranged within store instead of being stored as per procedure. Eventually goods pile, become redundant and there is overstocking. With such a situation pilferage could not be controlled.
Case 2: OPD Outpatient Department (OPD) had problem of: • delays in starting consultations and inconsistent flow of patients into consultation rooms that led to patients overcrowding and making many complaints.
Case 3: CSSD Central Sterilization Supply Department (CSSD) had problem of • many redundant sterilizing instruments, trays and packs on the shelves. These also expire and need to be resterilized.