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Fishbone Diagram

A Fishbone Diagram is called the Ishikawa Diagram or Cause and Effect Diagram. The reason it is called A Fishbone Diagram is because it looks like the shape of a fish skeleton. The Fishbone Diagram is a tool use in continuous quality improvement to find possible causes for a problem or event.

  • Completing the fishbone diagram doesn't take long. The team or individual needs to ask the question Why 5 time in the process. For example: The problem is the patient is not taken back to their room after radiology procedure in a timely manner. The average wait time is 20 minutes.

     

    Fill in each section of the diagram

    Effect: Patient wait after radiology test is 20 minutes. Desirable wait time: less than 5

    Machinery: No wheelchairs available, Longer time to take images than expected

    Methods: Using patient elevator only

    Materials: Notification of patient needing transportation via phone in office, not but imaging room

    Manpower: Night shift has lower staffing needs so imaging staff must tranport their own patients

    Management:

     

    From using the Fishbone Diagram, one can find out the causes and work to change processes in order to have the desireable outcome.

For more information on this diagram:

http://en.wikipedia.org/wiki/Ishikawa_diagram

 

Picture of Fishbone Diagram

http://www.envisionsoftware.com/es_imgs/Fishbone_Diagram.gif

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