RCA using a fishbone diagram

  1. Prioritize opportunities to improve by doing the following:
    • Complete an RCA using a fishbone diagram based on the problem you identified in Part I with the following categories: people (patients), people (staff/employees), policies and procedures, and plant (facilities/equipment); (8 points)
    • Describe how you would collect data about how often the root causes contribute to the problem to determine where your greatest opportunity for improvement would be (in other words, identify where the data will to come from and how you will collect it); (4 points)
    • Design a Pareto chart from the data given above. You may use hypothetical data to design your Pareto chart. (8 points)

You may submit the diagram and chart as separate files.

  1. Review each of the following change concepts (Langley et al. 1996). Identify whether each one may apply to your process. If they do apply, explain how; if they do not apply, explain why. (1 point each, 5 points total)
    • Eliminate waste (e.g., things that are not used, intermediaries, unnecessary duplication)
    • Improve workflow (e.g., minimize handoffs, move steps in the process closer together, find and remove bottlenecks, do tasks in parallel, adjust to high and low volumes)
    • Manage time (e.g., reduce set-up time and waiting time)
    • Manage variation (create standard processes where appropriate)
    • Design systems to avoid mistakes (use reminders)
  2. Improve the process and document the improved process with a Process Flowchart. (4 points)

Sample Solution