MHC 6303 W4 Assignment Course Project Task 2
MHC 6303 W4 Assignment Course Project Task 2
Made a diagram of the clinical or workflow process for the selected area of improvement.
Determined steps for improvement using a fishbone diagram.
Identified the root cause.
Identified changes for improvement.
Applied APA standards for writing style, spelling, grammar, and citation of sources.
Variations: cause enumeration diagram, process fishbone, time-delay fishbone, CEDAC (cause-and-effect diagram with the addition of cards), desired-result fishbone, reverse fishbone diagram
This cause analysis tool is considered one of the seven basic quality tools. The fishbone diagram identifies many possible causes for an effect or problem. It can be used to structure a brainstorming session. It immediately sorts ideas into useful categories.
- When to use a fishbone diagram
- Fishbone diagram procedure
- Fishbone diagram example
- Create a fishbone diagram
- Fishbone diagram resources

WHEN TO USE A FISHBONE DIAGRAM
- When identifying possible causes for a problem
- When a team’s thinking tends to fall into ruts
FISHBONE DIAGRAM PROCEDURE
Fishbone Diagram Example
Materials needed: marking pens and flipchart or whiteboard.
- Agree on a problem statement (effect). Write it at the center right of the flipchart or whiteboard. Draw a box around it and draw a horizontal arrow running to it.
- Brainstorm the major categories of causes of the problem. If this is difficult use generic headings:
-
- Methods
- Machines (equipment)
- People (manpower)
- Materials
- Measurement
- Environment
-
- Write the categories of causes as branches from the main arrow.
- Brainstorm all the possible causes of the problem. Ask “Why does this happen?” As each idea is given, the facilitator writes it as a branch from the appropriate category. Causes can be written in several places if they relate to several categories.
- Again ask “Why does this happen?” about each cause. Write sub-causes branching off the causes. Continue to ask “Why?” and generate deeper levels of causes. Layers of branches indicate causal relationships.
- When the group runs out of ideas, focus attention to places on the chart where ideas are few.