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  • Fishbone Diagram

    Diunggah oleh

    Kang Heru Angon Pitek
    149 tayangan1 halaman
    This document outlines the various factors that can be analyzed using a fishbone diagram for a root cause analysis investigation. It includes patient factors, individual staff factors, task factors, communication factors, team factors, education and training factors, equipment and resource factors, working condition factors, and organizational and strategic factors. The fishbone diagram is a tool that can be used to visually display and investigate the potential underlying causes that may have contributed to an issue or problem.

    Deskripsi Asli:

    diagram tulang ikan

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    © Attribution Non-Commercial (BY-NC)

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    DOC, PDF, TXT atau baca online dari Scribd

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    This document outlines the various factors that can be analyzed using a fishbone diagram for a root cause analysis investigation. It includes patient factors, individual staff factors, task factors, communication factors, team factors, education and training factors, equipment and resource factors, working condition factors, and organizational and strategic factors. The fishbone diagram is a tool that can be used to visually display and investigate the potential underlying causes that may have contributed to an issue or problem.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    149 tayangan1 halaman

    Fishbone Diagram

    Diunggah oleh

    Kang Heru Angon Pitek
    This document outlines the various factors that can be analyzed using a fishbone diagram for a root cause analysis investigation. It includes patient factors, individual staff factors, task factors, communication factors, team factors, education and training factors, equipment and resource factors, working condition factors, and organizational and strategic factors. The fishbone diagram is a tool that can be used to visually display and investigate the potential underlying causes that may have contributed to an issue or problem.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai DOC, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    Root Cause Analysis Investigation Fishbone Diagram - tool

    Patient factors:
    Clinical condition Physical factors Social factors Psychological/ mental factors Interpersonal relationships

    Individual (staff) factors:


    Physical issues Psychological Social/domestic Personality Cognitive factors

    Task factors:
    Guidelines/ procedures/ protocols Decision aids Task design

    Communication factors:
    Verbal Written Non-verbal Management

    Team factors:
    Role congruence Leadership Support + cultural factors

    Problem or issue (CDP/SDP)

    Education + Training Factors:


    Competence Supervision Availability / Accessibility Appropriateness

    Equipment + resources:
    Displays Integrity Positioning Usability

    Working condition factors:


    Administrative Design of physical environment Environment Staffing Workload and hours Time

    Organisational + strategic factors:


    Organisational structure Priorities Externally imported risks Safety culture

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