No Bones About the Root Cause

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Description

d organizational problems are as common as dirt. You have been introduced to and explored several different Process Improvement plans to use in solving workplace problems or deficits. This week we will dig deeper into the Root Cause Analysis. There are many approaches to Root Cause Analysis. Your reading assignment this week introduces you to an article on Root Cause Analysis for Beginners as well as a version of a root cause analysis process shared by the CMS.gov called a fishbone tool.

Please watch the video below for some steps to create a fishbone. The first is a general process and the second is a healthcare example a fishbone diagram.

Link to video:

https://m.youtube.com/watch?v=11_pvMrWnks&feature=youtu.be

For this assignment, you will select a problem from the list provided and create a fishbone diagram for this problem. You will need to use the following six “bones” in your diagram:

  • People
  • Tools
  • Tasks
  • Environment
  • Organization
  • Other

A basic template for these categories is available here or you can create your own.

Instructions

From the list of problems below select ONEproblem and complete the fishbone diagram.

  • Be sure to brainstorm for ALL of the areas.
  • Remember you are looking for CAUSES, not solutions.
  • As mentioned in the video and you may want to follow the practice of your unit 2 Assignment by using the “Why” method to get to the root cause in the area.
  • Once you have information in each area “X” out those areas where you do not have control or influence (Ex: from the healthcare video: the facility does not have the ability to have a mammogram machine on site).
  • Circle a minimum of 2 root causes where you feel the biggest impact can be made.
  • Write a 2-3 paragraph ( please provide at least 5 to 7 sentences per paragraph) explanation of why these two areas and propose one solution you will consider now that you have the Root Cause narrowed down. Please include at least ONE credible source and in-text citations in your support paragraphs.

Problem Options

  • High-rate of no-shows for scheduled 6-month dental cleanings
  • Overtime hours among CNA’s increasing
  • Five HIPAA compliance complaints filed for check-in area over past 3 months
  • Increase number of pressure ulcers reported in SNF patients
  • Long lab test result times
  • Pediatric patient provided the wrong dose of medication based on weight.

Requirements

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  • Your responses should be thorough, well-conceived college-level responses that are free of spelling and grammar errors.
  • Write your answers in complete sentences (where applicable – fishbone diagram can be statements).
  • You must justify your responses with facts and details from the credible sources, and with your conclusions.
  • Be sure to cite your source(s) using APA. (It is not necessary to format your assignment using APA); however, please create a reference page and include in-text citations.
  • Create your assignment in a Microsoft Word document.

References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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