Create a Fishbone Diagram to Discover the Root Causes of Falls in Your Facility.

As part of a leadership team for a healthcare organization dealing with a high incidence of fall incidents, you have been tasked with addressing this issue promptly (building upon previous assignments). Following a series of meetings and discussions about the possible cause of this safety concern, you have been asked to complete two important deliverables that will be used for supporting efforts to reduce fall-related incidence in your organization.

Part 1:

Your first deliverable will be to help the leadership and quality team better understand the root causes of the growing incidence of falls in your organization. Using Microsoft Word, PowerPoint or XMind, you will construct a fishbone diagram, otherwise known as a cause-and-effect or Ishikawa diagram (see resources for information). As shown in the diagram below, use the common categories (causes) such as equipment, process, and people to guide your construction. To elicit details in the fishbone diagram, you can use brainstorming techniques.

Fishbone Diagram

Figure 7: Fishbone Diagram

Source: From the list of fishbone diagram examples in

Part 2:

After completing the fishbone diagram, provide a written narrative that expounds on key information in the diagram. Also, explain the brainstorming process that you used to gather detail information about the possible root causes of falls in your facility.

Length: 2-3 pages not including title and reference pages. Include the diagram in the 2- to 3-page specified length.

References: Include a minimum of 2 credible resources, one of which must be scholarly and peer-reviewed.

Your assignment should reflect scholarly academic writing, current APA standards, and adhere to University’s Academic Integrity Policy.


The Healthcare Quality Book : Vision, Strategy, and Tools

Book Jacket

Joshi, Maulik

Ransom, Elizabeth R.

Nash, David B.

Ransom, Scott B. Read Chapter 18: The Quality Improvement Landscape (pp. 455-493).,-Credentialing,-Certification,-and-Privileging(2)/

The Healthcare Quality Book : Vision, Strategy, and Tools

Book Jacket

Joshi, Maulik

Ransom, Elizabeth R.

Nash, David B.

Ransom, Scott B. Read Chapter 19: Accreditation: Its Role in Driving Accountability in Healthcare (pp. 495-521).

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