Embedded Files
Please complete Tasks 1-3 below and then submit the corresponding materials (Task 4). To submit your work, click the "Submit for Feedback" button and you will be asked to upload all completed materials. For an overview of the timing of your project: Timeline Checklist
Task 1A: Root Cause Analysis in Healthcare Systems
View Presentation: Process Maps and Cause/Effect Diagrams:
Extra Reading (if interested): Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital (Rex, et. al. 2000).
If helpful, download: Printable process map examples as seen in the presentation.
Now that you are familiar with various approaches to root cause analysis you will analyze your problem to arrive at better clarity.
Task 1B: Map the Problem (Process Map)
Create: a process map for your identified problem:
You may choose to create the process map by hand, which is acceptable.
Alternatively, create the process map using this drawing tool: Draw.io
If needed, tutorial on how to use the above tool: View quick start video (82 sec.) | Longer tutorial (8 min.)
Save and Export: the completed process map document. You will upload the diagram in Task 4.
Use one of the tools below to create a map that illustrates the steps that occur around the process you are investigating.
Various shapes will represent events or decision points along the path to the ultimate outcome.
This figure will include the people involved in the process and all the steps needed for the process to be carried out.
If using Draw.io: Save the diagram for later editing:
Select File -> Save.
This creates a .xml file in the downloads location of your computer that can be opened later.
Export the diagram to submit for feedback:
Select File -> Export as.
Choose Image or PDF.
Note the location of where the file was saved.
Upload the saved file when you get to Task 4 below.
Brainstorm: Complete the diagram for your proposed problem.
Helpful Creation Tips: Fishbone Categories & Diagramming Guide.
Save: the completed process map. You will upload it at the end of this module.
Please complete Tasks 2 & 3 below before accessing the Module II, Part A Submission form.
Tip: Once you've downloaded the diagram, open it in Adobe Reader.
Other applications will not allow you to edit and save the diagram.
Do not use the browser preview, it is for viewing only.
Now that you have mapped where a problem may exist within a delivery system you will identify contributing factors to the problem using a fishbone diagram.
Task 1C: Identify Contributors to the Proposed Problem (Fishbone Diagram)
Download and Save: a blank fishbone diagram (PDF document).
Task 2: Measuring the Quality Gap
Complete: Self-assessment quiz to check your understanding (not graded or submitted).
Task 3: Identify Measures
Brainstorm: Five measures that could be used to assess the Quality Gap in your project. Please be sure that at least 1 idea falls into each of the 3 types of measures: Outcome, Process and Balance Measures.
Select: the measure that is best for your project.
Save: the results of your brainstorming.
Once you have gotten this far you will now submit the products of your work.
Need Help Mining HealthLink Data to Establish a Baseline?
We Have Friends for That
Contact UW Health Quality, Safety & Innovation (QSI) office
(608) 821-4909 or qsi@uwhealth.org
Task 4: Submit Your Work
Note: Submitting the form will notify the QI mentors that you are ready for feedback; once the feedback is generated, it will be delivered to you via email and will include a link to Module II, Part B.
If you would like, take a moment to review the feedback rubric that will be used to guide the feedback for your submission.
Submit:
Completed process map,
fishbone diagram and
best measure
by clicking the "Submit for Feedback" button below.
Previous modules: Module 1
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