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How to Use the Fishbone Tool for Root Cause Analysis

Disclaimer: Use of this tool is not mandated by CMS, nor does its completion ensure regulatory compliance. Overview: root Cause Analysis is a structured team process that assists in identifying underlying factors or causes of an adverse event or near-miss. Understanding the contributing factors or causes of a system failure can help develop actions that sustain the correction. A Cause and effect diagram, often called a Fishbone diagram, can help in brainstorming to identify possible causes of a problem and in sorting ideas into useful categories. A Fishbone diagram is a visual way to look at Cause and effect. It is a more structured approach than some other tools available for brainstorming causes of a problem ( , the Five Whys tool).

Overview: Root cause analysis is a structured team process that assists in identifying underlying factors or causes of an adverse event or near-miss. Understanding the contributing factors or causes of a system failure can help develop actions that sustain the correction.

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  Analysis, Causes, Root, Root cause analysis, Fishbone

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