1. Flow chart EHR Blood is drawn for INR by lab or home health or other
Key:
Circle = Start and Stop
Box = activity
Diamond = decision point
Cylinder = EHR
Result is sent to KUCIM Clinic along with notice of new meds and view of chart
Result 1.5 to 3.5?
EHR No
Yes
Provider adjusts does and sets f/u interval
Who: MA & provider
With: WbW
Where: Clinic
When: as needed
What else: NA
MA adjusts does and sets f/u interval
Instructions given to pt

2. 3. Ishikawa or fishbone diagram (Cause and effect diagram)
Populate this by asking why 3 to 7 times
Access to warfarin protocol
Physician factors
Factor 2
Factor 3
Factor 4
Factor 1
Patient factors
Factor 2
Factor 3
Factor 4
Compliance with ___________
4 M’s
Methods, Machines, Materials, Manpower
4 P’s
Place, Procedure, People, Policies
4 S’s
Surroundings, Suppliers, Systems, Skills
Correct provider receives INR
Other personnel factors
Factor 2
Factor 3
Factor 4
Factor 1
Clinic factors
Factor 2
Factor 3
Factor 4

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