1. Fishbone Diagrams Clinical Microsystems Training

2. Cause Effect Analysis (Fishbone) People 08/03/20162 Emergency Medicine Programme Patient seen on chairs Equipment Process Materials Patient overcrowding Delayed Speciality teams Lack of staff Wait for results Delayed Admissions Access clinics Referral delay Community Availability @ w/e Photocopy inadequate in Dept. Bed closures Stock of equipment Lack of cubicles Lack of in house beds Effect

4. Fishbone diagram example Reason Phone Not Answered MachineryMaterials Phone not answered PeopleMethod Audit Exists Audix Line Busy At lunch Directory LAN Directory Not Updated Away from Desk At meeting Personal call Talking on other line Business call Wrong Extension in Book Call comes before/after hours Zero out not established Re-direct issues Support staff has Audix