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BACKGROUND: Fishbone diagrams have been widely promoted as a systems-focused hazard analysis tool for use in root cause analysis, but they suffer from a number of structural weaknesses, including a unidirectional structure that only takes into account forces that promote an accident (ignoring those that make the accident less likely or less severe) and a means of displaying these forces that does not convey any difference in strength of influence. In a separate but related issue, many healthcare organizations suffer from a lack of change management expertise. PROPOSED SOLUTION: To address these concerns, I present a novel technique, the Lovebug diagram, which draws from both Fishbone diagrams and force-field analysis (an approach to analyzing planned change). This new technique adds value to both its progenitor methods, while retaining their key strengths and ease of use. It can be used both prospectively, to assess planned changes, and retrospectively to assess unplanned (accidental) departures from the status quo. DISCUSSION: The Lovebug diagram is a more powerful analytical tool than its progenitor methods; however, overall adoption of systems-focused tools for root cause analysis remains suboptimal. Additional research is needed to determine how best to promote a truly systems-focused approach to healthcare root cause analysis. Beyond this retrospective use of the technique, it represents a simple tool to assist healthcare organizations with prospective change management. Available from: http://cri.sagepub.com/content/early/2013/10/25/1356262213510855.abstract
2023 •
Personal quality and total quality management (TQM) are key success factors for organizational performance. The combination of individual and team quality management actions leads to motivated people in the workplace and can create high quality processes, relationships and outputs. The Cause and Effect Diagram (Fishbone) is one of the seven most known quality tools and it provides a systematic way of looking at effects and the causes that create or contribute to those effects. It helps an organization to identify, analyze and improve quality issues. This study examines the use of the Cause and Effect Diagram (Fishbone) quality tool in a classroom during the pandemic of COVID – 19. After the use of the tool by the class participants on personal and team level, students were also asked to assess its impact and provide feedback over the connection of this tool application to personal quality development. The researchers concluded that on a team basis, the Cause and Effect Diagram helped the team members visually diagram the problems and allowed them to truly diagnose the problem, to separate a problem's content from its history, and facilitated team consensus around its causes. Finally, it is well – known that by team action are cultivated skills such as cooperation, team – thinking, determination, persuasion, creativity, inspiration, fast problem solving, synergy, immediate decision making and direct communication.
Int. J. Foresight and Innovation Policy, Vol. 14, Nos. 2/3/4, pp.225–247.
Fishbone diagram for technological analysis and foresight2020 •
Fishbone diagram is a graphical technique to show the several causes of a specific event. Fishbone diagram is applied here as a novel method of graphical representation to identify, explore and analyse the sources of innovation and especially general purpose technologies (GPTs). Firstly, the study here shows the driving forces of GPTs, such as: higher democratisation, high investment in R&D, etc. Secondly, these drivers of GPTs and in general of new technology are systematised within fishbone diagrams for technological analysis. Some examples are illustrated by applying the fishbone diagram to specific GPTs, such as steam engine and information and communication technologies (ICTs). Overall, then, fishbone diagram seems to be an appropriate and general technique of graphical representation for the technological analysis and foresight of path-breaking innovation in society.
Intervening and changing: looking for meaning in …
Working Interactively with Causal Loop Diagrams: Intervention Choices and Paradoxes in Practical Applications2007 •
Revista gaucha de enfermagem
V diagram as a tool for analytical integration of theoretical, conceptual, and methodological knowledge in health care2018 •
To produce a reflection on the ability of the V diagram to integrate theoretical, conceptual, and methodological knowledge obtained from complex, non-explicitly identifiable systems, models, and theories. Reflection study with an analytical characteristic. The V Diagram is presented as an instrument that can ensure an integrated analysis between theoretical and conceptual knowledge (worldview and philosophy, theories, principles, constructs, and concepts), and the analysis or production of methodological knowledge (data records, transformations, knowledge assertions, and value assertions). Examples are related to the Unified Health System (SUS), and care in Psychosocial Care Centers for Alcohol and Drugs. V diagram is an instrument capable of producing an integrated analysis of the knowledge contained in productions linked to complex and non-explicitly identifiable models and theories as a theoretical model, theory or framework applying deductive and inductive procedures.
Proceedings of Changing the Change conference
Handling Changes Through DiagramsTo change towards a more sustainable development could means to make decisions notonly with a systemic approach, but also to be able to decide in the right time: the density. Itseems that, when the discipline of Design integrate a systemic approach with the competences of designers in visualization, it can cope with dense situations, providing effective artefacts –diagrams – to improve the decision process and making profit from the richness of complexity.The prior findings of the Complexity Science are here assumed as a theoretical framework tohave an interpretative model on how the knowledge about systems could be organized anddepicted. Three tools to produce effective diagrams, framing, graining and scaling are herediscussed though six case studies.
This study suggests the fishbone diagram for technological analysis. Fishbone diagram (also called Ishikawa diagrams or cause-and-effect diagrams) is a graphical technique to show the several causes of a specific event or phenomenon. In particular, a fishbone diagram (the shape is similar to a fish skeleton) is a common tool used for a cause and effect analysis to identify a complex interplay of causes for a specific problem or event. The fishbone diagram can be a comprehensive theoretical framework to represent and analyze the sources of innovation. Fishbone diagram is applied here as a novel graphical representation to identify, explore and analyse whenever possible, the potential root causes of the source and evolution of General Purpose Technologies (GPTs). Overall, then, fishbone diagram seems to be an appropriate and general technique of graphical representation to explore and categorize, clearly and simply, the potential root causes of the evolution of technological innovations for an appropriate management of technology.
2012 •
In this paper we examine two industrial projects currently running in an SME company specializing in pipeline maintenance equipment, in order to understand how visualisation methods originating from design can contribute to decision making processes. We first describe the range of visualisation methods and how they are used in relation to decision making in the management and design fields.
Proceedings of the Institution of Mechanical Engineers, Part F: Journal of Rail and Rapid Transit
Bowtie diagrams: A user-friendly risk communication tool2017 •
The rail infrastructure controller in Great Britain recognised that more work was required to allow a robust and consistent demonstration that appropriate health and safety risk assessments are being undertaken throughout each stage of the contracting process. In response to this requirement, the authors were engaged to assist the rail infrastructure client with the development of a new risk-based contractor management and assurance process. Bowtie diagrams were selected as a key component of this process to represent: Key safety risks associated with rail construction projects; Potential causes and consequences of unwanted events; Good practice in risk barriers/controls. To test the suitability of Bowties for risk communication to contractors, three key hazards were identified for Bowtie analysis. These and the specific top events selected were as follows: Hazard: Working at height – from scaffold, ladders, mobile elevating working platforms, mobile towers or ledges; Top event: Fal...
Financial Literacy and Spending Habits of Grade 12 Students
FINANCIAL LITERACY AND SPENDING HABITS OF GRADE 12 STUDENTS2023 •
2023 •
Mardella syahri
KEBIJAKAN LINGKUNGAN HIDUP DAN PEMBANGUNAN BERKELANJUTAN: STUDI KASUS PADA PENGELOLAAN HUTAN DI KOTA JAKARTA2023 •
A expansão da fronteira amazônica
A expansão da fronteira amazônica2024 •
Journal of anxiety disorders
Relative effects of cognitive and behavioral therapies on generalized anxiety disorder, social anxiety disorder and panic disorder: A meta-analysis2016 •
DergiPark (Istanbul University)
Bi̇r Görgü Taniğinin Gözünden Kabakçi Mustafa İsyani2008 •
Pesquisa Agropecuária Brasileira
Comportamento do camarão em diferentes substratos nas fases clara e escura do dia2013 •
Canrea Journal: Food Technology, Nutritions, and Culinary Journal
Sensory characteristic of new formulated Bir Pletok ice cream2019 •
EUT Edizioni Università di Trieste
La Cartografia Storica in Rete. Proposte Per La Ricerca, La Valutazione, La Strutturazione2016 •
2023 •