Transcript: Fishbone Diagram Hunger Cause A Cause A Sub-cause A Hunger Sub-cause B Sub-cause C Food access Water access Land access Cause B Cause B Hunger Cause C Cause C Hunger Cause D Cause D Hunger Cause E Cause E Hunger Cause F Cause F Hunger
Transcript: COVID-19; Uncontrolled spread Our problem Why has the UK suffered significantly from the Covid 19 pandemic? Problem: The number of cases of Covid-19 in the UK has significantly increased after border restrictions and isolation measures were lifted. Our problem Team contract Individual Skill Sets: Jacinta - Presentation skills Frida - Problem solving skills Hannah - IT design skills Alex - Organisation skills Allegra - Research skills Harry - Public speaking skills Team contract Shared Goals: 1. Achieve desired grades 2. Expand individual skill sets 3. Learn from peers Team Processes Strength & Direction of our team: Highly people orientated Strongly performance orientated Considerably learning orientated Individual Roles: Hannah and Alex linked up on the Fishbone Analysis, Jacinta completed the Project Plan, Frida and Harry collaborated on the How Might We deliverable and I (Allegra) completed the Team Contract. Team Processes Defining our problem How might we The Coronavirus pandemic, initially being discovered on the 1st of December 2019, has significantly impacted the entire world. Covid-19 is caused by exposure to an infectious viral agent, which is responsible for an acute respiratory illness which is highly contagious, and evidently in some infected people; its lethal. Understanding this cause is essential for our group, as this leads directly into the problems faced by nations today, revealing our problem we face. Our group undertook an examination of the problems arisen from the Covid-19 pandemic, and narrowed the major issue present to be the absence of effective quarantine and isolation methods. Other problems, such as; - supply chain complications -logistics issues, -economic stress, -poor vaccine rollouts, -travel restrictions, -trade bans These all stem back to the problem overseeing all of these issues, which is isolation and quarantine. Understanding, analysing --> give a definition to our problem. (narrow down our problem + how might we?) · Before solution diamond -- Make sure: vision / the goal of the problem. complex problem (covid) -- Decide which specific direction we are focusing on, In case - team members focus on different information · In the solution diamond -- political tension. go back to referencing the vision to have a positive creative abrasive process. Why define the problem Brainstorm Discussion Implementation of bio-security -- enables countries to remain economically sound. Reasons: · control the pandemic in a shorter period of time, · being able to resume trading at full capacity quickly. · Give large pharmaceutical businesses enough time -- manage their vaccine rollouts -- ensure their vaccines have passed efficacy targets. How important it is to implement the bio-security. How are we going to find the solution Our problem is a simple one to address. - Some nations have found the solution. - Some have not adopted the fundamental principles of biosecurity. <-- They have paid the price as a result. So how might we? Our group will; Given that the number of cases in the UK has significantly increased due to poor implementation of biosecurity, how might we analyse the successes of countries who have effectively managed the pandemic. How might we learn from this information, and develop a solution which can be applicable for the United kingdom which has poorly managed the spread of the disease. And how might we utilise this research to apply it to the wider world managing further pandemics. Lockdown precautions Lockdown effectiveness: Jan 4 2021 national lockdown: 81,000 cases daily (Dec 29) to 39,000 (Jan 19) 1. Lockdown Ineffectiveness: (overall) UK ranks 5th worldwide for COVID deaths (124,501) and number of cases (4,218,520) Inconsistent public health message Government's health measures - Unorganised strategy: Delayed implementation of social distancing - Boris Johnson's advisor travelled 500 miles during lockdown - December: Gov announced relaxing of lockdown laws for christmas (whilst new variant was spreading) "Government's public health messaging has been inconsistent" "It all comes down to failed leadership" - Time Resource scarcity Police patrol - Not enough officers to effectively patrol lockdown - Mass gatherings can't be broken up (not enough resources to ticket everyone) Eg. Nov 2020: Illegal rave with 700 people --> "incredibly challenging operation" --> 2 people arrested Government 2.Government Ineffective management - higher death rates Legislation awareness Implementation of legislation Lockdown laws: (eg) - 2 metre social distancing - Gatherings of more than 30 people face a £10,000 fine National chair of police federation: - Police found rapidly changing legislation difficult to follow Underfunding Scarce funding & resources -Inadequate funding in social care (discharging people without testing, inadequate protective equipment) --> deaths of thousands of elderly -Death rates higher among minority groups: “suffered disproportionately because of health Vaccine
Transcript: * aware about the side effect * appropriate temp * medication that sensitive to light * programing of infusion device Lack of ongoing training and communication among the team High noise level Nurse with little experience pt don't follow the instruction Nurse Knowledge and skills deficiency * some medication can interact with the food * is the pt complete the coarse of medication ? any error in the process of ordering, transcribing , dispensing,administering and monitoring of medication pt with a high demand for specialized care * dose calculating * route of administration * leave the medication bedside * check about allergic .. * check the V/s * medication right ? * oral order * abbreviation ?? * look-alike or sound-alike * This is affect the concentration of the nurse * Too many telephone calls * visitor's .. Medication Erorr * infusion device's * dropper machine * syringe pump * regulator's * No one available to double check * Too many Patients * No time to make counsel A few number of work team Fatigue , Haste , Negligence * expired date * labeling * absence of documentation * delay that .. * double shift * too much patient * is the team have a Reward ? lack of medical equipment Team * critical care .. * drug interaction * it should be in the middle of department * lighting * temp of the room Environment Patient Lack of supervision and monitoring by the head nurse location of medication rooms Fish bone Analysis For Medication Error
Transcript: Fishbone Vote/ Summary Lack of marketing Lack of human resources 6. Lack of marketing skills (volunteers mainly social scientist/ humanists) 7. Lack of interest 8. Previously no need for marketing 9. Lack of budget for marketing (marketing budget currently comes from savings) 1. Lack of core funding to increase staff (for Heli to be full time) 2. Lack of core funding coming from the members 3. No incentives for people to fund the organisation generally (People are uninterested in funding administrative roles) 4. Only lacking volunteers who can translate newsletter to Swedish (otherwise there are plenty of volunteers) 5. Volunteers are there but they lack time and possibilities to contribute. Lack of meetings and possibilities to physically meet with the board members (volunteers) Increased competitors Unclear value proposition 10 Lots of new members who doesn’t know about SoF profile, so they don’t know how to communicate that 11. Changes in projects (end of India project and potentially Peru, while launching Sahara Nepal) 12. Projects previously followed board members interests and connections, with increase of streamlining for grants and such there is a new need for a clear profile 13.. Only broad value definition (three key values only, not specific enough)? 14. Lack of personal connections to understand the situation, culture, and projects in Nepal 15. Mindset was on staying afloat and not getting bigger 16. Internal difficulties to grow 17. Government reduced development funding a lot a few years ago 18. Government funding goes towards big NGOs (project application are getting harder) Lack of partnerships 19. Not knowing where to start, lack of knowledge on how to connect with new partners such as corporations 20. Partners are not automatic, so specific partners need to be found for specific projects 21. Lack of networking/ partnering ideas, ideas for partners are only coming from board members 22. The profile of the partners is not diversified (we don’t have any corporations as partners) 23.Lack of visibility to create an advantage for corporate partnerships 24. Lack of concentrated effort to find partners
Transcript: How to make a fishbone diagram?? 1. Agree on a problem statement (effect). 2. Brainstorm the major categories of causes of the problem. 3. Write the categories of causes as branches from the main arrow. 4. Brainstorm all the probable causes of the problem. Ask: “Why does this happen? 5. Write sub–causes branching off the causes. Continue to ask “Why?” 6. When the group runs out of ideas, focus attention to places on the chart where ideas are few. 4M fishbone University of Jordan Chemical Engineering Department Quality Control and Management An example for the simple fishbone diagram: is why most of student disfavoring of studying in the libraries of the university of Jordan. 4S Fishbone diagram Introduction disfavoring of letting the car agency to repair your car is taken as an example. 8P Fishbone diagram This type of C&E diagram is commonly used in the service industry. It organizes information about potential causes into four common categories: Suppliers, Systems, Surroundings, and Skills. Ishikawa’s Diagram Types of fishbone diagram Fishbone Diagrams To illustrate the design of experiment fishbone diagrams, the distillate purity in a distillation column is taken as an example 1) Definition 2) How to construct fishbone diagram 3) Fishbone types 4) Examples Overview The cause-and-effect (C&E) diagram has no predetermined categories of causes, so you can determine categories that may be unique to your organization. An example on the 4M fishbone diagram is the quality of the distillate in the distillation column Ishikawa’s diagram, fishbone diagram or cause and effect diagram. A diagram made by Prof. Kaoru Ishikawa. The naming of this diagram as fishbone diagram comes from it's shape - the skeleton of a fish. Fishbone Diagram Procedure Simple fishbone diagram Done by : - Abullah Zabin - Hasan Abu-Hashem - Khalaf Al-Rentisi - Moath Dweik - Sami Jebrel In order a specific product to meet the costumer satisfaction, the process in which the product is made should be stable. More precisely, the process should operate with little variability around the target dimensions of the product quality characteristics. To achieve this, a powerful collection of problem solving tools called statistical process control (SPC) is used. Cause and effect diagrams There are five types of fishbone diagram : 1. Simple fishbone diagram 2. 4S fishbone diagram 3. 8P fishbone diagram 4. 4M fishbone diagram 5. Design of experiment fishbone diagram This type uses 8 categories: Procedures, Policies, Place, Product, People, Processes, Price, and Promotion. This variation is also commonly used in the service industry, but can certainly be applied in nearly any type of business. Design of Experiments Fishbone This variation, commonly used in manufacturing, allows you to organize potential causes of a problem into these categories: Man, Materials, Machine, Methods, Measurements, and Environment. Thank You An example for the 4S fishbone diagram is the substandard quality of food in a restaurant. The last type of Fishbone diagram allows structured brainstorming about potential factors for a response variable to help you design an experiment. You can use this diagram to organize information about potential factors of response variables into Controllable, Uncontrollable, Held-Constant, and Blockable Nuisance categories.
Transcript: FISHBONE ANALYSIS What is a fishbone diagram? Dr. Kaoru Ishikawa, a Japanese quality control statistician, invented the fishbone diagram. Therefore, it may be referred to as the Ishikawa diagram. The fishbone diagram is an analysis tool that provides a systematic way of looking at effects and the causes that create or contribute to those effects. Because of the function of the fishbone diagram, it may be referred to as a cause-and-effect diagram. The design of the diagram looks much like the skeleton of a fish. Therefore, it is often referred to as the fishbone diagram. Whatever name you choose, remember that the value of the fishbone diagram is to assist teams in categorizing the many potential causes of problems or issues in an orderly way and in identifying root causes. The fishbone analysis shares many characteristics with the five whys and is similarly used to deepen a team's understanding of a problem or issue, usually at the corresponding stage of the remodelling process. why should it be used? Need to study a problem/issue to determine the root cause? Want to study all the possible reasons why a process is beginning to have difficulties, problems, or breakdowns? Need to identify areas for data collection? Want to study why a process is not performing properly or producing the desired results? Double click anywhere & add an idea
Transcript: Sara AlSubaiei Noura AlSmari Fishbone Analysis Cause Need to Arrive at a Solution to any problem Category4 It is an a analysis tool that provides a systematic way of looking the effect and each of its causes in a fish skeleton shape Problem Steps to Construct a Fishbone Diagram Problem To Enhance a Process When we should use a fishbone diagram ? Cause Cause Cause Done By: Category1 Identifying areas where there is a lack of data. Determining the root causes of a problem. Focusing on a specific issue. Invented by Dr. Kaoru Ishikawa, a Japanese quality control statistician Step1. Draw the box on the right and write the problem statement in the box. Cause Category2 Problem Need to Simplify a process flow Cause Step4. Now label each Fishbone category and For each major branch, identify other specific factors . Need to study a problem/issue Step2. Draw the line going from left to right as the ‘Spine’, connecting to the problem statement. Objectives of this tool are: What is a Fishbone diagram ? Cause Example : Category3 Step5. Analyze the diagram. Analysis helps you identify causes that warrant further investigation. Step3. Draw the ‘fishbones’ emanating from the spine. These represent the main cause categories. Cause
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