Introduction
The Quality Improvement Team at your local hospital is investigating the case of Mr. Baum, who was recently admitted for respiratory difficulties but experienced other health problems while undergoing treatment. The goal of the team is to identify errors and systems issues/failures that affected and prolonged Mr. Baum’s hospitalization. The team will then suggest process improvements that will reduce the likelihood that these errors/failures will happen again in the future.

Assignment Guidelines
Read “The Case of Mr. Baum (PDF).” (Links to an external site.)
Create a fishbone diagram of this case for the Quality Improvement Team. You are to download and use the Fishbone Template (Word). (Links to an external site.)
Identify sources of internal evidence for this case.
Search the literature to identify process improvements that could reduce the likelihood that these errors/failures will recur in the future. List them.
Format for assignment:Title page; Body (which will include the fishbone diagram); References (use the Fishbone Template provided).

Additional Requirements:

Please use full sentences.
If using bibliography software for references and citations, convert the text to static text before submission.
Expect this assignment to be 2 pages (excluding Title & Reference pages) in double-spaced, 12-point Times New Roman font.
This assignment will be graded using theUse of Fishbone Diagram Rubric.


 

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