Abstract
Ishikawa diagram can be applied in clinical fields and mental/ behavioural health proactively. It provides a structured and systematic approach to identify and collate potential causes for an effect. The processes in gathering and organizing the potential causes may include identifying the barriers, facilitators and incentives for a behaviour, reviewing literatures, analysing flow charts, conducting failure mode and effect analysis (FMEA), surveying, interviewing, brain storming, conducting focus group discussion, and applying problem driven iterative adaptation (PDIA) approach. It can also be applied creatively to interlink a series of timeline events. With skill and experience, a practitioner can apply Ishikawa diagram in a three dimensional way in which the third dimension is the intertwining of the various potential causes criss-crossing each other. The success in establishing and implementing an Ishikawa diagram entails amalgamation of skills in science and art.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Authors’ Background
Dr. Kam Cheong Wong: a medical practitioner in family medicine; Clinical Senior Lecturer at University of Sydney; Senior Lecturer in General Practice, Western Sydney University; medical reviewer for Oxford University Press; former engineer and consultant in quality assurance.
Mr. Kai Zhi Woo: engineer with project management experience.
Miss Kai Hui Woo: engineer with postgraduate experience in biomedical engineering. Mr. & Miss Woo are the founders of The B Solution, Penang, Malaysia.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Andrews, M., & Pritchett, L. (2013). Escaping capability traps through problem driven iterative adaptation (PDIA). World Development, 51, 234–244.
Atkinson, S., Tomley, S., Landau, C., & O’Hara, S. (Eds.). (2012). The psychology book. London, UK: Dorling Kindersley Limited.
Bechtel, G. A., & Wood, D. (1996). Improving the accuracy of total quality management instruments. The Health Care Supervisor, 14(3), 21–26.
Berwick, D. M. (1989). Continuous improvement as an ideal in health care. New England Journal of Medicine, 320(1), 53–56. doi:10.1056/NEJM198901053200110.
Colton, D. (2000). Quality improvement in health care: Conceptual and historical foundations. Evaluation & the Health Professions, 23(1), 7–42. doi:10.1177/01632780022034462.
Gupta, P., & Varkey, P. (2009). Developing a tool for assessing competency in root cause analysis. Joint Commission Journal on Quality and Patient Safety, 35(1), 36–42.
Hartnell, N., MacKinnon, N., Jones, E., Genge, R., & Nestel, M. (2006). Perceptions of patients and health care professionals about factors contributing to medication errors and potential areas for improvement. Canadian Journal of Hospital Pharmacy, 59(4).
Hartnell, N., MacKinnon, N., Sketris, I., & Fleming, M. (2012). Identifying, understanding and overcoming barriers to medication error reporting in hospitals: A focus group study. BMJ Quality & Safety, 21(5), 361–368. doi:10.1136/bmjqs-2011-000299.
Ishikawa, K., & Loftus, J. H. (1990). Introduction to quality control. Tokyo, Japan: 3A Corporation.
Ridge, A., Bero, L., & Hill, S. (2010). Identifying barriers to the availability and use of Magnesium Sulphate Injection in resource poor countries: A case study in Zambia. BMC Health Services Research, 10(1), 340.
Steele, J. R., Clarke, R. K., Terrell, J. A., & Brightmon, T. R. (2014). Improving patient access to an interventional US clinic. RadioGraphics, 34(1), E18–E23. doi:10.1148/rg.341135062.
Svensson, T., Inoue, M., Charvat, H., Sawada, N., Iwasaki, M., Sasazuki, S., … Tsugane, S. (2014). Coping behaviors and suicide in the middle-aged and older Japanese general population: The Japan Public Health Center-based Prospective Study. Annals of Epidemiology, 24(3), 199–205.
Wong, K. C. (2011). Using an Ishikawa diagram as a tool to assist memory and retrieval of relevant medical cases from the medical literature. Journal of Medical Case Reports, 5, 120. doi:10.1186/1752-1947-5-120. 1752-1947-5-120 [pii].
Wong, K. C. (2016). How to apply clinical cases and medical literature in the framework of a modified “failure mode and effects analysis” as a clinical reasoning tool – an illustration using the human biliary system. Journal of Medical Case Reports, 10, 85. doi:10.1186/s13256-016-0850-6.
World Health Organization. (2014). Suicide prevention (SUPRE). www.who.int. World Health Organization. Available from http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/index.html
Ziegenfuss, J. T., Munzenrider, R. F., Fisher, K., Noll, S., Poss, L. K., & Lartin-Drake, J. (1998). Engineering quality through organization change: A study of patient care initiatives by teams. American Journal of Medical Quality, 13(1), 44–51. doi:10.1177/106286069801300106.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Wong, K.C., Woo, K.Z., Woo, K.H. (2016). Ishikawa Diagram. In: O'Donohue, W., Maragakis, A. (eds) Quality Improvement in Behavioral Health. Springer, Cham. https://doi.org/10.1007/978-3-319-26209-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-26209-3_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-26207-9
Online ISBN: 978-3-319-26209-3
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)