Day 2 · Case File 02

The Night Shift File

Eight factors, reported anonymously by ward staff, sit in the tray below. Sort each one onto the correct bone of the fishbone diagram — People, Process, Equipment or Environment — to see what's really driving the rise in falls. Confidential — Ward Review

Unsorted reports

Fishbone diagram — drag each report onto a bone

Rise in Ward Falls
People
Process
Equipment
Environment
🔓
All four bones are correctly filled. Multiply the largest number of reports on any one bone by the number of bones you actually used:
— — —
Struggling? Need the toolkit, or want to learn more

If you're struggling with this challenge, or simply want to learn more about fishbone diagrams, here are some useful links:

Here's how fishbone diagrams have been used by people in the Trust to aid their improvement work:

[ VIDEO PLACEHOLDER — replace this block with an <iframe> or <video> embed of a CITI Academy interview / case study ]