Problem Solving to Root Cause

Problem Solving to Root Cause

Lesson
While facilitating an improvement project for a hospital's surgical department recently, our team was presented with a clear opportunity for improvement. Recent data logged during a long day of procedures included three separate surgical cases where the patient's discharge paperwork was incorrect. These three errors were all caught by the surgeon before the patient was discharged, but other patients had reported receiving and following the wrong post-op procedures. The team decided that this issue was a priority to address and the Nursing Director took a leadership role in bringing together the team involved in preparing the pre-op paperwork to review the problem and propose solutions. The team was able to work together to quickly make some significant improvements while learning some core concepts of problem solving. Some of the tools…
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