GB XII Fishbone Diagram - Ohio

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8/4/2015GREENBELTTransforming the Public SectorFishbone Root Cause AnalysisSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govMaking state government in Ohiosimpler, faster, better,and less costly.SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govLearning Objectives Maslow’s Hierarchy of Needs Juran’s Classification of Customer Needs Identify the purpose of a Fishbone Diagram Describe how to use Fishbone Diagram toanalyze a problemSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov1

8/4/2015“Every problem is an opportunity.”- Kilchiro Toyoda, founder of ToyotaSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govMaslow’s Hierarchy of NeedsSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govJuran’s Classification of CustomerNeeds Customer needs are complex Fall into five intendedSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov2

8/4/2015What is a Fishbone Diagram A tool to help identify & display potentialcauses of a problem Involves the whole team Visually promotes "System Thinking" An organized form of brainstorming Prioritizes further analysisSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govIshikawa Diagram First used by Dr. Ishikawa of the Universityof Tokyo Frequently referred to as an "IshikawaDiagram"“Failure is the seed of success.” Dr. IshikawaHappy go-lucky Dr. IshikawaSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govWhen to use Fishbone Diagram Use during Define phase to assess thecurrent situation– To identify possible causes of a problem– To ensure that all perspectives are understood– To ensure that nothing is overlooked– To avoid jumping to solutions– To verify the root causeSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov3

8/4/2015How to use Fishbone aterialsProcessSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govHow to use Fishbone DiagramPoliciesPeopleProblem StatementProceduresPlaceSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govFishbone DiagramSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov4

8/4/2015How to use Fishbone Diagram Select a problem Select categories Draw a fishbone Brainstorm; ask “Why?” Keep asking “Why?”SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govDesign of Fishbone DiagramPoliciesPeoplePrimary CauseProblem StatementProceduresPlaceSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govFishbone ExampleSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov5

8/4/2015Next Step: Analyze the DataIdentify most likely cause Causes that have the biggest impactCauses that occur oftenVerify causes With dataThat the causes actually produce the effect that youthink they doSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govFishbone Diagrams Tips Dig deeply into causes of the causes Use data to verify DON’T JUMP TO CONCLUSIONS!SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govExampleProblem Statement:Why is the application processtaking too long?SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov6

8/4/2015ExampleSIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govFishbone Diagram: Activity Start with a problemIdentify as many potential causes as you canDraw a fishboneWrite the problem as the head (effect)Draw the bones; choose the categories(causes) Start brainstorming by asking “why?” Keep asking “why?”SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.govKey Learning PointsThe Green Belt should now be able to: Have a better understanding of theCustomer’s Needs Understand Maslow’s Hierarchy Create a Fishbone DiagramQUESTIONS?SIMPLER. FASTER. BETTER. LESS COSTLY.lean.ohio.gov7

Ishikawa Diagram First used by Dr. Ishikawa of the University of Tokyo Frequently referred to as an "Ishikawa Diagram" “Failure is the seed of success.” Dr. Ishikawa Happy go-lucky Dr. Ishikawa SIMPLER. FASTER. BETTER. LESS COSTLY. When to use Fishbone Diagram Use during Define phase to assess the current situation

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ut the actual reason for a fishbone in this white paper goes back to a guy named Ishikawa. Karou Ishikawa was a Japanese professor and engineer who developed the fishbone diagram in the 1940s to analyze problems in manufacturing1. It is a cause and effect diagram that is sometimes called the Ishikawa diagram, the fishbone diagram, or the .

2. Train Derailment Accident Analysis with Fishbone Diagram 2.1 Fishbone Diagram Fishbone Diagram (Cause & Effect/Fishbone Diagram)can analyze the main factors and secondary factors of system. It seriously investigates the cause of the accident analysis system, and distinguishes the causal relationship between the various factors.

Cause and Effect diagram or Fishbone diagram is a graphic technique and is a good tool to find and significantly analyze affecting factors in identifying the characteristics of work output quality (San, Tjitro, & Santoso, 2003). This fishbone diagram is known as a cause and effect diagram. Why is it that this Ishikawa’s diagram

Fishbone diagram analysis can help nurses grasp the cause of infection in the operating room. The fishbone diagram analysis method is also called causal analysis method [6]. This method can be used to find the root cause of things, because the shape is very similar to the bones of fish. So it is called a fishbone map.

Creating a Fishbone (Ishikawa) Diagram Creating Fishbone diagrams for root cause analysis is easy. Follow the steps below and you’ll have the diagram you need to identify the root causes of defects and deviation. Step 1: Select the Fishbone Template Select Fishbone from the QI Macros Menu. Step 2: Fill in the text for the main bones and 5 Whys.

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