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Cause Cure

Dashboard

Cause Cure

Healthcare

'Human error' is never the real cause — it's the symptom of a broken process. A Root Cause Analysis tool with Fishbone diagrams and 5 Whys that pushes past blame to the systemic fix.

Classic Form mode active

AI Assistant — each action uses one project token

— tokens

5 Whys

Ask "why" repeatedly to move from symptom to the broken process. Each level nests deeper.

You've completed 0 of 5 whys. Keep going to reach the systemic cause.

Ishikawa (Fishbone)

Click any bone to add causes
Methods— Policies, procedures, protocols, workflows.

The way the work is supposed to be done — rules, checklists, and step-by-step procedures.

What process or rule is missing, broken, or being bypassed?

No standardized med-reconciliation checklistHand-off protocol skipped on busy shiftsWorkaround became the norm
Machines— Equipment, technology, EHR, devices.

The tools and technology used to do the work — software, hardware, devices.

What tool, device, or system fails or is missing?

EHR–pharmacy integration gapScanner batteries fail mid-shiftOutdated workstation can't run new module
Materials— Supplies, forms, medications, consumables.

The physical inputs to the work — supplies, documents, medications, consumables.

What physical input, supply, or form is wrong, missing, or confusing?

Look-alike medication labelsStockout of prefilled syringesForm fields don't match the workflow
Manpower— People, staffing, training, competency.

The people doing the work — staffing levels, skills, training, and clarity of roles.

Who lacks the training, capacity, or clarity to do the task right?

Float nurses unfamiliar with the unitCompetency check overdueInadequate nurse-to-patient ratio
Measurement— Metrics, data capture, assessment methods.

How the work is observed and measured — metrics, data capture, and inspection methods.

What can't you see, or what's measured in a way that hides the problem?

No real-time error dashboardMetric lags by a monthManual data entry invites transcription errors
Environment— Physical setting, space, noise, lighting.

The conditions where the work happens — space, noise, lighting, layout, distractions.

How does the physical setting make the error more likely?

Med room too noisy for a double-checkPoor lighting on night shiftCramped workspace invites mix-ups

Interactive diagram. Click any category bone to add causes · click the fish head to edit the problem statement. Hover a bone for a hint. Each cause appears as a sub-bone on the diagram.

New here? Read this first 👇The guide explains what each 6M category means.
Start here 👆Click the fish head to set the problem, then click any bone to add causes.

Empty bone? Use AI to fill the 6M categories.

Click to edit the problem statementProblemclick to defineClick to add or edit Methods causesNo standardized med-re…Hand-off protocol skip…Workaround became the …MethodsClick to add or edit Machines causesEHR–pharmacy integrati…Scanner batteries fail…Outdated workstation c…MachinesClick to add or edit Materials causesLook-alike medication …Stockout of prefilled …Form fields don't matc…MaterialsClick to add or edit Manpower causesFloat nurses unfamilia…Competency check overd…Inadequate nurse-to-pa…ManpowerClick to add or edit Measurement causesNo real-time error das…Metric lags by a monthManual data entry invi…MeasurementClick to add or edit Environment causesMed room too noisy for…Poor lighting on night…Cramped workspace invi…Environment

0/5 whys · 0 categories populated

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