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The process of identifying the top categories of an issue when using a fishbone diagram involves brainstorming and categorizing potential causes of the problem into different branches of the diagram. This can be done through a group discussion or by conducting individual interviews with relevant stakeholders. The American Psychological Association (APA) suggests that the fishbone diagram, also known as the Ishikawa diagram, is a visual tool that allows for a systematic and organized analysis of various potential causes contributing to a specific issue 5(Smith, 2019). Each branch of the diagram represents a category, such as people, processes, equipment, environment, or materials, which helps to identify and prioritize the key areas that need improvement. By using the fishbone diagram, healthcare businesses can effectively identifythe top categories of an issue and focus their efforts on addressing the root causes to improve patient satisfaction and overall performance (Johnson et al., 2020). When producing a fishbone diagram, the subtopics can be organized into categories such as people, processes, equipment, environment, and materials. Each category represents a branch on the diagram, and potential causes related to that category are identified and placed on the respective branch. This systematic organization helps prioritize areas for improvement (Smith, 2019)
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