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[MUSIC PLAYING] DAVE WILLIAMS: A common challenge for improvement teams is identifying what changes you can test to improve a process or problem. One great method to help you break down ideas is a tool known as a cause-and-effect diagram. You may have also heard of this tool referred to as an Ishikawa diagram-- attributed to its creator, Kaouru Ishikawa-- or a fishbone diagram because of the resemblance to the bones of a fish. To create a cause-and-effect diagram, write the effect in a box on the right-hand side of the page. So lets imagine were working on improving hand-washing. All right. Then draw a horizontal line across the page. Decide on a few categories or causes for the problem. Useful categories of causes in the classic fishbone diagram include people, methods, materials, equipment, and environment. Then we can draw a diagonal line to each of these, and these are actually the bones of the fish-- and hence, its name. The process of categorizing potential caus
