4. Go to the Institute for Healthcare Improvement website

(www.ihi.org/resources/Pages/Tools/FailureModesEffectsAnalysisComparisonFiveMedicationDispensingScenarios.and download the sample FMEA tool comparing five medication dispensing scenarios. Choose one of the scenarios and develop a fishbone diagram. Hint: The problem is “medication error”; look at some of the failure causes and categorize them in terms of people, materials, methods, measurement, environment, and equipment.