Please be sure not to copy any answers verbatim. original answers needed will be scanned through the safe-assign system.

conduct a cause and effect diagram (fishbone) on the scenario below, Consider policies and procedures, methods, materials, training, etc. If you are unable to create a template in word or excel, you can manually draw it out.

scenario

An 86 year old male nursing home resident who stays up at night and is usually in the dining room; wandered to a staircase in his wheelchair and fell down 16 steps to his death. He had his wanderguard bracelet on. What happened?