1. Week 14, Test 2, Question 3, Fishbone Diagram
People
Examined by 8 people
including
physicians, residents, a
nd assistants
Policies
Richard White
Test 2
Question 3
Opportunity to ask questions –
No return demonstration of
understanding performed
Followed up with primary
ophthalmologist, not
consulting medical team
No written material on
condition provided
No study results provided
Accompanied by her
cognitively impaired husband
rather than her daughter
Major medical center
Primary ophthalmologist
office
Noise and chaos of
major medical center
Lighting and other
ambient conditions
No contact information
provided
Various tests to perform
“complete vision workup”
Assortment of context to perform
“complete vision workup”
No written material of
assistive devices provided
Comprehension of recorded
books and magazines not
assessed
Environment
Equipment
Mrs. Mullen’s poor
understanding of
her serious macular
degeneration