Journal Article
Commentary

Use of a novel, modified fishbone diagram to analyze diagnostic errors.

Reilly JB; Myers JS; Salvador D; Trowbridge RL.

This commentary discusses how two medical centers utilized the fishbone diagram as a tool to analyze diagnostic errors. A health care facility in Maine developed a root cause analysis model to determine common factors, and a residency program in Pennsylvania introduced a modified fishbone diagram to educate trainees about cognitive biases and systems issues.