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Fishbone Diagram: DELAY IN PRESCRIPTION BEING FILLED (PHARMACY)

COMMUNICATION STAFF

Did not pay adequate attention to


Did not inform patient that there was prescription when it was dropped
an error on the prescription when off
it was dropped off.

Did not call the patient to inform them


about the additional delay

DELAY IN PRESCRIPTION
BEING FILLED
(PHARMACY)

No pharmacy procedure to ensure


that all prescriptions are
reviewed for accuracy when they
are dropped off

RULES /POLICIES
/PROCEDURES
Fishbone Diagram: DELAY IN PRESCRIPTION BEING FILLED (CLINIC)

COMMUNICATION STAFF

Lack of accountability
Poor Medical Assistant (MA) to MD
communication

Medical Assistant did not follow


through
Inexperience with Rx requirements

Poor Front Desk Assistant to Practice


Manager communication
DELAY IN PRESCRIPTION
BEING FILLED (CLINIC)

No policy/procedure for MD/MA to


respond to voicemails in a timely
manner

No practice policy/procedure on how


to tackle Rx discrepancies prior
to the Rx leaving the clinic Did not pay adequate attention to Rx
requirements

No policy/procedure on
correct hand off
process when taking
lunch

RULES /POLICIES
/PROCEDURES ATTENTION ERROR