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SITUATION: What is your SYSTEMIC and/or HIGH RESOURCE issue or problem?
Big issues often effect more than one department or clinical area or require significant resources to resolve.
TARGET: Desired condition
What are the specific conditions you want to see accomplished?
ANALYSIS OF THE PROBLEM (OPTIONAL)
What are the root causes of this problem, to the best of your knowledge?
PROPOSED IMPROVEMENT IDEAS (OPTIONAL)
How involved do you want to be in investigating root causes and developing solutions for this issue?
Reporter only (let me know when it's solved!)
Somewhat involved (I'd attend a meeting or talk to a few key stakeholders)
Extremely involved (I'll do whatever I can to push for a solution to this issue)
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