Walk the quality signal
Use the Donabedian model to investigate a home-care quality signal without jumping to blame.
Quality signal Complaints about bathing routines have increased. Leaders are ready to retrain, audit, or discipline, but the data does not yet show which layer failed. A mismatched fix can burn staff time and leave the real cause untouched. Donabedian model Structure -> Process -> Outcome Separate the resources, the work, and the result before choosing an intervention. Blame first Assume staff behavior is the cause. The fix targets the layer that is actually weak. Outcome trends tell you where to investigate, not who to blame. 01 Layer 02 Fix 03 Try Name the layer First fork
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