Complete a fishbone diagram based on the following scenario. (remember to include the four categories)

During the last quarter the data collected by the quality department has demonstrated a downturn on the patient satisfaction survey results. Follow-up phone calls have provided limited information on potential correlations to include themes of: aesthetics; Delay in care; delay in discharge process. Concurrent patient rounds result in themes such as: noise level too high; aesthetics; limited information from mds.