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The Quality Measurement Journey - Sikker Patient

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<strong>The</strong> average of a set of numbers can be<br />

created by many different distributions<br />

Measure<br />

X<br />

(CL)<br />

Time<br />

27<br />

©Copyright 2011 IHI/R. Lloyd<br />

If you don’t understand the variation that<br />

lives in your data, you will be tempted to ...<br />

• Deny the data (It doesn’t fit my view of<br />

reality!)<br />

• See trends where there are no trends<br />

• Try to explain natural variation as special<br />

events<br />

• Blame and give credit to people for things<br />

over which they have no control<br />

• Distort the process that produced the data<br />

• Kill the messenger!<br />

28<br />

©Copyright 2011 IHI/R. Lloyd<br />

Institute for Healthcare Improvement

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