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The Quality Measurement Journey - Sikker Patient

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Unplanned Returns to Ed w/in 72 Hours<br />

Month M A M J J A S O N D J F M A M J J A S<br />

ED/100 41.78 43.89 39.86 40.03 38.01 43.43 39.21 41 .90 41.78 43.00 39.66 40.03 48.21 43.89 39.86 36.21 41.78 43.89 31.45<br />

Retur ns 17 26 13 16 24 27 19 14 33 20 17 22 29 17 36 19 22 24 22<br />

u chart<br />

1.2<br />

chart<br />

1.0<br />

0.8<br />

0.6<br />

0.4<br />

0.2<br />

0.0<br />

1<br />

UCL = 0 .88<br />

Mean = 0.54<br />

LCL = 0.19<br />

2<br />

3<br />

4<br />

5<br />

6<br />

7<br />

8<br />

9<br />

10<br />

11<br />

12<br />

13<br />

14<br />

15<br />

16<br />

17<br />

18<br />

19<br />

How can I depict variation<br />

Rate per 100 ED <strong>Patient</strong>s<br />

33<br />

STATIC VIEW<br />

Descriptive Statistics<br />

Mean, Median & Mode<br />

Minimum/Maximum/Range<br />

Standard Deviation<br />

Bar graphs/Pie charts<br />

DYNAMIC VIEW<br />

Run Chart<br />

Control Chart<br />

(plot data over time)<br />

Statistical Process Control (SPC)<br />

©Copyright 2011 IHI/R. Lloyd<br />

<strong>The</strong> SPC Pioneers<br />

W. Edwards<br />

Deming<br />

(1900 - 1993)<br />

Walter<br />

Shewhart<br />

(1891 – 1967)<br />

Joseph Juran<br />

(1904 - 2008)<br />

©Copyright 2011 IHI/R. Lloyd<br />

Institute for Healthcare Improvement

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