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The Quality Measurement Journey - Sikker Patient

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Elements of a Shewhart<br />

Control Chart<br />

50.0<br />

45.0<br />

40.0<br />

(Upper Control Limit)<br />

UCL=44.855<br />

A<br />

Measure<br />

Number of Complaints<br />

35.0<br />

30.0<br />

25.0<br />

20.0<br />

15.0<br />

10.0<br />

An indication of<br />

a special cause<br />

B<br />

C<br />

CL=29.250<br />

C<br />

B<br />

A<br />

X (Mean)<br />

LCL=13.645<br />

(Lower Control Limit)<br />

5.0<br />

Jan01 Mar01 May01 July01 Sept01 Nov01 Jan02 Mar02 May02 July02 Sept02 Nov02<br />

Time<br />

Month<br />

©Copyright 2011 IHI/R. Lloyd<br />

Run and Control Charts<br />

don’t tell you<br />

• <strong>The</strong> reasons(s) for a Special Cause<br />

• Whether or not a Common Cause process<br />

should be improved (Is the performance of<br />

the process acceptable)<br />

• How the process should actually be<br />

improved or redesigned<br />

©Copyright 2011 IHI/R. Lloyd<br />

Institute for Healthcare Improvement

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