Robert C. Lloyd, PhD Clinics in Perinatology

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Presentation transcript:

Navigating in the Turbulent Sea of Data: The Quality Measurement Journey Robert C. Lloyd, PhD Clinics in Perinatology Volume 37, Issue 1, Pages 101-122 (March 2010) DOI: 10.1016/j.clp.2010.01.006 Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 1 Milestones in the QMJ. Courtesy of R.C. Lloyd & Associates. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 2 Example of a QMJ. Reducing undesired or accidental extubations in neonates. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 3 Elements of a run chart. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 4 Determining the number of runs. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 5 The 4-run chart rules. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 6 Applying the run chart rules. Adapted from Provost L, Murray S. The data guide. Austin [TX]: Associates in Process Improvement and Corporate Transformation Concepts; 2007. p. 3–15; with permission. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 7 Elements of a Shewhart chart. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 8 The basic Shewhart charts. Courtesy of Institute for Health Improvement. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 9 The Shewhart chart decision tree. Courtesy of Institute for Health Improvement. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 10 Average ventilator days for all babies with birth weight of 501 to 1500 g. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 11 Catheter-associated BSIs per 1000 line days for infants with a birth weight of 501 to 1500 g for NICU1. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 12 Catheter-associated BSIs per 1000 line days for infants with a birth weight of 501 to 1500 g for NICU2. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions

Fig. 13 The sequence for improvement. Courtesy of Institute for Health Improvement. Clinics in Perinatology 2010 37, 101-122DOI: (10.1016/j.clp.2010.01.006) Copyright © 2010 Elsevier Inc. Terms and Conditions