Shewhart chart of weekly 90th percentile of triage-to-bed times.

Slides:

Advertisements

Similar presentations

Graph comparing baseline data with data collected following PDSA cycle 1 (initial introduction of the checklist). PDSA, plan do study act; IV, intravenous.

Advertisements

Percentage of patients attending for GP steroid review following steroid letter. GP, general practitioner; LTOC, long-term oral corticosteroids. Percentage.

Weekly statistical process control (SPC) chart showing percentage of patients with hypertension screened using STOP-BANG questionnaire. Weekly statistical.

Summary of project team improvement efforts

Effect of interventions on % appointments not attended

Run chart showing outcomes of interventions expressed as percentage of cases with active implantable cardioverter defibrillator (ICD) in situ postmortem. PDSA, Plan-Do-Study-Act.

Run chart for measure 2 (adjusted timely morning discharge which is the percentage of patients who left by noon out of those eligible for morning discharge.

The poster displayed across the wards and on our Trust intranet

Percentage of newborns admitted to neonatal intensive care unit with axillary temperature over 36.5°C on arrival (July 2016–April 2017). Percentage of.

Percentage of newborns admitted to neonatal intensive care unit with axillary temperature below 36°C on arrival (July 2016–April 2017). Percentage of newborns.

Photograph to show surface anatomy identified by Braunstein et al.

This a Pareto chart showing the data obtained from auditing the steps in the discharge process. This a Pareto chart showing the data obtained from auditing.

Mortality from CHD and stroke in women and men, by country and year.

Relationship between Catholic proportions (x-axis) and breast feeding initiation rates (y-axis) in French Departments (cyan), Irish counties (green), UK.

Flow chart for the DCL trial.

(A) Indicator 2: total surgeon, anaesthesiologist and obstetrician workforce density per 100 000 people, by state in the year (A) Indicator 2: total.

Fishbone diagram of the cause-and-effect analysis

Process map of antenatal care visit in Haiti.

Burden of sepsis estimated from administrative data using ICD-10AM code preimplementation and postimplementation of sepsis pathway. ICD-10, International

Figure 4. Run chart for medication dosage as per national asthma care guideline. Figure 4. Run chart for medication dosage as per national asthma care.

Schematic representation of referral process (1a) and suggested areas to improve the referral process of the Emergency clinic (1b). Schematic representation.

Summary results of initial neutropenic sepsis management in Belfast Trust Oncology and Haematology patients from June 2011 to present. Summary results.

Age-specific mortality rates from CHD and stroke in women and men in 2010 in selected countries. Age-specific mortality rates from CHD and stroke in women.

Results: P-Chart of All GIM patients receiving unnecessary testing during intervention period, August 2014-March Results: P-Chart of All GIM patients.

A statistical process control chart illustrating the handover scores observed for each handover before and after implementation of the standardised handover.

Center 1 Time (min) to Antibiotic Administration SPC Chart.

Chart showing project sustainability over 34 months with a steady increase in number of points correctly documented. Chart showing project sustainability.

Monitoring for diabetic complications in home care baseline data

The size of each pie chart represents the proportion of patients in whom Early Aspirin was NOT GIVEN/OMITTED in each Cycle (83%,62% and 58% respectively).

(A) Target 1 vs Target 2 - % of those diagnosed vs % of those diagnosed receiving ART. (B) Target 2 vs Target 3 - % of those diagnosed on ART vs % of those.

Per cent of inpatient warfarin recipients with low international normalised ratio (INR) (

Ishikawa diagram showing the main contributory factors to the number of unacknowledged results including medical record office-related, software-related.

Dana Dykes et al. BMJ Qual Improv Report 2016;5:u w3675

Cumulative incidence functions for live hospital discharge in AS-exposed and non-exposed patients. AS, antimicrobial stewardship. Cumulative incidence.

Run chart of monthly median time for administration of pain medication for ED patients diagnosed with long bone fractures. Run chart of monthly median.

A process map of the post-take surgical ward round

Percentage of patients who had their pre-evening capillary blood glucose monitored at least once during their steroid therapy. Percentage of patients who.

Healthcare workers’ knowledge of monitoring of diabetic parameters

Per cent of inpatient warfarin recipients with international normalised ratio (INR) greater than 5 (high INR) from preimplementation to postimplementation.

Existing workflow process—consent taking to operation theatre—three consent checks on D −1 and D0 of surgery (Plan-Do-Study-Act (PDSA) cycle 2 reflected.

Figure 3. Run chart for use of standardized instrument to assess level of control. Figure 3. Run chart for use of standardized instrument to assess level.

A Guide to The Snellen Chart poster, available in the red eye survival kit & placed on the pin-board in every consultation room. A Guide to The Snellen.

‘Red eye survival kit’ containing: (1) a three-metre Snellen chart, (2) a guide to the Snellen chart poster, (3) a three-metre tape measure, and (4) an.

Final best possible medication history (BPMH) protocol design after multiple plan–do–study–act at an academic urban safety net hospital. EHR, electronic.

Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis. Center 2 Time (min) to Antibiotic Administration Baseline to Final Analysis.

Discharge profile explaining the reasons for discharges in the afternoon during April and May 2014, total discharges observed 109. Discharge profile explaining.

No decrease in timeliness of pages during our quality improvement (QI) work. No decrease in timeliness of pages during our quality improvement (QI) work.

System-wide statistical process control chart.

Patient satisfaction comparing patients receiving primary care from clinics with scribes versus patients receiving primary care from clinics without scribes.

Improved monitoring of diabetic parameters outcome data

Change in healthcare workers’ knowledge after checklist implementation

Chart showing mean and median DTN times from November to January after the introduction of core medical trainee. Chart showing mean and median DTN times.

Graph showing the percentage compliance of documentation of the baseline measures on the ward round using the template for each PSDA cycle. PDSA, plan–do–study–act;

The percentage of patients in the baseline audit that had each measure of the antipsychotic monitoring over the previous 12 months. The percentage of patients.

Variation in the completeness of reporting between EWARS and EWARN from week 43, 2014 through week 44, Variation in the completeness of reporting.

Percentage of patients with oxygen prescriptions and documented target saturations at subsequent PDSA cycles. Percentage of patients with oxygen prescriptions.

PDSA cycle 3 breakdown into intervention and non-intervention groups.

Statistical Process Chart (SPC) comparing monthly and mean contaminated BC rate for the pre-study period compared with the study period. Statistical Process.

Mean number of problems across the PPE-15 domains for each month of the program (pooled data across all 15 PPE-15 domains). Mean number of problems across.

Driver diagram outlining the changes implemented during the initiative

Run charts of behavioural change over the quality improvement initiative for (A) birth companion present at delivery and (B) immediate initiation of breast.

Mean number of red-flag features assessed per red eye consultation P-values represent statistical significance between baseline & improvement cycle 1values.

Programme results showing (A) box plot of improvement and reduction in variation for care bundle compliance for each pathway and (B), (C) and (D) show.

Two run charts showing the effects of Plan, Do, Study, Act cycles on 24-hour Electronic Patient Records venous thromboembolism (EPR VTE) risk assessment.

Average score for each PDSA

A fishbone diagram summarising factors contributing to urology inpatients not having a 24-hour Electronic Patient Records venous thromboembolism (EPR VTE)

Elevated blood glucose vs time.

Line chart of monthly antibiotic usage rate (AUR) (overall and that in infants with negative blood culture) in relation to the frequency of blood culture-positive.

Cost-effectiveness acceptability curve for tuberculosis triage testing

One-way sensitivity analysis on cost-effectiveness of triage testing for tuberculosis (TB) in Uganda. One-way sensitivity analysis on cost-effectiveness.

Presentation transcript:

Shewhart chart of weekly 90th percentile of triage-to-bed times. Shewhart chart of weekly 90th percentile of triage-to-bed times. Numbers on the x-axis indicate the weekly volume of high-acuity patients. The Shewhart chart rule for special cause variation was satisfied by the final eight weekly measurements, indicated on the chart by the open red squares. Legend: light bulb – project conception; B – mid-baseline period; patient in chair – TCA testing; walkie-talkie – bed turnaround streamlining. Lucas Brien Chartier et al. BMJ Qual Improv Report 2016;5:u206156.w2532 © 2016, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/