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Measuring for improvement: from Toyota to thoracic surgery

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Presentation on theme: "Measuring for improvement: from Toyota to thoracic surgery"— Presentation transcript:

1 Measuring for improvement: from Toyota to thoracic surgery
James M Levett, MD, Raymond G Carey, PhD  The Annals of Thoracic Surgery  Volume 68, Issue 2, Pages (August 1999) DOI: /S (99)

2 Fig 1 Histogram of average coronary artery bypass grafting (CABG) mortality before and after implementation of new protocol. Was the new protocol effective in reducing deaths? The Annals of Thoracic Surgery  , DOI: ( /S (99) )

3 Fig 2 Control chart of coronary artery bypass grafting (CABG) mortality before and after new protocol. CL = center line or mean; LCL = lower central limit; UCL = upper control limit. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

4 Fig 3 Histogram of decrease in average intensive care unit (ICU) admission time after the 1997 implementation plan, hospitals A and B. Was the decrease due to the implementation plan? The Annals of Thoracic Surgery  , DOI: ( /S (99) )

5 Fig 4 Control chart of intensive care unit (ICU) admission time, hospital A. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

6 Fig 5 Control chart of intensive care unit (ICU) admission time, hospital B. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

7 Fig 6 Basic elements of a control chart.
The Annals of Thoracic Surgery  , DOI: ( /S (99) )

8 Fig 7 Control chart of first/elective coronary artery bypass grafting (CABG) mortality (DRG 106 and 107). The Annals of Thoracic Surgery  , DOI: ( /S (99) )

9 Fig 8 Control chart of first/elective coronary artery bypass grafting (CABG) complications. The Annals of Thoracic Surgery  , DOI: ( /S (99) )

10 Fig 9 Control chart of bowel operation length of stay (LOS) (ages 18 to 64). The Annals of Thoracic Surgery  , DOI: ( /S (99) )

11 Fig 10 Control chart of complications from bowel operation.
The Annals of Thoracic Surgery  , DOI: ( /S (99) )


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