QI Processes & Approaches
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Selection of a Topic for Analysis
Statistical Process Control (SPC)
•Definition
SPC
•Variation
Selected SPC Tools
Histogram
Pareto Chart
Scatter Diagram
Run Chart
Control Chart
What does this chart tell us?
Out of the boundaries
Which pharmacy would you use?
ABC
Sampling
Benchmarking
Sampling vs Benchmarking
Incorporating SPC into PDCA/PDSA
(Plan, Do, Check/Study, Act)
Type of SPC tool?
Histogram
Sentinel Events
Root Cause Analysis (RCA)
RCA – General Steps:
RCA - Types of Framework:
RCA Steps Using NCPS
RCA
1. Charter the team
RCA
2. Document and Research
RCA
2. Document and Research continued
RCA
2. Document and Research
c. Create a final diagram of the flow of events
RCA
3. Identify Root Causes
Cause & Effect Diagrams
Causation
Five rules of causation
RCA
Develop action measures and establish outcome measures
Take action to prevent reoccurrences
Monitor and reassess the process periodically
Fish bone diagram think…
Root cause analysis
Healthcare Failure Mode and Effect Analysis (HFMEA)
•Definition
HFMEA
HFMEA - Steps
HFMEA
1. Define the topic
2. Assemble the team
HFMEA
3. Graphically describe the process
Failure modes
HFMEA
4. Conduct a hazard analysis
HFMEA
4. Conduct a hazard analysis
Ratings
Severity & Probability rating
HFMEA Step 4 - hazard analysis
HFMEA
4. Conduct a hazard analysis
HFMEA
Develop actions and outcome measures
Summary
Practice Question
Which of the following would be used when making comparisons of a company's processes and outcomes with the best practices of others?
A. Benchmarking
B. HFMEA
C. RCA
D. Sampling
A. Benchmarking