Skip to main content

How About a Little Sanity Around Data Informed Practice?

Your patient satisfaction scores went up by two points this month. YAY!

Your patient satisfaction scores went down three points the following month. Boo!

Those monthly scores feel like an emotional roller coaster, right? Then you add on all the other relevant quality outcome measures your employer has decided are important and it can get even more crazy and complex. Depending on your manager, they either take them very seriously or they understand the complexities of measuring patient outcomes.

 How do we handle all the new data coming at us more sanely?  Here's a solution.

Statistical Process Control.  What is it? Here's a generally agreed upon definition:

Statistical process control (SPC) is a method of quality control which employs statistical methods to monitor and control a process. This helps to ensure that the process operates efficiently, producing more specification-conforming products with less waste (rework or scrap).

What SPC does is it tells you when your team's performance is normal and when it's not. It is specific to the patients YOU work with, so you're not compared inappropriately to others.

Here's what an SPC chart looks like:

Control Chart Example

See the two dotted lines? Any number within those two lines means the performance of the process is NORMAL. Ups and downs within the dotted lines are nothing to worry about.

That spike at point 11, however, that's something to be concerned about. That's when you go back to what happened that month. Were that patients sicker? Were you short-staffed? Was there a supply shortage that affected operations?  Whatever the reason for the spike, you can take steps to proactively address the source of the problem. In this chart, the patient care delivery site dropped back to the normal range the following month. That means the team took the necessary steps to address the performance problem, whatever it's source.

This is what it means to use data wisely and effectively when delivering patient care. It's not hard to do and there are lots of tools and resources out there.  Just be sure you get them from a reliable source.

Here's a link to a good resource for SPC from ASQ: https://asq.org/quality-resources/statistical-process-control


Comments

Popular posts from this blog

Is it time to get your PhD in Nursing or Midwifery?

 Over the years, I've written a lot about pursuing a PhD in nursing and I'm including midwives because we need more PhD prepared midwives too.  Getting a PhD is a great way to address the problems you've seen on the frontlines of COVID-19, another way to address the social injustices of racism and discrimination on health outcomes, and to make your voice heard by the decision-makers. A third of the 1% of nurses with PhDs will retire in the next five years so we need people to take their place. We cannot lose our voices in all the places where nurses and midwives with PhDs work. Here's a compilation of the posts I've written about getting a PhD and the things to think about as you figure out where you want to apply. PhD or DNP?   This is where many people start when trying to decide on their doctoral-level career advancement. This post has my two cents on the topic. Should you work as a nurse before getting a PhD?   There's a lot of opinions out there on this sub...

We're Back for the Year of the Nurse 2020!

Over the last ten years, this blog continues to generate traffic so we are back in 2020 to highlight key issues around developing your nursing career and other hot topics related to the profession in the US and abroad. Here's some popular topics from past posts based on the 52,000+ visitors who have found it. Getting your PhD in Nursing  - There are four posts in this series so be sure to check them all out. The Post-Doc Question The Faculty Search Process Loan Repayment Mentoring is about supporting people in their career development and facing the day to day issues of their career. I hope you find this blog useful!

There Are Other Masters Degrees Besides a Nurse Practitioner - Part I

It strikes me that many students and nurses do not seem to know about the "other" masters degree options for nurses.  Everyone seems to want to be a nurse practitioner these days.  Now, that's great news for the primary care provider shortage, but we need nurses with masters degrees who can work in other positions and have other skill sets. Let's review the other masters degrees in nursing.  Nearest and dearest to my own heart is Nursing Education.  Remember that really cool clinical instructor you had in your entry-level nursing program --that could be you!  Do you like precepting new hires?  Are you the person on your unit who unofficially keeps everyone up-to-date on the latest evidence?  Do you really enjoy patient teaching, whether in the hospital or community setting?  Do you just like to teach?  Nursing education is the right masters for you.  Skills learned in a nursing education masters cannot be learned on the job.  Cur...

Translate