Management and Quality Tools, Ola Elgaddar, 2013

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    Management and quality toolsOla H. Elgaddar

    MBChB, MSc, MD, CPHQ

    Lecturer of Chemical PathologyMedical Research InstituteAlexandria University

    [email protected]

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    Quality

    Fitness for use

    Juran

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    Management

    It is the act of getting people together to

    accomplish desired goals and

    objectives using available resourcesefficiently and effectively

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    Evolution of quality management

    Level 1: Inspection:

    - Measure the characteristics of aproduct and compare them with its

    specifications;

    - The goal here is the fitness ofstandards. This is the passive

    "inspecting" attitude.

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    Evolution of quality management

    Level 2: Quality Control:- Inspection performed by the workersthemselves with a feedback loop to the

    production line;-Here we avoid the "inspector" effectand allow some learning

    to take place.

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    Evolution of quality management

    Level 3: Quality Assurance (QA):- Set of (implemented) predefined andsystematic activities necessary to give

    confidence in the process quality;- Quality procedures are designed andplanned as a whole to ensure that no badproducts be delivered. We do not just relyon everybody's work and control.

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    Evolution of quality management

    Level 4: Total Quality Management (TQM):- Management centered on quality and basedon the participation ofeverybodywhich aimsat the customer satisfaction and at the

    improvementof the company's personnel, ofthe company and of the society.

    - This is the ultimate step where workers andcustomers continuously interact to review /improve this plan.

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    Shewhart

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    Performance ImprovementTools

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    According to the Healthcare Quality

    Certification Board (HQCB):

    I) Tools for planning:

    Hoshin planningForce field analysis

    Gantt chart

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    According to the Healthcare Quality

    Certification Board (HQCB):II) Tools for team:Brainstorming

    Affinity diagramSelection grid

    Task list

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    According to the Healthcare Quality

    Certification Board (HQCB):

    III) Tools for data collection:

    Indicators

    Check sheets

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    According to the Healthcare Quality

    Certification Board (HQCB):

    IV) Tools for data analysis:

    Run / Control chartsHistogram

    Scatter diagram

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    According to the Healthcare Quality

    Certification Board (HQCB):

    IV) Tools for root cause analysis (RCA):

    Flow chartCause - Effect diagram

    Pareto chart

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    Hoshin planning

    (Policy Deployment)The process used to identify andaddress critical business needs and

    develop the capability of employees,achieved by aligning companyresources at all levels and applying the

    PDCA cycle to consistently achievecritical results

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    Force field analysis

    It is a powerful method of gaining a

    comprehensive overview of the

    different forces acting on a potentialorganizational change issue, and for

    assessing their source and strength.

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    Gantt Chart

    A Gantt chart is a type of bar chart that

    illustrates a project schedule. Gantt

    charts illustrate the start and finishdates of the terminal elements and

    summary elements of a project.

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    Brainstorming

    Brainstorming is a tool used by teams

    to bring out the ideas of each individual

    and present them in an orderly fashionto the rest of the team.

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    Benefits of brainstorming

    1) Encourages creativity

    2) Equalizes involvement by all team

    members3) Fosters a sense of ownership

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    1

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    2 Set a time limit for the session

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    -Brainstorming should be a rapid

    generation of ideas, so do it quickly;

    5-15 minutesworks well. If the time

    limit has expired and ideas are stillbeing generated, you can extend

    the time limit at five-minute

    intervals.- Remember! You are just a

    facilitator

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    Set a time limit for the session

    3

    State the topic to be brainstormed in the form of a

    written clear question, every body can see it

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    Set a time limit for the session

    4

    Collect everyones ideas; Structured or unstructured

    format for calling out ideas (Adv vs Disadv)

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    Set a time limit for the session

    5

    Record ideas and display them where

    everyone can see

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    - To avoid misinterpretation and

    duplication and stimulate creativethinking by others

    - Written down exactly as spoken by

    the team member, dont interpret

    -Try to generate a long list as possible

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    Set a time limit for the session

    6

    Clarify each idea to ensure that all members have

    the same understanding of it

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    Set a time limit for the session

    7

    Eliminate duplications, after asking participants,

    other wise they are kept separate

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    Follow the rules,or dont call it

    brainstorming!

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    Affinity Diagram

    Usually, an affinity diagram is used torefine a brainstorm into something thatmakes sense and can be dealt with more

    easily.It is recommended to be used when factsor thoughts are uncertain and need to beorganized, when preexisting ideas or

    paradigms need to be overcome, whenideas need to be clarified, and when unitywithin a team needs to be created.

    Affi i

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    Affinity

    diagram

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    Selection Grid

    It is a quantitative technique used to

    rank the multi-dimensional options of

    an option set.A basic selection grid consists ofestablishing a set of criteria options

    which are scored and summed to gaina total score which can then be ranked.

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    Selection Grid

    A weighted selection grid operates in thesame way as the basic decision matrix butintroduces the concept of weighting the

    criteria in order of importance.The more important the criteria the higherthe weighting it should be given. Each of

    the potential options are scored andmultiplied by the weighting given to each ofthe criteria in order to produce a result.

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    Task List

    A simple todo list!

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    Indicators

    Indicators are quantitative measures of

    a specific part of a process or of an

    outcome.By themselves, they dont directly

    measure quality, rather, they help

    provide data that when analyzed, giveinformation about quality

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    Check list

    A simple way of collecting data

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    Control charts

    A control chart is a graph or chart with limit lines,

    called control lines.

    The purpose of drawing a control chart is to detect

    any changes in the process that would be evidentby any abnormal points listed on the graph from

    the data collected.

    It is a method of control, monitoring andimprovement.

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    Histogram

    The purpose of a Histogram is to take thedata that is collected from a process and

    then display it graphically to view how the

    distribution of the data, centers itself aroundthe mean, or main specification.

    Histograms show the center of the data, the

    spread of the data and any data skewnessor outliers.

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    Scatter diagram

    The Scatter Diagram is a Quality Tool thatcan be used to show the relationship

    between "paired data, i.e: shows

    correlation.

    Strong r = Higher correlation, in either sides

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    Flow chart

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