This section addresses how existing data can be collected and analysed to help understand the problem.
Once the problem scoping has been undertaken, existing data can be collected and analysed in order to further understand and provide evidence of the nature, extent and severity of the problem
A variety of approaches are useful in selecting what to work on, and with whom. Selecting where to work is sometime referred to as segmenting the opportunity.
Understanding the performance of current processes by examining them and the outcomes they produce is a useful start:
- Patient and staff stories and surveys. Where do patients and staff see problems with and best practice of the care they receive and provide?
- Clinical audits. What gaps, if any, in care are revealed?
- Performance assessments against numeric aims and targets, may show gaps between observed and desired results.
- Pareto charts can be used to identify which categories contain or contribute to most of the problem.
- Box plots can be used to summarise historical variation within and among sites.
- Time series run charts are helpful in understanding variation in processes over time
- Analytical (predictive) statistical methods such as statistical process control (SPC) are also recommended since they allow us to understand how the process has performed over time and whether those processes are stable and capable of delivering acceptable outcomes reliably. They also aid the identification of especially good or bad examples of performance from which lessons could be learned.
Many of these approaches benefit from having baseline data from the service you are considering improving. However it is not always necessary. Benchmarking with similar services may also be useful.
Finding appropriate methods to display the data to allow those working on the improvements to interact with it is also key. However beautifully analysed data is, it will not support improvement if it is not reviewed and understood.
- For more complex data collection, greater planning is needed. A copy of the PDSA form is available here.
- Read more about SPC from the former NHS Institute for Innovation and Improvement
- Information on other data, display and analysis methods:
- Watch this short video clip offering a comparison between static and dynamic displays of data:
Whiteboard: Static vs Dynamic Data
- Watch these short video clips giving more information about run charts:
Whiteboard: Run Chart 1
Whiteboard: Run Chart 2
- Watch these short video clips providing a more detailed explanation about control charts:
Whiteboard: Control Charts 1
Whiteboard: Control Charts 2
- And here is a video on how to use Pareto charts effectively:
Whiteboard: Pareto Analysis