Understanding Run Charts: Key Concepts and Analysis Rules

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"Learn about run charts in quality improvement projects, including special cause variation, causes of variation, analyzing rules, and limitations. Explore examples and guidelines for effectively using run charts."

  • Run Charts
  • Quality Improvement
  • Special Cause Variation
  • Variation Analysis

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  1. Understanding Run Charts Candice Foy, MD

  2. Run Chart Example

  3. What is the QI term for Statically Signiant? SPECIAL CAUSE VARIATION! Special cause variation only occurs when a force acts upon a system to change the data. If you are implementing a change, your goal is to cause special cause variation

  4. Causes of Variation

  5. Run Chart Displays the data from the QI project overtime, allows annotations so the effect of each PDSA cycle can be visually appreciated Uses the median of the data to show how the data changes overtime Special cause variation is identified by a set of rules that identifies trends

  6. Run chart vs t2test

  7. Analyzing the Run Chart - 4 Rules To identify SPECIAL CAUSE VARIATION, the run chart must meet one of the following rules: 1. Data Shift 6+ consecutive points all above or below the median 2. Trend 5+ data points all increasing or decreasing in value 3. Astronomical data point Major Outlier 4. Too Few or Too Many Runs Data crosses the median too often or too rarely

  8. Run Chart Rules

  9. Run Chart Rules Counting Runs

  10. Too Many or Too Few Runs

  11. Run Chart Rules Counting Runs

  12. Too Many or Too Few Runs

  13. Run Chart Limitations Bounds of system performance not easily identified Cannot easily identify subtle variation in data Difficult to easily define astronomical outliers

  14. Control Chart Visual display of data overtime and its relationship to the mean and control limits Control limits help to determine if process is stable (only common cause variation) in addition to the 4 rules of the run chart Can better identify variation over time, identify different causes of variation, and identify early success in a project

  15. Control Chart Example

  16. Control Chart Example

  17. Control Chart Rules Zone A Zone B Zone C https://upload.wikimedia.org/wikipedia/commons/7/72/Poster_-_Control_Charts_for_Nelson_Rules.svg

  18. Control Chart Rules Zone A Zone B Zone C https://upload.wikimedia.org/wikipedia/commons/7/72/Poster_-_Control_Charts_for_Nelson_Rules.svg

  19. Control Chart Example Rule 1 - Outlier Rule 5 Zone A Rule 3 - Trend

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