Applying statistical process control (SPC) chart techniques to examine patient-centered performance indicators and pharmacy operational indicators using sequential control chart

作者：Chien Tsai Wei; Chan Agnes L F; Leung Henry W C; Chou Ming Ting^*

来源：Healthmed, 2012, 6(3): 736-744.

• patient-centered performance indicators
• pharmacy operational indicators
• chart technique

Purpose: We report the monitoring system for patient-centered performance indicators and pharmacy operational indicators that could be used locally to improve the delivery of pharmaceutical care using sequential control chart approach.
Methods: The patient-centered performance indicators and pharmacy operational indicators were developed and monitored routinely to ensure high quality of pharmaceutical care by using single and sequential regression analyses. The patient-centered performance indicators were developed based on medication-use indicators. A sequential control chart approach was proposed to automatically inspect the outlier at the last time point and email the respective control chart to the member for further discussion.
Results: A series of operational indicators and patient-centered performance indicators have been established and monitored since 1998 and adjusted each year. The results showed that patient-centered performance indicators and pharmacy operational indicators were improved each year using a sequential control chart approach.
Conclusions: The use of this methodology facilitated operation of pharmacy structured service appraisal system and prevented the near-missed medication errors. The program plots and mail the outlier control chart to the member focusing on a small number of key areas to be easily, quickly and clearly compared.

• 出版日期2012