Page 125 - Solid Waste Analysis and Minimization a Systems Approach
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                                 “Pareto” graph of missing doses by reason
                      100%
                       90%

                       80%         80% line
                       70%                                             Cumulative percent
                     Percent of sample  60%  “Significant few”



                       50%
                       40%

                       30%                                            “Trivial many”
                       20%

                       10%
                        0%
                                New order  Pt. Transfered  RN didn’t find  Dose held  Ca carbonate  No order  PRN bag  Bulk meds.,  FTC  Data  entry/pharm  RN change  sched







                     Figure 6.3     Pareto analysis.






                    benefit of this tool is to identify all variables that affect the process’s performance and
                    then prioritize them.
                      A work study shows how an employee spends his/her time working on different
                    tasks. The analyst records a tally every minute in a specified area and observes
                    the employee for a specified time. After the allotted time the analyst then records
                    each task and can show the percentage of time the employee spends on each task.
                      The force-field analysis (Fig. 6.6) is a method to identify supportive and resistive
                    resources that could be effectively utilized toward the process goals (Gupta et al.,
                    2007). The objective is to identify factors to accelerate change or resistive resources
                    that would slow process change.
                      A project charter compiles the problem definition, goals, objectives, and action
                    plans to achieve them. It is a roadmap that


                    ■ Justifies the project efforts with financial impact.
                    ■ Describes the problem and its scope to be addressed by the project in the specified
                      time frame.
                    ■ Declares the goal, objectives, and measures of success.
                    ■ Defines the roles of the team members.
                    ■ Establishes the timeline, milestones, and key deliverables.
                    ■ Identifies required critical resources.
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