1 QI TOOLS Table of Contents Introduction......................................................................................................................................2 Body.................................................................................................................................................2 Conclusion.......................................................................................................................................8 References........................................................................................................................................9
2 QI TOOLS Introduction This discussion regarding problem detection process is important as with the help of this discussion proper understanding of the PI tools as well as QI tools are understood. Hence performing analysis will be getting easier and mitigation of the issues will also be performed. Body Brief Discussion of: - FMEA:FMEAstandsforFailureModesEffectsAnalysis.Thistoolhelpsin understanding the modes in which the project might fail. Hence this helps in bettering the understanding of the failure modes. Effects analysis helps in a proper interpretation of the failure. Figure 1: FMEA (Source:Safari, Faraji & Majidian 2016) SBAR: SBAR stands for Situation, Background, Assessment and Recommendation. This tool helps in better understanding of the entire scenario, which helps in bettering the communication process.
3 QI TOOLS Figure 2: SBAR PDCA PDCA (or PDSA): Plan do check act has is the complete sectioning of the tool. It is also known as the Deming Cycle. Continuous improvement has been the primary goal has been the main goal of this tool. Figure 3: PDCA (Source:Prashar 2017) Six Sigma: Six Sigma is a statistical-based and data-based process which will be helping in continuous improvement regarding the project. This is the main aspect that is eliminating the defects that are present in the project.
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4 QI TOOLS Figure 4: Six Sigma (Source:Jacobs, Swink & Linderman 2015) RCA:RootCauseAnalysishasbeenasignificanttoolwhichhelpsinbetter understanding of the issue that is present in the project. The fundamental problem that has been causing significant challenges to the project is detected and hence wise resolving the issue gets easier. Figure 5: RCA (Source:Pham et al, 2016)
5 QI TOOLS Lean: Lean is the methodology to reduce wastage. This project management tool has beenbenefittingtheorganizationsinreducingthecostthatwillberequiredfor completion of the project. Figure 6: Lean PM (Source:Cooper 2017) Gantt Chart: Gantt chart is used for scheduling of the project that is to be performed. With the help of the Gantt chart timeline of the project can be set. It is considered as a harmonogram that helps in illustrating the time that can be allocated for each task that is to be performed.
6 QI TOOLS Figure 7: Gantt Chart (Source:Nakamura et al, 2015) Identify the problems The case that is chosen in this case is Long Beach's community hospital closing its Emergency department. As per the case study, the central aspect that is considered is that despite having their mental department open, they were forced to close their emergency department. The emergency room closure was the beginning of the 2 part shuttering. This was the initial stage and the entire hospital closed in the later stages. The primary issue that was discovered was that the infrastructure of the hospital was poor. As the building was more than 100 years old, installing seismic retrofitting in the hospital was getting exhausting. Hence they were forced by the government to close the organization as they were inefficient in their emergency department. Importance of article analysis The importance of analyzing the article is because this article provides descriptive understanding issues regarding a hospital which was once functioning yet got closed due to lack ofinfrastructuralproblems.Thisarticlehelpsinbetteranalyzingthescenario.This understanding of the situation will be ensuring that proper understanding of the issues along with analysis of the case can be performed. Adequate implementation of the PI methodology and tools can be made as per the requirement and better understanding of the concept of PI methodology can be understood as well. This case study that is chosen is highly precise in nature. The main aspect that can be considered is that the viewpoints of different stakeholders are also provided in this case study. Analyzing the stakeholder's perspective always enhances the understanding of the issue that was present in the hospital.
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7 QI TOOLS One PI methodology along with the tools that can be used to improve The PI methodology that is to be used for the improvement of the inefficiencies is Gantt chart. The main concept of Gantt chart is to incorporate the scheduling process to rectify the issues that are present. As in this case age of the building was the problem, renovation process as per the scheduled plan can be started. This will be helping in proper completion of the project as per the deadline that is decided in the initial process. The QI tool that is to be used for analysis is the issue present is Fishbone diagram. Figure 1: Fishbone diagram (Created by author) By understanding and resolving the issues stated in the fishbone diagram, the problems can be mitigated. Measures to monitor the improvement The issue that was detected in this case was infrastructural in nature. The main aspect that is considered is that the proper construction process was to be performed in the initial stages. This ensures the fact that the issue of not being able to install the seismic retrofitting has been the main issue. Other modern amenities that are required for proper treatment in the emergency
8 QI TOOLS section was absent as well. Hence proper planning from the initial stages could have mitigated the issue. Conclusion From the above discussion, the main aspect that is considered is that Long Beach's community hospital has been closed down due to infrastructural issues. Usage of QI tools and PI tools have been made for understanding the issues.
9 QI TOOLS References Cooper, R. (2017).Supply chain development for the lean enterprise: interorganizational cost management. Routledge. Jacobs, B. W., Swink, M., & Linderman, K. (2015). Performance effects of early and late Six Sigma adoptions.Journal of Operations Management,36, 244-257. Nakamura, S., Kaneko, K., Okada, Y., Yin, C., & Ogata, H. (2015). Cubic gantt chart as visualizationtoolforlearningactivitydata.In23rdInternationalConferenceon Computers in Education, ICCE 2015(pp. 649-658). Asia-Pacific Society for Computers in Education. Pham, J. C., Hoffman, C., Popescu, I., Ijagbemi, O. M., & Carson, K. A. (2016). A tool for the concise analysis of patient safety incidents.The Joint Commission Journal on Quality and Patient Safety,42(1), 26-AP3. Prashar, A. (2017). Adopting PDCA (Plan-Do-Check-Act) cycle for energy optimization in energy-intensive SMEs.Journal of cleaner production,145, 277-293. Safari, H., Faraji, Z., & Majidian, S. (2016). Identifying and evaluating enterprise architecture risks using FMEA and fuzzy VIKOR.Journal of Intelligent Manufacturing,27(2), 475- 486.