Plan Act Study Do

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CHAPTER 3: QUALITY IMPROVEMENT

Outline

• Process improvement

– PDSA cycle

– Process improvement steps

– Tools

1

The P-D-S-A Cycle

Plan

Identify problem. Develop plan for improvement.

Do

Implement plan on test basis

Act

Institutionalize improvement.

Continue cycle.

Study

Is the plan working?

2

1

Steps in Process Improvement

• Plan

1: Recognize problem

2: Form quality improvement teams

3: Define problem

4: Develop performance measures

5: Analyze problem

6: Determine possible causes

Steps in Process Improvement

• Do

7: Implement solution

• Study

8: Evaluate solution

• Act

9: Ensure performance

10: Continuous improvement

4

3

2

Plan: Steps 1 and 2

1: Recognize problem

– Existence of the problem is outlined

– In general terms, specifics are not clearly defined

– Solvability and availability of resources are determined

2: Form quality improvement teams

– Interdisciplinary

– Specified time frame

– Quality circle

5

Plan: Step 3

3: Define the problem

– Define the problem and its scope

– Pareto analysis

– Brainstorming

– Why-why diagram

6

3

50

20

10

40

30

0

Pareto Chart

100

80

60

40

20

0

7

Pareto Chart

50

20

10

40

30

0

C

D

A

Defect type

B

100

40

20

80

60

0

8

4

Pareto Chart

50

20

10

40

30

0

C

D

A

Defect type

B

100

80

60

40

20

0

9

30

20

10

0

70

(64)

60

50

40

Pareto Chart

(13)

(10)

(6)

(3)

(2) (2)

Poor Design

Defective parts

Wrong dimensions

Operator errors

Machine calibrations

Causes of poor quality

5

Why-Why Diagram

• A technique to understand the problem

• Does not locate a solution

• The process leads to many reasons the original problem occurred

• Example: A mail-order company has a goal or reducing the amount of time a customer has to wait in order to place an order. Create a why-why diagram about waiting on the telephone.

11

Waiting on the phone to place an order

Why?

Why-Why Diagram

Insufficient operators available

Why?

Why?

Workers not scheduled at peak times

Low pay

Why?

Many customers calling at the same time

Why?

All catalogs shipped at the same time

12

6

Plan: Step 4

4: Develop performance measures

– Set some measurable goals which will indicate solution of the problem

– Some financial measures: costs, return on investment, value added, asset utilization

– Some customer-oriented measures: response times, delivery times, product or service functionality, price

– Some organization-oriented measures: employee retention, productivity, information system capabilities

13

Plan: Steps 5 and 6

5: Analyze problem

– List all the steps involved in the existing process and identify potential constraints and opportunities of improvement

– Flowchart

6: Determine possible causes

– Determines potential causes of the problem

– Cause and effect diagrams, check sheets, histograms, scatter diagrams, control charts, run charts

14

7

Operation

Flowchart

Delay

Storage Transportation

Inspection Decision

Enter emergency room

Flowchart

Fill out patient history

Walk to triage room

Nurse inspects injury

Return to waiting room

Wait for ER bed

Walk to

ER bed

Walk to

Radiology

Doctor inspects injury

Wait for doctor

8

Walk to radiology

Flowchart

Technician

Return to

X-rays patient

ER bed

Wait for doctor to return

Doctor provides diagnosis

Return to

Waiting

Leave

Building

Pickup prescription

Walk to pharmacy Checkout

Cause and Effect Diagram

• Common categories of problems in manufacturing

– 5 M’s and an E

• Machines, methods, materials, men/women, measurement and environment

• Common categories of problems in service

– 3 P’s and an E

• Procedures, policies, people and equipment

18

9

Cause and Effect Diagram

Measurement

Faulty testing equipment

Incorrect specifications

Improper methods

Men/Women

Poor supervision

Lack of concentration

Inadequate training

Machines

Out of adjustment

Tooling problems

Old / worn

Inaccurate temperature control

Dust and Dirt

Environment

Defective from vendor

Not to specifications

Materialhandling problems

Materials

Poor process design

Ineffective quality management

Deficiencies in product design

Methods

Quality

Problem

19

Check Sheet

COMPONENTS REPLACED BY LAB

TIME PERIOD: 22 Feb to 27 Feb 1998

REPAIR TECHNICIAN: Bob

TV SET MODEL 1013

Integrated Circuits ||||

Capacitors

Resistors

Transformers

|||| |||| |||| |||| |||| ||

||

||||

Commands

CRT |

10

Histogram

40

35

30

25

20

15

10

5

0

1 2 6 13 10 16 19 17 12 16 20 17 13 5 6 2 1

Telephone call duration, min

.

Scatter Diagram

Rotor speed, rpm

11

Control Chart

15

12

9

6

3

27

24

21

18 c

UCL = 23.35

= 12.67

LCL = 1.99

2 4 6 8 10

Sample number

12 14 16

Do: Step 7

7: Implement the solution

– The solution should

• prevent a recurrence of the problem

• address the root cause of the problem

• be cost effective

• be implemented within a reasonable amount of time

– Force-field analysis

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12

Do: Step 7

– Force-field analysis

• A chart that lists

– the positive or driving forces that encourages improvement as well as

– the restraining forces that hinders improvement

– Actions necessary for improvement

25

Do: Step 7

Example: create a force-field diagram for the following problem:

– Bicycles are being stolen at a local campus.

Campus security is considering changes in the bike rack design, bike parking restrictions and bike registration to try to reduce thefts. Thieves have been using hacksaws and bolt cutters to remove locks from the bikes

26

13

Reading

• Chapter 3:

– Reading pp. 64-97 (2 nd ed.), pp. 52-102 (3 rd ed.)

27

14

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