Preventive Maintenance Best Practices plus PM Optimization Workshop BrochureRicky Smith CMRP, CMRT
Join Ricky Smith for his Preventive Maintenance Best Practices plus PM Optimization Workshop, October 19-21 "Live" and "Virtual" (via internet). Check out the attached brochure.
http://qualitymanagementsystem.com/total-quality-management/benefits-of-an-integrated-quality-system/
The first shift in the packaging department reported for work around 7 a.m. After a brief meeting to go over the previous shift’s log, they set about the day’s work. But when the packaging line started running, they knew there was a big problem.
The bags were filling past their normal capacity and then tearing at the sealing station, dispersing powdered material into the air, covering the equipment. Before they could stop the line, at least 50 bags had to be scrapped, the material discarded, and production halted for the rest of the day.
The supervisor immediately called the crew together to find the problem. They found the bags were the wrong size, the equipment’s settings had been changed, and the warning light, which should have signaled a potential problem, was burned out. Frustrated, the supervisor blamed the crew for the disaster and threatened to dock their pay for the cost of the materials.
Preventive Maintenance Best Practices plus PM Optimization Workshop BrochureRicky Smith CMRP, CMRT
Join Ricky Smith for his Preventive Maintenance Best Practices plus PM Optimization Workshop, October 19-21 "Live" and "Virtual" (via internet). Check out the attached brochure.
http://qualitymanagementsystem.com/total-quality-management/benefits-of-an-integrated-quality-system/
The first shift in the packaging department reported for work around 7 a.m. After a brief meeting to go over the previous shift’s log, they set about the day’s work. But when the packaging line started running, they knew there was a big problem.
The bags were filling past their normal capacity and then tearing at the sealing station, dispersing powdered material into the air, covering the equipment. Before they could stop the line, at least 50 bags had to be scrapped, the material discarded, and production halted for the rest of the day.
The supervisor immediately called the crew together to find the problem. They found the bags were the wrong size, the equipment’s settings had been changed, and the warning light, which should have signaled a potential problem, was burned out. Frustrated, the supervisor blamed the crew for the disaster and threatened to dock their pay for the cost of the materials.
CAPA - Corrective and Preventive Action Management TrainingTonex
"CAPA Management training covers the rationale, concepts, tools, techniques, and practices of RCA and Corrective and Preventive Action (CAPA) management in FDA field".
TONEX RCA and CAPA Management Training Format
The course is fun and dynamic
The training is a blend of hypothesis and practice
The hypothetical area is conveyed as intuitive introduction
The reasonable area incorporates practicing with genuine precedents, singular/bunch exercises, and hands-on workshops
Learn About:
CAPA application and implementation
CAPA management
FDA’s requirements for CAPA systems
Importance of CAPA systems
CAPA system main components
The definition and differences of the terms corrections, corrective actions, and preventive actions
CAPA data sources
Methods of data analysis
CAPA data flow charts
CAPA tracking tools
Medical device reporting and tracking
FDA guidance for failure investigations and root cause analyses
FDA’s trending principals / ECI
Non-conformances or deviations
RCA tools and methods
Brainstorming methods
Problem solving tools
Process mapping / Regulatory resources
Corrective action plan development steps
Defining the problem statement properly
Isolating and containing the problems
Identifying the root cause
Developing an effective corrective action
Executing and validating the corrective action
Preventing recurrence
Preventive Action process
Communication
Course Outline
Overview of CAPA
RCA Definition
Non-Conformances or Deviations
Nonconformance Classification
Problem Solving Process
Creative Thinking Approaches
FMEA Application in Clinical Devices
Analysis and Prioritization Techniques
Digging Down for the Root Causes
Gathering Valuable Data for RCA and CAPA
Analyzing Data
Accidents Analysis and Role of Human Error
Role of Management Behaviors in the Success of RCA/CAPA
Implementing Corrective and Preventive Action Plans (CAPA)
Elements of Effective CAPA
Trending Requirements and CAPA
CAPA Regulatory Requirements
Call us today at +1-972-665-9786. Learn more about this course audience, objectives, outlines, seminars, pricing , any other information. Visit our website link below.
CAPA (Corrective and Preventive Action) Management Training
https://www.tonex.com/training-courses/capa-management-training/
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Failure Mode & Effects Analysis (FMEA) is a step-by-step approach for identifying all possible failures in a design, a manufacturing or assembly process, or a product or service. The purpose of the FMEA is to take actions to eliminate or reduce failures, starting with the highest-priority ones. FMEA also documents current knowledge and actions about the risks of failures, for use in continuous improvement.
In this training presentation, you can teach your employees on the proper steps to construct an FMEA for a design or process, and then implement action plans to eliminate or reduce the risks of potential failures.
LEARNING OBJECTIVES
1. Understand what an FMEA is, why it is used, and when can it be deployed
2. Understand the definitions, scoring system and calculations used in an FMEA
3. Learn the steps to developing an FMEA and the pitfalls to avoid
CONTENTS
1. Introduction to FMEA
2. FMEA: Definitions, Scoring System & Calculations
3. FMEA Procedure
4. FMEA Example
If you are in the medical device industry, chances are you’ve heard of Remediation. But what exactly is it? Is it going back and just simply fixing non-compliances, is it a response to regulatory enforcement actions? The short answer is it is a customized solution to a firm’s compliance issues. Whether you caught non-compliances internally or had a less-than-perfect regulatory inspection, Remediation should be looked at as the process of creating a plan to correct and prevent non-compliances and executing that plan...
When properly implemented and supplemented with a digital inspection plan, containment can actually add value to your organization. Here's how to avoid mistakes.
Product Development Capability Maturity Model PowerPoint Presentation SlidesSlideTeam
Enhance your audiences knowledge with this well researched complete deck. Showcase all the important features of the deck with perfect visuals. This deck comprises of total of twenty nine slides with each slide explained in detail. Each template comprises of professional diagrams and layouts. Our professional PowerPoint experts have also included icons, graphs and charts for your convenience. All you have to do is DOWNLOAD the deck. Make changes as per the requirement. Yes, these PPT slides are completely customizable. Edit the colour, text and font size. Add or delete the content from the slide. And leave your audience awestruck with the professionally designed Product Development Capability Maturity Model PowerPoint Presentation Slides complete deck. http://bit.ly/2UC37lA
What is Quality Control
• Why implement Quality Control
• Quality Control Team
• Establishing a Quality Control Program
• Quality Control and Quality Assurance
• Quality Control Tools
• Measuring Success
• TQM, Six Sigma and ISO 9000
• Roadblocks and Barriers
CAPA - Corrective and Preventive Action Management TrainingTonex
"CAPA Management training covers the rationale, concepts, tools, techniques, and practices of RCA and Corrective and Preventive Action (CAPA) management in FDA field".
TONEX RCA and CAPA Management Training Format
The course is fun and dynamic
The training is a blend of hypothesis and practice
The hypothetical area is conveyed as intuitive introduction
The reasonable area incorporates practicing with genuine precedents, singular/bunch exercises, and hands-on workshops
Learn About:
CAPA application and implementation
CAPA management
FDA’s requirements for CAPA systems
Importance of CAPA systems
CAPA system main components
The definition and differences of the terms corrections, corrective actions, and preventive actions
CAPA data sources
Methods of data analysis
CAPA data flow charts
CAPA tracking tools
Medical device reporting and tracking
FDA guidance for failure investigations and root cause analyses
FDA’s trending principals / ECI
Non-conformances or deviations
RCA tools and methods
Brainstorming methods
Problem solving tools
Process mapping / Regulatory resources
Corrective action plan development steps
Defining the problem statement properly
Isolating and containing the problems
Identifying the root cause
Developing an effective corrective action
Executing and validating the corrective action
Preventing recurrence
Preventive Action process
Communication
Course Outline
Overview of CAPA
RCA Definition
Non-Conformances or Deviations
Nonconformance Classification
Problem Solving Process
Creative Thinking Approaches
FMEA Application in Clinical Devices
Analysis and Prioritization Techniques
Digging Down for the Root Causes
Gathering Valuable Data for RCA and CAPA
Analyzing Data
Accidents Analysis and Role of Human Error
Role of Management Behaviors in the Success of RCA/CAPA
Implementing Corrective and Preventive Action Plans (CAPA)
Elements of Effective CAPA
Trending Requirements and CAPA
CAPA Regulatory Requirements
Call us today at +1-972-665-9786. Learn more about this course audience, objectives, outlines, seminars, pricing , any other information. Visit our website link below.
CAPA (Corrective and Preventive Action) Management Training
https://www.tonex.com/training-courses/capa-management-training/
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Failure Mode & Effects Analysis (FMEA) is a step-by-step approach for identifying all possible failures in a design, a manufacturing or assembly process, or a product or service. The purpose of the FMEA is to take actions to eliminate or reduce failures, starting with the highest-priority ones. FMEA also documents current knowledge and actions about the risks of failures, for use in continuous improvement.
In this training presentation, you can teach your employees on the proper steps to construct an FMEA for a design or process, and then implement action plans to eliminate or reduce the risks of potential failures.
LEARNING OBJECTIVES
1. Understand what an FMEA is, why it is used, and when can it be deployed
2. Understand the definitions, scoring system and calculations used in an FMEA
3. Learn the steps to developing an FMEA and the pitfalls to avoid
CONTENTS
1. Introduction to FMEA
2. FMEA: Definitions, Scoring System & Calculations
3. FMEA Procedure
4. FMEA Example
If you are in the medical device industry, chances are you’ve heard of Remediation. But what exactly is it? Is it going back and just simply fixing non-compliances, is it a response to regulatory enforcement actions? The short answer is it is a customized solution to a firm’s compliance issues. Whether you caught non-compliances internally or had a less-than-perfect regulatory inspection, Remediation should be looked at as the process of creating a plan to correct and prevent non-compliances and executing that plan...
When properly implemented and supplemented with a digital inspection plan, containment can actually add value to your organization. Here's how to avoid mistakes.
Product Development Capability Maturity Model PowerPoint Presentation SlidesSlideTeam
Enhance your audiences knowledge with this well researched complete deck. Showcase all the important features of the deck with perfect visuals. This deck comprises of total of twenty nine slides with each slide explained in detail. Each template comprises of professional diagrams and layouts. Our professional PowerPoint experts have also included icons, graphs and charts for your convenience. All you have to do is DOWNLOAD the deck. Make changes as per the requirement. Yes, these PPT slides are completely customizable. Edit the colour, text and font size. Add or delete the content from the slide. And leave your audience awestruck with the professionally designed Product Development Capability Maturity Model PowerPoint Presentation Slides complete deck. http://bit.ly/2UC37lA
What is Quality Control
• Why implement Quality Control
• Quality Control Team
• Establishing a Quality Control Program
• Quality Control and Quality Assurance
• Quality Control Tools
• Measuring Success
• TQM, Six Sigma and ISO 9000
• Roadblocks and Barriers
PDCA Cycle
PDCA is an iterative four-step management method used in business for the control and continual improvement of processes and products. It is also known as the Deming circle/cycle/wheel, Shewhart cycle, control circle/cycle, or plan–do–study–act (PDSA). Another version of this PDCA cycle is OPDCA.
This Presentation is about Quality Management. It briefs about quality gurus, quality principles, quality methods and how these methods and principles can be useful in organization.In The Business World, Six Sigma is important because it scores much higher over other quality improvement techniques such as TQM. Six Sigma concepts and methodologies stress the use of statistical tools and techniques for improving quality and reducing defects. This Document briefs about Six Sigma. Six Sigma Roadmap, Quality Improvement, Continuous improvement philosophy, Tools used for continuous improvement.
According to new syllabus of PCI M.Pharm 1st sem. students can directly utilize this ppt for their study. As per PCI new syllabus QA STUDENTS find this ppt very use full.
Een Asset Management Health Check geeft een compleet beeld over de maturiteit van uw Asset Management Systeem. Het brengt sterke punten in kaart en identificeert de belangrijkste belemmeringen voor de uitvoering van uw Asset Management plannen.
In dit webinar bespreken Suna Taslidere en Roland Dols de aanpak voor deze Health Check die een oplossing biedt voor in kaart brengen van de belangrijkste verbeterpunten op vlak van Compliance, Strategy, Finance en Operations. Hiermee biedt dit proces waardevolle inzichten vanuit alle organisatie-perspectieven. Resultaten en verbeterinitiatieven zijn hierdoor inzichtelijk en krijgen meer draagvlak binnen diezelfde organisatie.
Quality Maintenance is an "advanced" pillar of TPM and aims to assure zero defect conditions. Also known as Hinshitsu Hozen in Japanese, it does this by understanding and controlling the process interactions between the 4Ms - manpower, material, machines and methods that could enable defects to occur. The key is to prevent defects from being produced in the first place, rather than screening them out through inspection systems after they have been produced. Controlling quality through its causes is the essence of Quality Maintenance.
Developed by our JIPM-certified TPM Instructor, this presentation teaches the key concepts, principles and philosophy of Quality Maintenance, the 4M conditions that are essential for defect-free production, as well as the step-by-step process for Quality Maintenance.
LEARNING OBJECTIVES
1. Understand the key concepts, principles and philosophy of Quality Maintenance
2. Acquire knowledge on the 4M conditions and the prerequisites for promoting Quality Maintenance
3. Describe the 8-step process of Quality Maintenance and the key analytical tools and techniques
CONTENTS
1. Key Concepts & Philosophy of Quality Maintenance
2. 4M Conditions - The Determinants of Quality
3. The 8 Steps of Quality Maintenance
4. Key Tools & Techniques for Quality Maintenance
5. Towards Excellence in Quality Maintenance
To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
Personal Brand Statement:
As an Army veteran dedicated to lifelong learning, I bring a disciplined, strategic mindset to my pursuits. I am constantly expanding my knowledge to innovate and lead effectively. My journey is driven by a commitment to excellence, and to make a meaningful impact in the world.
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
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➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
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VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
https://viralsocialtrends.com/vat-registration-outlined-in-uae/
The world of search engine optimization (SEO) is buzzing with discussions after Google confirmed that around 2,500 leaked internal documents related to its Search feature are indeed authentic. The revelation has sparked significant concerns within the SEO community. The leaked documents were initially reported by SEO experts Rand Fishkin and Mike King, igniting widespread analysis and discourse. For More Info:- https://news.arihantwebtech.com/search-disrupted-googles-leaked-documents-rock-the-seo-world/
Putting the SPARK into Virtual Training.pptxCynthia Clay
This 60-minute webinar, sponsored by Adobe, was delivered for the Training Mag Network. It explored the five elements of SPARK: Storytelling, Purpose, Action, Relationships, and Kudos. Knowing how to tell a well-structured story is key to building long-term memory. Stating a clear purpose that doesn't take away from the discovery learning process is critical. Ensuring that people move from theory to practical application is imperative. Creating strong social learning is the key to commitment and engagement. Validating and affirming participants' comments is the way to create a positive learning environment.
Improving profitability for small businessBen Wann
In this comprehensive presentation, we will explore strategies and practical tips for enhancing profitability in small businesses. Tailored to meet the unique challenges faced by small enterprises, this session covers various aspects that directly impact the bottom line. Attendees will learn how to optimize operational efficiency, manage expenses, and increase revenue through innovative marketing and customer engagement techniques.
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
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2. Background & Theory
Modelled on Deming’s philosophy for critical
improvement for management systems &
PDSA model
Identify &
remove Minimise Improve the
causes of variability quality
errors
4. Application of Six Sigma
“The critical component to seeing bottom-line
results for Six Sigma is careful
implementation.”
Customer/Employee Management
DMAIC
5. PPE Compliance
Scenario-
The Manager of the surgical ward at *Health Care
Improvement Hospital* has received the results
of the recent audit of ‘Hand hygiene’ on the
ward. The results are not favourable.
The audit was concerned with the Staff’s practice of
hand hygiene, in compliance with the recently
implemented ‘5 moments of hand hygiene’
guidelines set by the World Health Organization.
6. Define
Need for
Health risk
improvement
Fails to meet
needs
10. Control
Critical
questions
Before/after
charts
Editor's Notes
Six sigma is modelled on Dr Edward Deming’s philosophy for critical improvement for management systems & PDSA (Plan, do, study, act) modelThe theory behind the model is- seeking to improve the quality of process outcomes by identifying and removing the causesof errors effectively minimizing variability in the process.The original intention for and application of the Six Sigma model, was to initiate projects to be carried out within an organization following a defined sequence of steps and has quantified financial targets – applied to other areas such as manufacturing or health care the targets can be modified to those such as ‘yield’, ‘errors’ or ‘incidents’---------------------------------------------Information adapted from:Wayne, D. (n.d.). Deming management philosophy and so-called six sigma quality. Retrieved January 3, 2012, from Q-skills: Q-skillsAntony, Jiju. "Pros and cons of Six Sigma: an academic perspective". Archived from the original on July 23, 2008. http://web.archive.org/web/20080723015058/http://www.onesixsigma.com/node/7630. Retrieved January, 2012.
The model’s made-up of five steps to apply to any procedure to improve effectiveness and/or quality of the outcome.1. Define: Setting the context and objectives for the improvement project.2. Measure: Determining the baseline performance and capability of the process or system to be improved.3. Analyse: Use data and tools to understand the cause-and-effect relationships in the process, system or initiative. 4. Improve: Develop the modifications that lead to a validated improvement.5. Control: Establish plans and procedures to ensure that the improvements are sustained.--------------------------------------Information adapted from:Six Sigma Tools: The DMAIC Process . (2011). Retrieved January 3, 2012, from DMAIC tools: http://www.dmaictools.com/General Electrics. (n.d.). What is six sigma? The roadmap to customer impact. Retrieved January 3, 2012, from General Electrics: http://www.ge.com/sixsigma/SixSigma.pdfDe Feo, Joseph A.; Barnard, William (2005). JURAN Institute's Six Sigma Breakthrough and Beyond - Quality Performance Breakthrough Methods. Tata McGraw-Hill Publishing Company Limited. ISBN 0-07-059881-9.Image sourced from:http://www.google.com.au/imgres?q=six+sigma&um=1&hl=en&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=ehRdd_dB92cmRM:&imgrefurl=http://www.crmbi.com/CRMBI/Solutions/SixSigma.aspx&docid=Ml6bn0Lwe06RfM&imgurl=http://www.crmbi.com/CRMBI/images/SixSigmaCircle.jpg&w=200&h=192&ei=tW8DT46uEozItAaygdm_Aw&zoom=1
Leavitt (2002) states that “The critical component to seeing bottom-line results for Six Sigma is careful implementation.”Application of the DMAIC model of Six Sigma may be instigated by, customer/employee surveys and suggestions, benchmarking studies, or existing projects and initiatives. Management may identify potential improvement areas and establish a process or to generate, capture, and prioritize project ideas. It’s important to note also that, the implementation of an initiative needs to be aligned with strategic objectives and possess a quality focus, to be effective & sustainable.----------------------------Information adapted from:Leavitt, P. (2002). Lessons Learned in Six Sigma Implementation. Retrieved January 3, 2012, from American productivity & quality centre : http://www.providersedge.com/docs/leadership_articles/Lessons_Learned_in_6Sigma_Implementation.pdfQuote sourced from:Leavitt, P. (2002). Lessons Learned in Six Sigma Implementation. Page 1. Retrieved January 3, 2012, from American productivity & quality centre : http://www.providersedge.com/docs/leadership_articles/Lessons_Learned_in_6Sigma_Implementation.pdf
To aid the illustration of the application of Six Sigma to the area of Personal Protective Equipment compliance, is a Scenario- The Manager of the surgical ward at *Health Care Improvement Hospital* has received the results of the recent audit of ‘Hand hygiene’ on the ward. The results are not favourable.The audit was concerned with the Staff’s practice of hand hygiene, in compliance with the recently implemented ‘5 moments of hand hygiene’ guidelines set by the World Health Organization.Hand hygiene can be considered as a mechanism of Personal Protective equipment, as not only is it of importance to the care of patients (for example in the lowered risk of hospital acquired infection), but we as health care workers must also be conscientious of keeping our hands clean (for example after patient contact) in regards to the preservation of our own health.----------------------------------------------------5 moments of hand hygiene:World Health Organization. (2012). Five Moments for Hand Hygiene. Retrieved January 3, 2012, from Clean Care is Safer Care: http://www.who.int/gpsc/tools/Five_moments/en/
During the Define phase, an agreement must be reached in regards to what the initiative will encompass & what it should accomplishIdentifying the compliance with Hand hygiene as an area of improvement – in this case identified by the manager, through audit resultsAlso identified is the risk to both Staff members & patientsThe current increased risk of health adversities to Staff & Patient related to transmitted pathogens, made evident by the results of the audit, fails to meet the needs of the individuals involved and the organisation------------------------------------Information adapted from:Abilla, P. (2010). Lean Six Sigma: The DMAIC Framework. Retrieved January 3, 2012, from Shmula: http://www.shmula.com/lean-six-sigma-the-dmaic-framework/2874/
During the Measure phase, the focus shifts from the point of “agreeing that X is the problem” to “agreeing on what’s the phenomena that is happening such that it is a problem?” So in order to find out why the compliance with the 5 moments of hand hygiene is not at an acceptable level, it would be useful to know when and how often the non-compliances occur and any other issues related. After collecting this data.. A more specific problem- that has the most significant impact, can be selected through further analysis and an improvement target can be set.A run chart, would be an effective tool to be implemented during the measurement phase..Run charts, also known as line graphs, display process performance over time.--------------------------------Information adapted from:Abilla, P. (2010). Lean Six Sigma: The DMAIC Framework. Retrieved January 3, 2012, from Shmula: http://www.shmula.com/lean-six-sigma-the-dmaic-framework/2874/Image sourced from: http://www.google.com.au/imgres?q=run+chart&um=1&hl=en&sa=N&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=MQfxL5YfFyNAFM:&imgrefurl=http://www.qualitytrainingportal.com/resources/problem_solving/problem-solving_tools-run_charts.htm&docid=0nF3kmcQxeUGFM&imgurl=http://www.qualitytrainingportal.com/resources/problem_solving/images/run_chart.gif&w=502&h=247&ei=e5oDT4fwL4OcsAaMiqn0Dw&zoom=1&iact=rc&dur=1&sig=108125072540068073160&page=1&tbnh=104&tbnw=211&start=0&ndsp=10&ved=1t:429,r:1,s:0&tx=79&ty=54
In the Analysing Phase, the focus is to identify the root causes for the problems within the organisation & process, and the experience of the staff.Which involves;Using data to focus the team on finding and verifying the true root causes of non compliancesPerforming Cause and Effect analysis Continue analysis until the level of actionable root causes is reachedVerification of the root causes, can be achieved by applying appropriate toolsie. Contingency tableVerified Root Causes will form the foundation for solutions in the Improve Phase – failing to find true root causes will cause the organisation to implement change in the wrong areas and will subsequently miss the targeted improvement The contingency table was utilised to analyse the non-compliance events on the Surgical ward.. With the left column as ‘Attendance at Hand hygiene inservice’ and across the top ‘Non-compliance observed’.The results indicated that the majority of non-compliances sat with those of the staff who had not attended the Hand hygeine inservice, although there were a small number of non-compliances amongst those who had attended.--------------------------------------Information adapted from:Abilla, P. (2010). Lean Six Sigma: The DMAIC Framework. Retrieved January 3, 2012, from Shmula: http://www.shmula.com/lean-six-sigma-the-dmaic-framework/2874/Image sourced from: http://www.google.com.au/imgres?q=contingency+table&um=1&hl=en&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=x-zEa_0kLArTqM:&imgrefurl=http://www.eumetcal.org/resources/ukmeteocal/verification/www/english/msg/ver_categ_forec/uos1/uos1_ko1.htm&docid=3NYlgwkXDtP_kM&imgurl=http://www.eumetcal.org/resources/ukmeteocal/verification/www/resource/msg/verification/images/Cont.table_2B.jpg&w=305&h=202&ei=O6ADT5uYLo2csAbSxtzaDw&zoom=1
In theImprove Phase, the assumption is that the root causes have been reached and some or most were validated. Working within that context the next steps are; To brainstorm the potential practical methods to address the root causes. *ie. Conducting more inservices, with mandatory attendance to one sessionAnaction plan must be formulated. This is typically a Gantt Chart showing people responsible for which action item and a date by which it should be completed. IdentifyingBarriers and Aids, is an exercise that shows what challenges may be, for implementing the improvements – this will usually contain issues related to people. Cost and Benefit Analysis will show the cost of the project and the potential benefit. In most organizations, this step is completed by both the person leading the initiative & the person in control of the financing----------------------------------------------------------Information adapted from:Abilla, P. (2010). Lean Six Sigma: The DMAIC Framework. Retrieved January 3, 2012, from Shmula: http://www.shmula.com/lean-six-sigma-the-dmaic-framework/2874/Images sourced from: http://www.google.com.au/imgres?q=brainstorm&um=1&hl=en&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=yAgxJ_h5iZiJzM:&imgrefurl=http://www.writedesignonline.com/organizers/brainstorm.html&docid=jT4nbAPse-LTXM&imgurl=http://www.writedesignonline.com/organizers/WebGO.gif&w=388&h=306&ei=Y6cDT8rqF5GPsAbOhMXJDw&zoom=1http://www.google.com.au/imgres?q=gantt+chart&um=1&hl=en&sa=N&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=1PXUz2NCOUdbPM:&imgrefurl=http://www.promana.net/making-use-of-gantt-charts/&docid=fqGGH4jY1fSkkM&imgurl=http://www.promana.net/wp-content/uploads/ganttchart.gif&w=478&h=303&ei=7qYDT6_PPIfAswb4nqHSDw&zoom=1http://www.google.com.au/imgres?q=scales&um=1&hl=en&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=jFrV8rkRgDNhiM:&imgrefurl=http://www.lavazzaarticle.net/balances-scales/&docid=r584YxqtnK8Q_M&imgurl=http://www.lavazzaarticle.net/wp-content/uploads/2011/08/Balances-Scales-1.gif&w=640&h=468&ei=A6kDT4u3NsuKswaX2YHoBA&zoom=1
In the final phase of the DMAIC model,Control, the focus is on verifying whether the changes made in ‘the Improve stage’ led to the expected changes/outcomes. Part of the Control Phase is to also verify the significance of improvement, if there was any at all.There are some critical questions to evaluate the success of the initiative..How is it known the problem has been reduced? How is it known that the problem will not come back? How is it known you are measuring the right process indicators? What did was learnt while leading the project? Though generally, the critical output in ‘the Control stage’ is a before/after chart, in our scenario for the surgical ward, it would be a before/after comparison of graphs showing performance levels of compliance with the 5 moments of Hand hygeine && from this, the manager would be able to determine whether the implementation of mandatory inservice education & training for each staff memeber, was an effective initiative. **In the spirit of happy endings, quality improvement & safe health care- provision and delivery, the process was implemented with care & stringency & was able to significantly improve the compliance on the Surgical Ward at the Health Care Improvement Hospital with the WHO’s hand hygiene guidelines!--------------------------------------------------------Information adapted from:Abilla, P. (2010). Lean Six Sigma: The DMAIC Framework. Retrieved January 3, 2012, from Shmula: http://www.shmula.com/lean-six-sigma-the-dmaic-framework/2874/Image sourced from: http://www.google.com.au/imgres?q=questions&um=1&hl=en&qscrl=1&nord=1&rlz=1T4ADFA_enAU367AU368&biw=1366&bih=528&tbm=isch&tbnid=GixQgMlM-8l5KM:&imgrefurl=http://www.inlign.com.au/osteopathy/frequently-asked-questions/&docid=IwflqMnO2e_XjM&imgurl=http://www.inlign.com.au/images/osteopathy_questions.jpg&w=400&h=300&ei=kKoDT-nXBM3QsgaNovChAQ&zoom=1
