Statistical process control for the analysis of quality control in urodynamics: A potential new approach for quality review of urodynamics.
quality control
stabilization process
statistical process control
urodynamic study
Journal
Neurourology and urodynamics
ISSN: 1520-6777
Titre abrégé: Neurourol Urodyn
Pays: United States
ID NLM: 8303326
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
revised:
10
09
2022
received:
04
06
2022
accepted:
19
10
2022
pubmed:
3
11
2022
medline:
3
1
2023
entrez:
2
11
2022
Statut:
ppublish
Résumé
To analyze quality control in urodynamic studies, using a proportion control chart (p-chart) for statistical process control. This single-center study was conducted at the Urodynamic Center of West China Hospital, Sichuan University. We randomly selected 15 samples from each month in 2020, and 180 urodynamic traces were finally enrolled. We used the p-chart of statistical process control for analysis. We calculated the proportion of the incidence of a selected set of artefacts in the monthly urodynamic study process, including non-standard zero setting, no cough test, incomplete records of all measurements by urodynamicists, catheter displacement, and baseline drift. Through the specific calculation formula of statistical process control, we obtained the values of the center line, lower control limit, and upper control limit. All data points of each artefact were within zone A. However, one outlier was found in the p-chart of all artefacts in October, which might have been caused by inexperienced operators. Statistical process control may play an important role in the process control of urodynamic studies and guide us in identifying the cause of poor quality in process management.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
289-296Informations de copyright
© 2022 Wiley Periodicals LLC.
Références
Vetter TR, Morrice D. Statistical process control: no hits, no runs, no errors. Anesth Analg. 2019;128(2):374-382. doi:10.1213/ane.0000000000003977
Keller DS, Reif de Paula T, Yu G, Zhang H, Al-Mazrou A, Kiran RP. Statistical process control (SPC) to drive improvement in length of stay after colorectal surgery. Am J Surg. 2020;219(6):1006-1011. doi:10.1016/j.amjsurg.2019.08.029
Sedlack JD. The utilization of six sigma and statistical process control techniques in surgical quality improvement. J Healthc Qual. 2010;32(6):18-26. doi:10.1111/j.1945-1474.2010.00102.x
Varona MA, Soriano A, Aguirre-Jaime A, et al. Statistical quality control charts for liver transplant process indicators: evaluation of a single-center experience. Transplant Proc. 2012;44(6):1517-1522. doi:10.1016/j.transproceed.2012.05.009
Clement KD, Burden H, Warren K, Lapitan MCM, Omar MI, Drake MJ. Invasive urodynamic studies for the management of lower urinary tract symptoms (LUTS) in men with voiding dysfunction. Cochrane Database Syst Rev. 2015;4:Cd011179. doi:10.1002/14651858.CD011179.pub2
Rosier PFWM, Schaefer W, Lose G, et al. International continence society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243-1260. doi:10.1002/nau.23124
Schäfer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21(3):261-274. doi:10.1002/nau.10066
Gammie A, Clarkson B, Constantinou C, et al. International Continence Society guidelines on urodynamic equipment performance. Neurourol Urodyn. 2014;33(4):370-379. doi:10.1002/nau.22546
Sriram R, Ojha H, Farrar DJ. An audit of urodynamic standardization in the West Midlands, UK. BJU Int. 2002;90(6):537-539. doi:10.1046/j.1464-410x.2002.02965.x
Adekanmi OA, Edwards GJ, Barrington JW. The variation in urodynamic practice in the United Kingdom. J Obstet Gynaecol. 2002;22(1):48-50. doi:10.1080/01443610120101727
Gammie A, Almeida F, Drake M, et al. Is the value of urodynamics undermined by poor technique?: ICI-RS 2018. Neurourol Urodyn. 2019;38(S5):S35-S39. doi:10.1002/nau.23978
Xiao Z. Urodynamics quality in southwest China: a multicenter random study. Chin J Urol. 2021;42:6.
Abrams P, Eustice S, Gammie A, et al. United Kingdom Continence Society: minimum standards for urodynamic studies, 2018. Neurourol Urodyn. 2019;38(2):838-856. doi:10.1002/nau.23909
Sullivan J, Lewis P, Howell S, Williams T, Shepherd AM, Abrams P. Quality control in urodynamics: a review of urodynamic traces from one centre. BJU Int. 2003;91(3):201-207. doi:10.1046/j.1464-410x.2003.04054.x
Mohammed MA, Worthington P, Woodall WH. Plotting basic control charts: tutorial notes for healthcare practitioners. Quality Safety Health Care. 2008;17(2):137-145. doi:10.1136/qshc.2004.012047
Pereira P, Seghatchian J, Caldeira B, Xavier S, de Sousa G. Statistical methods to the control of the production of blood components: principles and control charts for variables. Transfus Apher Sci. 2018;57(1):132-142. doi:10.1016/j.transci.2018.02.022
Mosadeghrad AM. Obstacles to TQM success in health care systems. Int J Health Care Qual Assur. 2013;26(2):147-173. doi:10.1108/09526861311297352
Mosadegh Rad AM. A survey of total quality management in Iran. Leadersh Health Serv. 2005;18(4-5):12-34. doi:10.1108/13660750510611189
Pereira P, Seghatchian J, Caldeira B, et al. Sampling methods to the statistical control of the production of blood components. Transfus Apher Sci. 2017;56(6):914-919. doi:10.1016/j.transci.2017.11.022
Ellis-Jones J, Swithinbank L, Abrams P. The impact of formal education and training on urodynamic practice in the United Kingdom: a survey. Neurourol Urodyn. 2006;25(5):406-410. doi:10.1002/nau.20240
Shamout S, Andonian S, Kabbara H, Corcos J, Campeau L. Teaching and evaluation of basic urodynamic skills in urology residency programs: randomized controlled study. Neurourol Urodyn. 2018;37(8):2724-2731. doi:10.1002/nau.23728
Keller DS, Stulberg JJ, Lawrence JK, Delaney CP. Process control to measure process improvement in colorectal surgery: modifications to an established enhanced recovery pathway. Dis Col Rect. 2014;57(2):194-200. doi:10.1097/DCR.0b013e3182a62c91
Nicolay CR, Purkayastha S, Greenhalgh A, et al. Systematic review of the application of quality improvement methodologies from the manufacturing industry to surgical healthcare. Br J Surg. 2012;99(3):324-335. doi:10.1002/bjs.7803