CycleWiseQuality improvement pathways for clinical practice, research and healthcare operations — PDSA, Lean and Six Sigma

Define the problem

Specific inputs produce sharper pathways. Nothing leaves this browser unless you connect an AI.

Problem type — select all that apply

Measure

Suspected causes — fishbone (6M) categories

What you've tried

Past attempts are classified by intervention strength. Weak interventions that failed steer the recommendations toward stronger system changes.

Improvement pathways

Complete steps 1 and 2, then select Build improvement pathways.

Run chart

Paste data points in time order (comma, space or line separated). Applies run-chart rules: shift (≥6 consecutive points on one side of the median) and trend (≥5 consecutive points rising or falling).

Sigma level

For defect-based measures (errors, missed screenings, denied claims). Uses the conventional 1.5σ long-term shift.

Saved projects

Stored in this browser only. Export to move between devices or share with your team.

Decision support only. Pathways and projected outcomes are model estimates generated from your inputs and established QI frameworks, not clinical advice or evidence of effect. Validate locally with your data and governance processes.

Frameworks referenced:

  1. Langley GJ, et al. The Improvement Guide, 2nd ed. Jossey-Bass; 2009 (Model for Improvement, PDSA).
  2. Provost LP, Murray SK. The Health Care Data Guide. Jossey-Bass; 2011 (run chart rules).
  3. Perla RJ, Provost LP, Murray SK. The run chart. BMJ Qual Saf. 2011;20:46–51.
  4. VA National Center for Patient Safety. Action Hierarchy (stronger, intermediate, weaker actions).
  5. George ML. Lean Six Sigma for Service. McGraw-Hill; 2003 (DMAIC, 8 wastes).
  6. Ogrinc G, et al. SQUIRE 2.0. BMJ Qual Saf. 2016;25:986–992.
← The Humble NP