Variable life adjusted display (VLAD) graphs in health care quality and safety
1. How are VLAD graphs interpreted? Explain the important features/aspects of a VLAD graph? As an example what does the red line, blue line, black line indicate, what are the numbers, what does the y axis indicate, what are the level 1 to 3 limits for (this is not an exhaustive list. There may be other features that you should explain-what they are and what is their purpose)?
2. Describe the issues that are evident when you analyse this VLAD graph above. (What does the graph tell you)?
3. You are the Director of the Obstetrics and Gynaecology services of a large hospital. Your CEO has passed the above VLAD chart on to you. The CEO has asked to you investigate the issues identified from the chart and to prepare a report (action plan) to advise her on:
a. The underlying issues – what could these be (what could be the causes of the problems evident in this chart)?
b. What are the actions that you would put in place to investigate each of the issues or problems that you have described in (a) above?
c. What strategies will you now put in place to monitor vaginal hysterectomies complications within your service?
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