![]() Which 20% of patients take up 80% of my day?.Take a moment to really think about the work you do on a day-to-day basis and ask yourself the following questions: ![]() You also know that 20% of your work delivers 80% of your results, but how do you find that 20%? How do you identify the biggest drivers within your day? You know that you need to choose your One Thing for the day, but you also have a lot of other stuff to get through. You have a lot to do, dozens of patients to see, and you need a way to get the most important things done before you leave for the day. Let’s say you’re at the hospital for a particularly long shift. So the key to effectiveness and productivity in any realm comes down to an ability to identify the 20% of inputs that will yield 80% of the outputs.īut as a physician, how is the 80/20 rule relevant to you? The main point is the fact that a small percentage of causes is responsible for the majority of the effects. Of course it doesn’t always have to be 80/20. I can give you plenty of examples from the real world, as evidenced by the numerous statistical analyses done to confirm the existence of this golden ratio-20% of criminals commit 80% of crimes, 20% of drivers cause 80% of accidents, 20% of customers represent 80% of company revenue, 20% of employees create 80% of results, and so on. An economist may have devised it and statistical analysis may have proven it, but it remains one of the most powerfully simple principles governing our lives today. The good thing about the 80/20 rule is that you don’t have to be a statistics nerd to believe it. The principle states that approximately 80% of the effects in any given situation results from 20% of the causes. ![]() The ubiquitous 80/20 rule, or the Pareto’s principle (as it is formally known), can be found in almost every situation where cause and effect is at play. He had recently made a similar discovery while working with his banking clients-80% of the bank’s wealth was owned by just 20% of its customers. This line might help you assess which sources are causing "80% of the problems.In the late 19th century, banking consultant Vilfredo Pareto was busy tending to his well-kept garden when he noticed something interesting.Īs he admired his freshly-harvested vegetables, Pareto couldn’t help but notice that 80% of the peas he collected came from just 20% of his pea pods. You might also wish to draw a line that shows the cumulative total of each problem cause, as you progress across the chart. Start to draft the Pareto chart: the chart's horizontal axis contains the problem categories and the vertical axis contains the measurement (cost, frequency, etc.).Īrrange the bars in descending order to assess which problem causes are occurring in the greatest amount-and therefore have the greatest potential to positively impact your problem if solved or improved. Gather data on your team's variables, and store in a spreadsheet. Remember, the interval should take seasonality into account, as well as different patterns within days, weeks, or months. Choose measurement unitsĬhoose units of measurement common across all potential causes, like cost or frequency.Ĭhoose a time period long enough to accurately represent the situation. Next, choose potential problem causes, which your team will monitor, compare, and rank-order with an affinity diagram, or by using existing data. Select a problem for your team to analyze.
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