Professional Documents
Culture Documents
Definition: The Pareto diagram/chart is a very powerful tool for showing the relative importance of problems (or causes of a problem
Information can be collected initially by: a) an audit; b) a survey using a questionnaire; c) developing a Driver Diagram and using Multi
change ideas.
The highest frequency is the first bar in the Pareto Diagram and the next bar is the second highest frequency etc...
A graph will automatically build as you enter your information into the table below.
Steps to follow:
Step 1: Download this spread sheet onto your computer via 'Save as'.
Step 2: Starting from the top (Cause / Problem 1) enter the name of your 'Causes / Problems' into the table below in
Step 3: Delete the rows you have not used (highlight row from left hand column and 'delete').
Step 4: Enter the frequencies (#) next to the appropriate causes
Step 5: Enter the Title of your graph: Click on the graph, click on the title, then enter the information you want displayed
Step 6: To print graph: Click on graph to highlight it, then click 'print' button.
Step 7: To copy graph to Power Point presentation: Click on graph to highlight it, right click and click 'Copy', open power point file, se
Step 8: HOW TO INTERPRET YOUR PARETO CHART: The 'dots' from the red cumulative Frequency % line that fall UNDER the green "8
'priority'. However, you can act on any of the 'causes' particularly if they maybe easy to address or of high risk.
Note: Only change values is the 'white' cells. The 'grey' cells will automatically calculate based on formulas within the cells.
Template developed by Wendy Jamieson - April, 2001. Updated July 2020.
Pareto Chart template with Cumulative line and 80% cut off
Do not alter this Do not alter this Do not alter this
column. It column. It column. It
calculates calculates calculates
automatically automatically automatically
Total 0
Frequency #
Pareto Chart
Cause / Problem area 2 Operational Definition: Data Col
Cause / Problem area 3 12
Cause / Problem area 4 10
Cause / Problem area 5
Cause / Problem area 6 8
Cause / Problem area 7 6
Cause / Problem area 8
4
Cause / Problem area 9
Cause / Problem area 10 2
Cause / Problem area 11 0
Cause / Problem area 12
9
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Cause / Problem area 13
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Cause / Problem area 14
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Cause / Problem area 15
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Total 0
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lems (or causes of a problem).
iver Diagram and using Multi & Weighted Voting to tally up the number of votes when prioritising
ency etc...
u want displayed
py', open power point file, select required slide, right click and 'Paste'.
e that fall UNDER the green "80% cut off" line relate to the 'causes' that you should focus on as a
gh risk.
90%
Cumulative %
80% line (80/20 Rule)
Frequency #
10
80%
70%
8
60%
6 50%
40%
4
30%
20%
2
10%
0 0%
Cause / Cause / Cause / Cause / Cause / Cause / Cause / Cause / Cause / Cause / Cause / Cause /
Problem Problem Problem Problem Problem Problem Problem Problem Problem Problem Problem Problem
area 1 area 2 area 3 area 4 area 5 area 6 area 7 area 8 area 9 area 10 area 11 area 12
/P ar
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hart
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nal Definition:
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Data Collection Date/s:
e/ ar
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Sample Size:
le
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100%
90%
Cumulative %
70%
60%
50%
40%
30%
20%
10%
0%
Cause / Cause / Cause /
Problem Problem Problem
area 10 area 11 area 12
Pareto Chart examples Example data only Pareto Chart example
Frequency #
90
Dose missed 92 92 21% 80% 83
80
Wrong time 83 175 41% 80%
Wrong drug 76 251 58% 80% 70
Over dose 59 310 72% 80% 60
Wrong patient 53 363 84% 80% 50
Wrong route 27 390 91% 80%
40
Wrong calculation 16 406 94% 80%
Duplicated drugs 9 415 97% 80% 30
40
60 Causes of Discharge Delay from Emergency D
Pareto Chart
Causes of discharge delay Audit of discharge delays in May & June (n=1
from Emergency Department Frequency 52
(Audit in May & June) 50
Frequency
X-rays 52
Bed shortage on ward 21 40
Review by team 16
Doctor busy 11
30
Patient complications 4
Other 3
21
Total 107
20
Example data 16
only
11
10
N u m b e r o f f a lls 0
X-rays Bed shortage on Review by team Doctor
ward
W h e r e p a tie n t f a l l o ccu r r e d o n A g e d C a r e
P ar e to C h a r t
2 5 2 3 O p e r atio n a l d e fi n i tio n : A f al l is an e v e n t w
i n a d v e rt e n tl y o n t h e g ro u n d o r fl o o r o r o
2 0 12 m o n t h re t r o s p e c tiv e a u d i t o f i n ci d en t
1 5
1 2
1 0
6
5 4
2 2
Bed side 23
Chair 12
Toilet 6
In room 4
Bathroom 2
Walking frame 2
Walking on ward 2
Nurses station 1
Transferring from Bed to com 1
Wheelchair 1
Total 54
Example data
only
Num ber of Patient falls
Not known 2
8
Transferring from Chair to bed 2
Slid off bed pan 1 6
4
Slipped off chair 1 4 3 3
Total 55 2
Example data 0
only
4
4 3 3
2
0
Number of Falls
fall 12
11 Operational definition: A fall is an event whi
Attempting to stand 11 inadvertently on the ground or floor or othe
Getting out of bed 6 10 12 month retrospective audit of Aged Ca
Moving 6
Standing 6 8
Walking 6
Moving to go to toilet 5 6 6 6 6
6
Sitting 5 5 5 5
Toileting 5
Attempting to sit down 2 4
Climbing over/around bedrails 2 2 2 2
Sleeping in bed 2 2
Transferring from Chair to bed 2
Bending/leaning/reaching 0
d ed g g g t ng g n s d
over 1 an b in in in ile tin ow ail be
st of ov an
d alk to Sitti ile d dr in
Changing pad 1 o ut M St W to To s it be g
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n
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Other 1 im a ns nd
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Total 63
Example data
only
30
Operational definition: A fall is an event whic
Going to bathroom / Toileting 25 25 inadvertently on the ground or floor or other
Walking 11 25 12 month retrospective audit of Aged C
Restless Sleep 9
Slipped when getting up 7 20
Changing pad 5
15
Going for a walk 4
11
Getting out of bed 3 9
10
Picking up item off floor 2 7
Sitting in chair 1 5
5 4
3
Sleeping in chair 1 2
Standing 1 0
Stood up and them fell 1 Going to Walking Restless Slipped Changing Going for Getting Pick
bathroom Sleep when pad a walk out of bed up i
Total 70 / Toileting getting up off fl
5
4
4
Reasons why a Risk Screen was not conducted on a
9
Number of v
(reasons stated by staff in Focus Group meeting)
8 Pareto Chart (n=33)
8
7
7
6
eMR fragmented / difficult to 7 6
use
5
No access to computer on 6 4
ward to complete risk screen 4
140
No Transport 185 80
No childcare 49
No information 35 60 49
See no need 33 40 35 33 29
Cost 29
No clinic 25 20
No time 12 0
Total 368 No Transport No childcare No information See no need Cost
Example data
only
Number of complaints
Incomplete documentation 25
in eMR
Count
Count 21
Audit in Acute Care Mental Health 20
Unit 20
Metabolic monitoring 28 15
Care plan 21
Admission checklist 20 10
Fall risk screen 6 6
Snr Medical Officer countersign MDS 4 5 4 4
0
Metabolic Care plan Admission Fall risk Snr Medical Correct
monitoring checklist screen Officer
countersign
MDS
10
6
5 4 4
Correct GP 4
0
Strengths based language 4 Metabolic Care plan Admission Fall risk Snr Medical Correct
No GP documented 3 monitoring checklist screen Officer
countersign
Total 90 MDS
Example data
only
Tally of reason
Reasons for incomplete metabolic monitoring in Acute Care Ment
Reasons for incomplete Pareto Chart
metabolic monitoring in Tally of 35
(n=135)
30
Acute Care Mental Health Reasons 30 27
Unit
Missing equipment 30 25
20
Staff forgot 27 20 18
Business of Unit 20
15 12
Agency staff unaware 18 10
Broken equipment 12 10
Unit staff unaware 10 5
Consumer acuity 10
0
Consumer refusal 6 t t t e t e
en r go U ni ar en ar
Reason undetermined 2 w w ac
i pm fo of na i pm na
qu aff ss u u u er
Total 135 ge St ne ta
ff eq aff um
si n st ns
in Bu ys ke it
Example data i ss en
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only Ag
Delirium Screen 12 25
Cognition screen 7 21
Intentional Rounding 5 20 19
Environment management 1
Safe Mobilisation 1 15
Example data 12
only
10
0
Multidisc. Othostatic Medications Risk Falls D
Rounds hypotension review Assessment Screening S
monitoring
Pareto Chart example with Cumulative line
Cumulative %
80% line (80/20 Rule)
Frequency #
90 90%
83
80 76 80%
70 70%
59
60 60%
53
50 50%
40 40%
30 27 30%
20 16 20%
9 7
10 4 10%
3 1
0 0%
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N um ber of incidents reported
Name of Medication
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ality care for Mental Health consumers
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Num ber of incidents reported
800
723
700
587
600
500
400
293
300 233 211 204 193 182
200
97 79
100 59 49 33
0
Name of Medication
Causes of discharge delay
from Emergency Department
data (n=430) s
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Pareto Principle or 80/20 Rule
The Pareto Principle was developed by 20th century business scholar Joseph Juran, who named the rule afte
Juran described it as the rule of the “vital few and trivial many" since it's used to weed out less important fac
Further reading:
The Pareto principle (also known as the 80–20 rule, the law of the vital few, and the principle of factor sparsi
Management consultant Joseph M. Juran suggested the principle and named it after Italian economist Vilfred
Essentially, Pareto showed that approximately 80% of the land in Italy was owned by 20% of the population;
Pareto developed the principle by observing that 20% of the pea pods in his garden contained 80% of the pea
It is a common rule of thumb in business; e.g., "80% of your sales come from 20% of your clients."
HOW TO INTERPRET YOUR PARETO CHART: The 'dots' from the red cumulative Frequency % line that fall UNDER the green "80% cut
However, you can act on any of the 'causes' particularly if they maybe easy to address or of high risk.
Cumulative
Causes # Cumulative % 80% Cut off
Total
Cause 1 380 380 39% 80%
Cause 2 300 680 70% 80%
Cause 3 130 810 83% 80%
Cause 4 60 870 89% 80%
Cause 5 40 910 93% 80%
Cause 6 30 940 96% 80%
Cause 7 20 960 98% 80%
Cause 8 10 970 99% 80%
Cause 9 5 975 100% 80%
Cause 10 3 978 100% 80%
Total 978
who named the rule after Italian economist Vilfredo Pareto.
ed out less important factors in decision making.
principle of factor sparsity) states that, for many events, roughly 80% of the effects come from 20% of the causes.
Italian economist Vilfredo Pareto, who, while at the University of Lausanne in 1896, published his first paper "Cours d'écon
y 20% of the population;
contained 80% of the peas
ll UNDER the green "80% cut off" line relate to the 'causes' that you should focus on as a 'priority'.
Vital Few
400 380
Contribute to 80% of the problem
100%
C u m u lati ve %
Fre q u e n cy #
90%
350
80% Cut off (80/20 Rule)
300 80%
300 Trivial Many
70%
250
60%
2200 50%
0 40%
%150 130
30%
100
o 60 20%
f 50 40
30 10%
20
10 5 3
t 0 0%
h Cause 1 Cause 2 Cause 3 Cause 4 Cause 5 Cause 6 Cause 7 Cause 8 Cause 9 Cause 10
e
c
a
u
s
e
s
m 20% of the causes.
d his first paper "Cours d'économie politique."
% of the problem
100%
C u m u lati ve %
90%
80/20 Rule)
80%
70%
60%
50%
40%
30%
20%
10%
5 3
0%
Cause 9 Cause 10
Creating at Pareto chart via a Pivot table
Also watch and learn from this You Tube clip: https://www.youtube.com/watch?v=dMWq48_TsNo