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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 277
Frequency #
Cause / Problem area 2 Operational Definition: Data Co
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 1 2 3 4 5 6 7 8 9
ea ea ea ea ea ea ea ea ea
Cause / Problem area 13 ar ar ar ar ar ar ar ar ar
em em em em em em em em em
Cause / Problem area 14 o bl o bl o bl o bl o bl o bl o bl o bl o bl
Pr Pr Pr Pr Pr Pr Pr Pr Pr ob
Cause / Problem area 15 e/ e/ e/ e/ e/ e/ e/ e/ e/ / Pr
aus us us us us us us us us us
e
Total 0 C Ca C a Ca C a C a C a Ca C a
Ca C
blems (or causes of a problem).
river 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.
Cumulative %
90%
Frequency #
70 67
80% line (80/20 Rule)
80%
60
70%
50 45 60%
40 37 50%
34
30 40%
23 24
30%
20
12 20%
10 9 10
10
4 10%
2
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
Title:
Pareto Chart
onal Definition: Data Collection Date/s: Sample Size:
5 6 7 8 9 1 0 1 1 1 2 1 3 1 4 1 5
ea ea ea ea ea ea ea ea ea ea ea
ar ar ar ar ar ar ar ar ar ar ar
em em em em em em em em em em
o bl o bl o bl o bl bl bl bl bl bl bl
/ Pr Pr Pr Pr Pr
o
Pr
o
Pr
o
Pr
o
Pr
o
Pr
o
e/ e/ e/ e/ e/ e/ e/ e/ /
aus aus aus us us us us us u se
C C C C a C a C a C a C a Ca
100%
Cumulative %
90%
ine (80/20 Rule)
80%
70%
60%
50%
40%
30%
12 20%
9 10
10%
0%
Cause / Cause / Cause /
Problem Problem Problem
area 10 area 11 area 12
F re q u e n cy #
Pareto Chart examples Example data only Pareto Chart example with
10 0
1
92
90
83
80 7 6
70
60
50
40
30
20
10
0
4 0
3 0
2 1
2 0
1 6
1 1
1 0
0
X -r ay s B e d sh o r t ag e on R e vi ew b y t e a m Do ct o r b u sy
w a r d
F re q u e n cy
Ca uses of D isc har ge D el ay f ro m Em e rge ncy De par tm
Pa r eto Ch ar t
6 0 A udit of dis cha rg e d el ay s in M ay & June (n=10 7
52
5 0
4 0
3 0
2 1
2 0
1 6
1 1
1 0
0
X -r ay s B e d sh o r t ag e on R e vi ew b y t e a m Do ct o r b u sy
w a r d
Causes of discharge
delay from Emergency
Department (Audit in Frequency
May & June)
X-rays 52
Bed shortage on ward 21
Review by team 16
Doctor busy 11
Patient complications 4
Other 3
Total 107
Example data
only
Frequency
(12 months retrospective Pareto Char
data)
Operational definition: A fall is an event whi
Bed side 23 25 23
rest
Chair 12 inadvertently on the ground or flo
Toilet 6 20 12 month retrospective audit
In room 4
Bathroom 2 15
12
Walking frame 2
Walking on ward 2 10
Nurses station 1 6
5 4
Transferring from Bed 1 2 2 2
N u m b e r o f P a ti e n t f a l l s
Wheelchair 1
0
Total 54 Bed side Chair Toilet In room Bathroom Walking Walking
frame ward
Example data
only Area where patient fall occurred
Frequency
8
6
4
4 3 3
2
2
0
Number of Falls
12 Operational definition: A fall is an event which re
Attempting to stand 11 11 inadvertently on the ground or floor o
Getting out of bed 6 12 month retrospective audi
Moving 6 10
Standing 6
Walking 6 8
Moving to go to toilet 5 6 6 6 6
Sitting 5 6
5 5 5
Toileting 5
Attempting to sit down 2 4
Climbing over/around be 2
2 2 2 2
Sleeping in bed 2 2
Transferring from Chair 2
Bending/leaning/ 0
reaching over 1
Changing pad 1
Picking up item off floor 1
Sleeping in chair 1
Other 1
Total 63
Example data
only
Number of votes
Reasons why a Risk Screen was not conducted on admission
conducted on Frequency (reasons stated by staff in Focus Group meeting)
admission (reason 9 Pareto Chart (n=33)
stated by staff 8
8
Too busy 8 7
7
eMR fragmented / 7 6
difficult to use 6
No access to computer 5
on ward to complete 6
4 4
risk screen 4
Screening too time con 4 3
Got interrupted and
did not complete falls 4 2
screen
1
Thought it was not
relevant 2
0
Thought it was not Too busy eMR fragmented / No access to Screening too Got interrupted
difficult to use computer on time consuming and did not
mandatory to risk 2 ward to com- complete falls
screen plete risk screen screen
Total 33
Example data
only
140
Reasons stated by
parent for lack of child 120
Frequency
immunization
100
No Transport 185
80
No childcare 49
No information 35 60 49
See no need 33 35
40 33 29
Cost 29 25
No clinic 25 20
No time 12
0
Total 368 No Transport No childcare No information See no need Cost No cl
Example data
only
Number of complaints
Causes # of votes 4
1
0
5
3 5
2 3
22
2 0
S ta ff
1
to p
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35
0
25
Count
21
20
20
15
10
Incomplete documentation in Electronic Medical Record (eMR)
Audit in Acute Care Mental Health Unit (n=90)
30 28
Incomplete
documentation in 25
Count
eMR Count
Audit in Acute Care Mental 21
20
Health Unit 20
Metabolic monitoring 28
15
Care plan 21
Admission checklist 20
10
Fall risk screen 6
Snr Medical Officer 6
countersign MDS 4
5 4 4
Correct GP 4
Strengths based language 4
0
No GP documented 3 Metabolic Care plan Admission Fall risk Snr Medical Correct GP S
Total 90 monitoring checklist screen Officer
countersign
Example data MDS
only
Tally of reason
Reasons for Reasons for incomplete metabolic monitoring in Acute Care Mental Hea
incomplete metabolic Pareto Chart
monitoring in Acute
Tally of (n=135)
Reasons 35
Care Mental Health 30
Unit 30 27
Missing equipment 30
25
Staff forgot 27 20
Business of Unit 20 20 18
24
Poor Communication 10 25
20
Clinical staff unaware 8 20
Missed appointments 8 15
Consumer refusals 7 10
10 8 8
Unclear cause 2
Total 114 5
Example data 0
t e s
only en GP on o n
ar en
t
m n ati ati w
u ip eo rm ni
c na nt
m
Eq nc nf
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u
oi e
g li a li m ta p m
in r e ra om ls ap su
iss er fe
r C i c a ed on
M Ov re or in iss C
d Po Cl M
i te
m
Li
Number of c-sections
Indications for elective
caesarean section #
Previous caesarean section 152
Malpresentation 87 Indications for Elective Caesarean Section
Major degree placenta
previa 50 Pareto Chart
160 152 (n=506)
Hypertensive disorders 44
140
Foetal macrosomia 39
120
Risky obstetric history 33
100 87
Multiple pregnancy 25 80
Previous vesico-vaginal
fistula repair 21 60 50
44 39
Retroviral positive pregnancy 12 40 33
25 21
Severe intrauterine growth 20
restriction 8
0
Other 26
Total 497
Example data
only
Cognition screen 7 25
Intentional Rounding 5 21
Environment management 1 20 19
Safe Mobilisation 1
Example data 15
only 12 12
10
0
Multidisc. Othostatic Medications Risk As- Falls Screen- Delirium
Rounds hypotension review sessment ing Screen
monitoring
C u m u l a ti v e %
F re q u e n cy #
10 0
1 2 mo n th s of r e tro s p e c tiv e i n c id e n t da t a (n= 4 3 0
o)
nl y
1 0 0%
9 2
9 0 90 %
8 3
8 0 7 6
80 % li ne ( 80/ 20 Rule) 80 %
7 0 70 %
5 9
6 0 5 3 60 %
5 0 50 %
4 0 40 %
3 0 2 7 30 %
2 0 1 6 20 %
9 7
1 0 4 10 %
3 1
0 0%
N um ber of incidents reported
Name of Medication
1 6
1 1
4 3
Re v ie w b y t e am Do ct o r b u sy P a ti
e n t co m pl i
- Ot h e r
c ati o n s
ha rge D e lay fr om E m erg en cy D epa rtm ent
P a reto Ch a rt
s cha rg e d el ay s in M ay & Jun e (n=1 07)
E xa m pl e d ata
o n ly
1 6
1 1
4 3
Re v ie w b y t e am Do ct o r b u sy P a ti
e n t co m pl i
- Ot h e r
c ati o n s
4
2 2 2
1 1 1
4
3 3
2 2
1 1
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ss to Screening too Got interrupted
n
Thought it was Thought it was
er on time consuming and did not not lrelevant not mandatory to
com- complete falls risk screen
screen screen y
33 29 25
12
8 7 7 6
3 2
n ta l H ea lth St a ff F o cu s G ro u p
P a reto Ch a rt
e to p / mo st imp o rta n t iss u es t o addr ess
qu al i ty ca re fo r M en ta l H ea lt h co nsum ers Exa mp le da t a o nl y
1 6
1 3
1 0
9 8
7
5
3
1 1
6
4 4 4
3
12
10 10
6
2
ntipsychotic monitoring
areto Chart
(n=114)
10
8 8 7
2
n
ar
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tio en sa au
ca w fu c
u na nt
m r e ar
ff oi er c le
ta p um Un
a ls ap ns
ni
c ed Co
i iss
Cl M
Elective Caesarean Section
Pareto Chart
(n=506)
39
33
25 21 26
12 8
19
12 12
7
5
1 1
s Risk As- Falls Screen- Delirium Cognition Intentional Environment Safe Mobil-
sessment ing Screen screen Rounding management isation
F re q u e n cy #
Simple Pareto Chart example
Ty pes of M e d ic a tio n Err o rs
Pa r e to C ha rt
1 2 mo n th s of re tr os pe c tiv e in c id e n t da t a (n=4 3 0 )E xa mpl e d a ta o nly
1 00
9 2
90
8 3
80 7 6
70
59
60
5 3
50
40
30 27
20 1 6
9 7
10 4 3 1
0
N u m b e r o f in c id e n t s r e p o r t e d
80 0
7 2 3
70 0
5 8 7
60 0
50 0
40 0
2 9 3
30 0 2 3 3
2 1 1 2 0 4 1 9 3 1 8 2
20 0
9 7 7 9
10 0 5 9 4 9 3 3
0
P
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4 3 1
27 16 9 7 92
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59 76 t
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m
Dose missed Wrong time W rong drug Over
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W rong patient Wrong rout e W rong calcul ation e
Dupl icated drugs
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Under dose Wrong IV rate Technique error Unaut hori sed drug
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7 9 5 9 4 9 3 3
Frequency
21
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107
83
ose
at ed drugs
horised drug
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
on as a 'priority'. However, you can act on any of the 'causes' particularly if they maybe easy to address or of high risk.
V ital F ew
400 380
Contribute to 80% of the problem
100%
Cumu lative %
90%
350
Fre quency #
80% Cut off (80 /2 0 Rule)
300 80%
300 Trivial M any
70%
250
60%
2 200 50%
0 40%
%150 130
30%
o 100 20%
60
f 50 40
30 10%
20
10
t 0
5 3
0%
h Cause 1 Cause 2 Cause 3 Cause 4 Cause 5 Ca use 6 Cause 7 Cause 8 Cause 9 Cause 10
e
c
a
u
s
e
s
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
n, who named the rule after Italian economist Vilfredo Pareto.
weed out less important factors in decision making.
the principle of factor sparsity) states that, for many events, roughly 80% of the effects come from 20% of the causes.
fter Italian economist Vilfredo Pareto, who, while at the University of Lausanne in 1896, published his first paper "Cours d'é
d by 20% of the population;
en contained 80% of the peas
at fall UNDER the green "80% cut off" line relate to the 'causes' that you should focus
ess or of high risk.
V ital F ew
400 380
Contribute to 80% of the problem
100%
Cumu lative %
90%
350
Fre quency #
2 200 50%
0 40%
%150 130
30%
o 100 20%
60
f 50 40
30 10%
20
10
t 0
5 3
0%
h Cause 1 Cause 2 Cause 3 Cause 4 Cause 5 Ca use 6 Cause 7 Cause 8 Cause 9 Cause 10
e
c
a
u
s
e
s
om 20% of the causes.
hed his first paper "Cours d'économie politique."
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