Robert F. Hart, Ph. D.
Marilyn K. Hart, Ph.D.
A control chart is a statistical tool used
to examine the stability of a process. It allows
the identification of special causes of variation
in the process which can promote process improvement
through the removal of unwanted special causes.
However, in some cases it is used solely to
assess whether a process appears to be in a
state of control. This knowledge may be important
for several reasons [Hart and Hart, 2002]:
| 1. |
If a state of control exists,
future performance may be predicted. |
| 2. |
Whether a state of control
may be inferred may be important information
in its own right, either to quality personnel
within the organization or to an outside
quality agency. |
| 3. |
The process should be in control
before a process capability is inferred.
|
| 4. |
It is beneficial for the process
to be in control before using it for standard
values. |
It must be recognized that all processes cannot
be improved at the same time. Determining which
processes are out of control may be an important
part of a screening activity to determine where
to use limited quality improvement resources.
Chart Interpretation
Before any meaningful interpretation of a control
chart can be made, the purpose of the chart
must be defined: either for the "assessment"
of the past process stability or for
future improvement of the process. [Hart, et
al 2004]
When "assessment" is the control
chart purpose, usually only the fundamental
criterion for lack of control (points outside
the 3-sigma limits) is used. If additional criteria
are added, too many stable processes may show
additional indications leading to erroneous
conclusions of lack of control (instability).
Even without supplemental criteria, this one
criterion will often give indications of lack
of control (points outside the 3-sigma control
limits) even though no special-cause variation
exists. The probability of this happening is
called the false-alarm risk or alpha risk.
For example, with a normally distributed process
that has a known mean and standard deviation,
an Xbar chart with 24 subgroups has a false
alarm risk of 0.063. This may be calculated
by noting that the probability of any one point
being inside the 3-sigma limits is 0.9973 so
the probability of all 24 being inside is 0.997324
= 0.937. Therefore, the probability of one or
more points outside the 3-sigma limits by pure
chance is 0.063. (In the usual case when the
mean and standard deviation are not known but
are estimated from the data, the calculations
get much more complicated.) Inclusion of the
use of the s chart would drive this false alarm
risk even higher, and this is before any supplemental
criteria are added. For example, Hilliard and
Lasater [1966] wrote of their study where the
false alarm risk was 0.25 with 25 subgroups
of size four when three criteria were used.
In other words, one in every four charts would
give an indication of special-cause variation
even when none was present!
However, when process improvement is the control
chart purpose, the objective in chart interpretation
is to use whatever criteria may be helpful to
find indications which "suggest existence
of nonrandom influences." The criteria
most often used are based on the AT & T
rules (originally called the Western Electric
rules) [Western Electric, 1956]. Some of these
rules were not clearly spelled out. For instance,
AT&T claimed that trends may be indicated
by xs on one side of the chart followed
by xs on the other but did not specify
how many xs were needed to determine the
trend. These rules were then better spelled
out by Lloyd Nelson [1984, 1985], so are often
called Nelsons rules. They begin by dividing
the area between the centerline and the 3-sigma
upper control limit into three zones, each representing
one-sigma. From the center line to 1-sigma above
the centerline is zone C; from 1-sigma to 2-sigma
is zone B; from 2-sigma to the upper control
limit of 3-sigma is zone A. The zones are then
similar for the lower half of the chart. (C
is between centerline and -1-sigma, B is between
-1 and -2-sigma, A is between -2 and -3-sigma.)
The criteria are then:
| A. |
1 point above Zone A |
| B. |
1 point below Zone A |
| C. |
2 of 3 successive points in
upper Zone A or beyond |
| D. |
2 of 3 successive points in
lower Zone A or beyond |
| E. |
4 of 5 successive points in
upper Zone B or beyond |
| F. |
4 of 5 successive points in
lower Zone B or beyond |
| G. |
8 points in a row above center
line |
| H. |
8 points in a row below center
line |
| I. |
15 points in a row in Zone
C (above and below center) |
| J. |
8 points on both sides of
center with 0 in Zone C |
| K. |
14 points in a row alternating
up and down |
| L. |
6 points in a row steadily
increasing or decreasing |
These criteria are based upon the data being
fairly normally distributed, so these rules
may be used with confidence for Xbar charts
but only for individual charts if the data are
indeed fairly normally distributed. In reality,
many people ignore rules E and F. Rules I, J
and K do not occur often and require some comment.
Rule I checks for stratification. Suppose that
surgeon X always takes a long time to do a procedure;
surgeon Y always takes shorter. If a subgroup
was always made with one surgery time from X
and one from Y, the averages would always be
in the middle. But the ranges (or standard deviations)
would always be large, so the control limits
on the averages would always be wide. Hence,
the averages plotted on the control chart would
tend to hug the centerline giving
15 points in a row in Zone C (above and below
center) as stated in rule I. This is an indication
of not forming the subgroups correctly. Subgroups
should be homogeneous, that is the elements
of a subgroup should be as much alike as possible.
On the flip side, rule J checks for mixture.
Continuing on this last example of the two surgeons,
if some subgroups are from surgeon X and some
from surgeon Y, all surgeon Xs average
will be above zone C and all of surgeon Ys
will be below zone C. No points will be in zone
C. Control charts are most useful when they
are applied to a single-stream process.
The classic case of rule K is the use of an
egg timer with a bubble on one side of the glass
restricting the flow in one direction. The timer
is used on one side then the other, alternating
between the fast and slow flows. In the 25 years
these authors have worked in the area of quality,
this rule has never been violated in their work
so needless to say, this rule is not broken
often.
All of these rules have only a few chances
in a thousand to happen by chance for normally
distributed data points. For the derivations
of these probabilities, see Western Electric
[1956].
But what if the plotted points are not normally
distributed? Then only some of the criteria
or modified criteria are applied. For instance,
for R charts, Statit uses:
| A. |
1 point above Zone A |
| B. |
2 successive points in or
above upper Zone A |
| C. |
3 successive points in or
above upper Zone B |
| D. |
7 successive points in or
above upper Zone C |
| E. |
10 successive points in or
below lower Zone C |
| F. |
6 successive points in or
below lower Zone B |
| G. |
4 successive points in lower
Zone A |
For the s chart:
| A. |
1 point above Zone A |
| B. |
1 point below Zone A |
For p, u, and c charts:
| A. |
1 point above Zone A |
| B. |
1 point below Zone A |
| C. |
9 points in a row above center
line |
| D. |
9 points in a row below center
line |
| E. |
6 points in a row steadily
increasing or decreasing |
| F. |
14 points in a row alternating
up and down |
Conclusions
When making a control chart, the purpose of
the chart must first be established: assessment
or improvement. Then the criteria used to determine
lack of control can be intelligently determined.
References
Hart,
Marilyn and Robert F. Hart. Statistical Process
Control in Health Care. Duxbury, Pacific Grove,
California, 2002.
Hart,
Marilyn, Kwan Lee, Robert F. Hart, and James
Robertson. "Application of Variables Control
Charts to Risk-Adjusted Data for Monitoring
and Improving Healthcare Performance,
Quality Management in Health Care, Vol. 13(2)
2004, pp. 99-118.
Hilliard,
Jim E., and H. Alan Lasater. "Type One
Risks when Several Tests Are Used Together on
Control Charts for Means and Ranges," Industrial
Quality Control, pp. 56 61, August 1966.
Nelson,
Lloyd S. "The Shewhart Control ChartTests
for Special Causes," Journal of Quality
Technology, vol. 16(4), pp. 237 239,
October 1984.
Nelson,
Lloyd S. "Interpreting Shewhart Xbar Control
Charts," Journal of Quality Technology,
vol. 17(2), pp. 114 116, April 1985.
Western
Electric Company (now AT&T). Statistical
Quality Control Handbook, Bonnie Small, editor.
Newark, NJ: Western Electric Company, Inc.,
1956.