HSPH QA/QI Boot Camp
DEVELOPING AND MAXIMIZING THE POTENTIAL OF A QA/QI DATABASE
Michele Gomez, CIP
Senior QA/QI Analyst
Partners Healthcare Quality Improvement Program
04
/19
/23
HSPH QA/QI Boot Camp
OUTLINE
Developing A QA/QI Database An Insightful Tale Quality as Defined by the QA/QI Customer Selecting a Database Model Translating Customer Needs into a Design Additional Design Considerations for QA/QI Databases Using MS Access Wizards to Develop Database Objects
Maximizing the Potential of a QA/QI Database Splitting a Database Creating Queries in MS Access Practical Advantages of Queries Re-inventing the Wheel
Helpful Resources
04
/19
/23
2
HSPH QA/QI Boot Camp
THE ICE CREAM MAKER
Subir Chowdhury’s insights into quality:
Quality is defined by the customer and you can get their definition only by listening to them
The real key isn’t so much to fix things as it is to design them right in the first place…(Chowdhury, 2005)
04
/19
/23
3
HSPH QA/QI Boot Camp
QUALITY AS DEFINED BY THE QA/QI CUSTOMERCustomer Type Needs Format Details
QA/QI Staff Internal Document audit findings
Form Observations
Research Teams
Internal Describe corrective action
Report Corrective Actions
IRB Leadership
Internal Assess gaps in policies
Query Observations by rank
Institutional Officials
Internal Overall non-compliance
Pie Chart
Summary of findings
HRPP External QI Program metrics
Query Audits by type
IRB metrics Query Types of IRB submissions by department
04
/19
/23
4
HSPH QA/QI Boot Camp
SELECTING A DATABASE MODEL
Relational Databases A database model developed by E. F. Codd that makes it simple
for end users to efficiently “store, modify and access data” through a collection of linked tables (Chappell & Trimble Jr, 2002)
Database Terms Tables Fields Keys Relationships
Examples FileMaker 8 MS Access MS SQL Server
04
/19
/23
5
HSPH QA/QI Boot Camp
TRANSLATING CUSTOMER NEEDS INTO A DESIGN Peter Chen’s Entity Relationship Diagram (ERD)
Visual representation of a database’s tables, fields and relationships (Shiflet, 2002)
ERD symbols and description
04
/19
/23
6
Symbol Description
Tables (entities)
Fields (attributes)
Connection between tables (relationships)
ERD EXAMPLE
04
/19
/23
7
Protocol#
Dept ID
Protocol
Associated with
Dept ID
DeptName
Department
can have
1
IRBSubmission
s
Submission ID Protocol
#
SubmissionType
M
1
1
Types of IRB submissions by
department
QA/QI Need Design
HSPH QA/QI Boot Camp
ADDITIONAL DESIGN CONSIDERATIONS
Considerations
Fields
Audit (type, date, conducted by)
Observation (description, corrective action, references)
Conclusion/concerns
04
/19
/23
8
QA/QI Needs
• Count of audits by type
• Observations by rank
• Summary of findings
HSPH QA/QI Boot Camp
USING MS ACCESS WIZARDS TO DEVELOP DATABASE OBJECTS MS Access contains built-in support (Wizards) for creating
database objects: Tables (main and lookup) Forms Reports
Wizards provide sample layouts for data entry forms and printed reports
Using Wizards does not require prior programming experience (e.g. Visual Basic for Applications)
04
/19
/23
9Database Window
HSPH QA/QI Boot Camp
THE ICE CREAM MAKER
Subir Chowdhury’s insights into quality:
Encourage each other in a way that lets everyone know they are part of ... the team
Get a few people around a table, pick a concern and generate as many ideas for solving it
If you want to stay ahead in your business…you need to keep re-inventing the wheel (Chowdhury, 2005)
04
/19
/23
10
SPLITTING A DATABASE
Susan
SallyBack End (BE)
Front End (FE)
John
Joe
Dan
Desktop copies of linked tables and FE
Password Protected Data
Warehouse
04
/19
/23
11
HSPH QA/QI Boot Camp
CREATING QUERIES IN MS ACCESS
Options Built-in Query Wizard Screen for developing SQL statements
Types of Queries Select Query (select, sort, group, calculate) Cross-tab Query (summarize)
Selection criteria Operators
04
/19
/23
12Design View
HSPH QA/QI Boot Camp
PRACTICAL ADVANTAGES OF QUERIES
Provide education Develop resources Close gaps Develop customized solutions
04
/19
/23
13
HSPH QA/QI Boot Camp
RE-INVENTING THE WHEEL
Version 2.0 Sustainable system Online request forms for IRB members & study
staff Web-based interfaces for QA/QI staff Instruction Manual
04
/19
/23
15
HSPH QA/QI Boot Camp
BIBLIOGRAPHY Chappell, D., & Trimble Jr., H. J. (2002). A Visual Introduction to SQL.
New York: John Wiley & Sons.
Chowdhury, S. (2005). The Ice Cream Maker An Inspiring Tale about Making Quality the Key Ingredient in Everything you Do. New York: Currency Doubleday.
Shiflet, A. (2002). Entity Relationship Model. Retrieved April 2014, from Data and Visualization : http://wofford-ecs.org/DataandVisualization/ermodel/material.htm
04
/19
/23
16
Other Resources
Choosing between Microsoft Access and FileMaker Pro by Miriam Engelberg
Splitting a Microsoft Access Databasehttp://office.microsoft.com/en-us/access-help/split-an-access-database-HA010342026.aspx