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• The flowchart is a means of visually
  presenting the steps in a process

• It is used to clarify the process

• It is helpful in designing/redesigning a
  process

• It is helpful in RCA
1. To understand the meaning of a flowchart

2. To know the basic components of the
   flowchart, such as symbols and rules governing
   decision flow

3. To understand the advantages and limitations
   of a flowchart

4. To learn how to go about creating a flowchart
• It is a simple mapping tool , that shows the
  sequence of actions and decisions in a
  process, in a manner easy to read and
  communicate
Woke      Start the   Drive to   Start
            car        work
 up                              work



  Get       Have      Park the    Walk into
dressed   Breakfast     car      the office
• Analyzing a process

• Problem identification in any given process.

• Process improvement

• A communication tool


            Get       Have      Start the    Drive to   Park the   Walk into   Start
Wake up
          Dressed   Breakfast     Car         work        car       Office     Work




                                            Problem
1. Identify the process to be mapped in flowchart
   form

2. Gather a team to work on the process to be
   flowcharted to reduce it to simple statements
   and decisions

3. Adhere to the international symbols used in
   flowcharting in order to unify the flowchart to a
   known standard understood all over the world
Terminator :     Signals the start and end of any flowchart and hence process


Step :   Denotes a single activity in the process



Decision :     Denotes any point in the process where is decision is to be made



Sub-process :       Denotes movement to an other process and hence a new flowchart



Connector :       Off page connector, used to connect a single flowchart across
         multiple pages



Multi-connector :          Used to unify multiple decisions (multi-input) into single effect
         (single output)
START



                 ACTION A


           YES    DECISION
                             NO
ACTION B                          ACTION C
                     A




                   END
1.   Keep descriptions simple and to the point

2.   Maintain a consistent level of detail

3.   Identify key decisions and actions in the process

4.   Aim to minimize the flowchart as much as possible without
     compromising content

5.   Always maintain the flow in the flowchart from top to bottom or from
     left to right

6.   Have consistency in decision boxes by maintaining a simple Yes/No
     decisions

7.   Any one flowchart must have ONE and only ONE “End” box

8.   In drawing a flowchart all components must be listed in logical order
9.    The flowchart should be clear, neat and easy to follow
10.   Any step (i.e. action), or terminator symbol should only have one input line
      and one output line
11.   Any decision should have one input and up to three outputs
12.   Multi-connectors are used to allow unification of input into any step
      symbol
13.   Off-page connectors are used to break up complex flowcharts in to
      smaller sections
14.   Sub-flowchart symbols are used to move from one flowchart (i.e. process)
      to a totally different flowchart
15.   Finally, the flowchart’s validity is tested by passing test data through it to
      ensure that process flow depicted in the flowchart mirrors that of the
      actual process being mapped

                                                      >0                  <0
                                                            DECISION
      ACTION A                   ACTION A

                                                                  =0
START


                                                                                                          Failed Airway
                                              Pt. needs
                                                                                                            Flowchart
                                               intubation




Rapid Sequence                No            Pt. unresponsive         Yes
                                                                                  Crash intubation
intubation (RSI)                              or near death?




 Difficult Airway          Yes                                 No                    No               Intubation attempted    Yes
                                     Difficult airway
    Flowchart                                                                                        3 times by experienced
                                      Suspected?
                                                                                                          Physician ?
                                                                     Attempt
                                                                    intubation
                   Post intubation                                                                               Yes
                    management

                                                        Yes          Attempt              No          BMV maintains           No
                                                                    Successful?                       Saturation >90%?

                        End
Advantages                   Limitations

                         • Hard to alter or modify
• Clarification
                         • Reproduction
• Communication
                         • The essentials of what is
• Effective analysis       done can easily be lost in
                           the technical details of how
                           it is done
• Proper documentation
http://www.flowhelp.com/flowchart/index.html
http://www.rff.com/flowchart_samples.htm
Flowcharting

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Flowcharting

  • 1.
  • 2. • The flowchart is a means of visually presenting the steps in a process • It is used to clarify the process • It is helpful in designing/redesigning a process • It is helpful in RCA
  • 3. 1. To understand the meaning of a flowchart 2. To know the basic components of the flowchart, such as symbols and rules governing decision flow 3. To understand the advantages and limitations of a flowchart 4. To learn how to go about creating a flowchart
  • 4. • It is a simple mapping tool , that shows the sequence of actions and decisions in a process, in a manner easy to read and communicate
  • 5. Woke Start the Drive to Start car work up work Get Have Park the Walk into dressed Breakfast car the office
  • 6. • Analyzing a process • Problem identification in any given process. • Process improvement • A communication tool Get Have Start the Drive to Park the Walk into Start Wake up Dressed Breakfast Car work car Office Work Problem
  • 7. 1. Identify the process to be mapped in flowchart form 2. Gather a team to work on the process to be flowcharted to reduce it to simple statements and decisions 3. Adhere to the international symbols used in flowcharting in order to unify the flowchart to a known standard understood all over the world
  • 8. Terminator : Signals the start and end of any flowchart and hence process Step : Denotes a single activity in the process Decision : Denotes any point in the process where is decision is to be made Sub-process : Denotes movement to an other process and hence a new flowchart Connector : Off page connector, used to connect a single flowchart across multiple pages Multi-connector : Used to unify multiple decisions (multi-input) into single effect (single output)
  • 9. START ACTION A YES DECISION NO ACTION B ACTION C A END
  • 10. 1. Keep descriptions simple and to the point 2. Maintain a consistent level of detail 3. Identify key decisions and actions in the process 4. Aim to minimize the flowchart as much as possible without compromising content 5. Always maintain the flow in the flowchart from top to bottom or from left to right 6. Have consistency in decision boxes by maintaining a simple Yes/No decisions 7. Any one flowchart must have ONE and only ONE “End” box 8. In drawing a flowchart all components must be listed in logical order
  • 11. 9. The flowchart should be clear, neat and easy to follow 10. Any step (i.e. action), or terminator symbol should only have one input line and one output line 11. Any decision should have one input and up to three outputs 12. Multi-connectors are used to allow unification of input into any step symbol 13. Off-page connectors are used to break up complex flowcharts in to smaller sections 14. Sub-flowchart symbols are used to move from one flowchart (i.e. process) to a totally different flowchart 15. Finally, the flowchart’s validity is tested by passing test data through it to ensure that process flow depicted in the flowchart mirrors that of the actual process being mapped >0 <0 DECISION ACTION A ACTION A =0
  • 12. START Failed Airway Pt. needs Flowchart intubation Rapid Sequence No Pt. unresponsive Yes Crash intubation intubation (RSI) or near death? Difficult Airway Yes No No Intubation attempted Yes Difficult airway Flowchart 3 times by experienced Suspected? Physician ? Attempt intubation Post intubation Yes management Yes Attempt No BMV maintains No Successful? Saturation >90%? End
  • 13. Advantages Limitations • Hard to alter or modify • Clarification • Reproduction • Communication • The essentials of what is • Effective analysis done can easily be lost in the technical details of how it is done • Proper documentation