2016-08-02 58 views
1

我正在與一位項目的醫生合作,監測抗生素使用劑量的合規情況。來跟蹤是不符合事件的比例,醫生喜歡用P chartsR多條線的控制圖

我想以產生P-圖表與3限制線(對應於1,2,和3個SDS)上方和下方的中線。我還沒有找到辦法做到這一點。我還希望情節有幾次休息,將數據分成幾個時間段,我可以在qicharts包中進行,但不能在其他包中進行。

R有幾個包用於生成P圖表。我最喜歡的是qicharts。來自qicharts的標準P-Chart以及我見過的所有其他軟件包都會生成一條中心線,上限控制限和下限控制限,分別位於中心線+3和-3 SD處。

我想弄清楚如何在同一圖上生成額外的+1,+2和-1,-2 SD控制線。一些選項,如

LimitLines = c(1, 2, 3) where the default is LimitlLines = 3 

下面是代碼,從r-projects修改,生成數據,創建圖表,包括兩次破發:

# Setup parameters 
m.beds  <- 300 
m.stay  <- 4 
m.days  <- m.beds * 7 
m.discharges <- m.days/m.stay 
p.pu   <- 0.08 

# Simulate data 
discharges <- rpois(24, lambda = m.discharges) 
patientdays <- round(rnorm(24, mean = m.days, sd = 100)) 
n.pu  <- rpois(24, lambda = m.discharges * p.pu * 1.5) 
n.pat.pu <- rbinom(24, size = discharges, prob = p.pu) 
week  <- seq(as.Date('2014-1-1'), 
       length.out = 24, 
       by   = 'week') 

# Combine data into a data frame 
d <- data.frame(week, discharges, patientdays,n.pu, n.pat.pu) 

# Create a P-chart to measure the number of patients with pressure ulcers (n.pat.pu) each week (week) as a proportion of all discharges (discharges) with breaks one third (8) and two thirds (16) of the way through the data 

qic(n.pat.pu, 
n  = discharges, 
x  = week, 
data  = d, 
chart = 'p', 
multiply = 100, 
breaks = c(8,16), 
main  = 'Hospital acquired pressure ulcers (P chart)', 
ylab  = 'Percent patients', 
xlab  = 'Week') 
+0

我懷疑你需要真正修改一個包的源代碼來達到這個目的。在** qic.R **中,可從https://cran.r-project.org/web/packages/qicharts/index.html的** qicharts_0.5.1.tar.gz **獲得,第776-780行是可能是一個很好的開始 - 這個包在這裏計算限制。 – tluh

+0

謝謝,但我希望有一個更簡單的方法 - 可能與另一個包或解決方法。 – user3072084

回答

1

如果你只需要提交的數據,很容易自己創建圖表。隨意修改功能以滿足您的需求,讓您更輕鬆。

數據:

Groups <- c(120, 110, 150, 110, 140, 160, 100, 150, 100, 130, 130, 100, 120, 110, 130, 110, 150, 110, 110) 
Errors <- c(4, 3, 3, 3, 0, 6, 2, 2, 1, 5, 1, 5, 1, 1, 0, 1, 4, 0, 0) 
Week <- length(Groups) #optional: input vector of week numbers 
PchartData <- data.frame(Week,Groups,Errors) 

功能:

Shewhart.P.Chart <- function(Groups, Errors, Week) 
{ 
## Create from scratch 
# p value 
p <- Errors/Groups 
# pbar 
pbar <- mean(p) 
# calculate control limits 
UCL3 <- pbar+3*sqrt((pbar * (1 - pbar))/Groups) 
UCL2 <- pbar+2*sqrt((pbar * (1 - pbar))/Groups) 
UCL1 <- pbar+1*sqrt((pbar * (1 - pbar))/Groups) 
LCL1 <- pbar-1*sqrt((pbar * (1 - pbar))/Groups) 
LCL2 <- pbar-2*sqrt((pbar * (1 - pbar))/Groups) 
LCL3 <- pbar-3*sqrt((pbar * (1 - pbar))/Groups) 
## adjust the minimal value of the LCL to 0 
LCL3[LCL3 < 0] <- 0 
LCL2[LCL2 < 0] <- 0 
LCL1[LCL1 < 0] <- 0 
# plot pvalues 
plot(c(1:length(Groups)),p, ylim = c(min(LCL3,p),max(UCL3,p)), 
    main = "p Chart \n for Prescription Errors", xlab = "weeks", 
    ylab = 'Proportion nonconforming', col = "green", pch = 20, 
    lty = 1, type = "b") 
# add centerline reference 
abline(h = pbar, col = "red") 
# plot control limits at ±1s, 2s, and 3s 
lines(c(1:length(Groups)),UCL1, col = "blue", lty = 2) 
lines(c(1:length(Groups)),UCL2, col = "blue", lty = 2) 
lines(c(1:length(Groups)),UCL3, col = "blue", lty = 2) 
lines(c(1:length(Groups)),LCL3, col = "blue", lty = 2) 
lines(c(1:length(Groups)),LCL2, col = "blue", lty = 2) 
lines(c(1:length(Groups)),LCL1, col = "blue", lty = 2) 
} 

符可以很容易地加入到前述,你只需要在相應的隔離數據。但應該記住,如果您在所使用的過程中沒有變化,則不應更改限制的計算方法,而且您的過程可能會超出統計控制範圍,並且需要標準化。