Journal
STATISTICS IN MEDICINE
Volume 29, Issue 18, Pages 1900-1909Publisher
WILEY
DOI: 10.1002/sim.3947
Keywords
LC-CUSUM; learning curve; CUSUM; monitoring; control chart
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The cumulative summation (CUSUM) test is increasingly being used in medicine to monitor a wide variety of processes such as cardiac surgery or disease outbreaks. The CUSUM sequentially tests the null hypothesis that the process is in control, i.e. its mean is equal to a given target. Thus, it detects when the process changes to an out of control state. Conversely, monitoring the learning curve requires detecting the time when the process reaches an in control state. In this work we develop an alternative to the CUSUM, the learning curve CUSUM (LC-CUSUM), that serves to detect when a process deviates from an out of control state to an in control state. The test is based on a two one-sided tests procedure where the null hypothesis is that the process is out of control. This can be written as H-0: vertical bar mu - mu(0)vertical bar >=delta tested against H-1: vertical bar mu - mu(0)vertical bar
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