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Tally Sheet Template

The document describes tally sheets, which are simple tools used to collect quantitative or qualitative data in real time. Tally sheets involve counting the frequency of occurrences of various events. The data collected on tally sheets can then be organized and graphed in charts like Pareto charts or histograms. Examples provided include tally sheets tracking causes of bed blockages in a hospital and locations where missing medical records were found.

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Atri Gulati
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3K views7 pages

Tally Sheet Template

The document describes tally sheets, which are simple tools used to collect quantitative or qualitative data in real time. Tally sheets involve counting the frequency of occurrences of various events. The data collected on tally sheets can then be organized and graphed in charts like Pareto charts or histograms. Examples provided include tally sheets tracking causes of bed blockages in a hospital and locations where missing medical records were found.

Uploaded by

Atri Gulati
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Tally sheet (Check Sheet)

The Tally sheet (also called a Check Sheet) is a very simple way to accumulate data about the frequency of occurrenc
It is a simple, flexible, and effective data collection tool where data can be collected in real time at the location whe
The data it captures can be quantitative or qualitative. The information from a Tally Sheet can then be graphed in a
Examples of Tally sheets are shown in the next sheet (tab)

Template

Category How Many (count) Total

Total 0
ut the frequency of occurrence of events.
real time at the location where it is generated.
eet can then be graphed in a Pareto Chart or a Histogram.
Tally sheet examples

Example Tally Sheet: Causes of bed block


Event
(Causes of bed Tally Total
block)

No Cleaner to
clean bed in 3
ward

Delay in 5
investigation

No bed in 7
Ward

TOTAL
Incidents of 15
bed block

Example
Causes of Discharge Delay from Emergency Department
Cause Jan - Mar Apr - June Jul - Sept Oct - Dec TOTAL
X-Rays 39 30 28 29 126
Bed Shortage 13 16 21 13 63
Review by Team 5 4 7 4 20
Doctor busy 4 7 8 5 24
Patient 3 2 1 4 10
Other 3 2 1 3 9
TOTAL 67 61 66 58 252
EXAMPLE: Check sheet of where missing medical records were located

Category How Many Total


Doctors private
rooms II 2
Ward 1 East I 1
Ward 1 North IIIIIIII 8
Ward 1 South III 3
Ward 1 West II 2
Ward 2 East I 1
Ward 2 North II 2
Ward 2 South III 3
Ward 2 West II 2
Physiotherapy I 1
OT III 3
Research Unit II 2
Administration I 1
Admission
Office II 2
Out patient
Clinic II 2
TOTAL 35

Tally Sheet example of exercise goals


Mon Tue Wed Thur Fri

Week 1 Walk to work Walk to work Walk to work


(3 goals)
Week 2 Walk to work Walk to work Walk to work
(3 goals)
Week 3 Walk to work Walk to work Walk to work Walk to work Walk to work
(5 goals)
Week 4 Walk to work Walk to work Walk to work Walk to work Walk to work
(5 goals)
Week 5 Walk / jog to work Walk / jog to work Walk / jog to work Walk / jog to work Walk / jog to work
(5 goals)
Week 6 Walk / jog to work Walk / jog to work Walk / jog to work Walk / jog to work Walk / jog to work
(5 goals)
Week 7 Walk / jog to work Ride bike to & from Walk / jog to work Ride bike to & from Walk / jog to work
(7 goals) work work

Week 8 Walk / jog to work Ride bike to & from Walk / jog to work Ride bike to & from Walk / jog to work
(7 goals) work work

Week 9 Walk / jog to work Ride bike to & from Walk / jog to work Ride bike to & from Walk / jog to work
(7 goals) work work

Ride bike to & from


Week 10 Walk / jog to work work Walk / jog to work Ride bike to work Walk / jog to work

Ride bike to & from


Week 11 Walk / jog to work work Walk / jog to work Ride bike to work Walk / jog to work

Ride bike to & from


Week 12 Walk / jog to work work Walk / jog to work Ride bike to work Walk / jog to work

Week 13
Week 14
Week 15
Week 16
Week 17
Week 18
Week 19
Week 20
Achieved Did NOT
Legend: goal achieve
goal
Denominat
or:
Total % daily
Numerator:
# daily exercise number of exercise
Sat Sun daily goals met
goals met exercise for week
goals for
week

2 3 67%

3 3 100%

4 5 80%

5 5 100%

3 5 60%

4 5 80%

5 7 71%

7 7 100%

Gym with P/Trainer 8 8 100%

Gym with P/Trainer 8 8 100%

Bootcamp with
Gym with P/Trainer 9 9 100%
P/Trainer

Bootcamp with
Gym with P/Trainer 8 9 89%
P/Trainer

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