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WebPrimary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes . WebA run is a series of points in a row on one side of the median. A non-random pattern or signal of change is indicated by too few or too many runs or crossings of the median line. . WebRun Chart Tool. Institute for Healthcare Improvement. Boston, Massachusetts, USA. Improvement takes place over time. Determining if improvement has really happened .