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Risk monitoring has been widely used in health care, further, control charts are often used as monitoring methods for surgical outcomes. Most of the methods can only detect step shifts of position parameters, but cannot take measures on scale parameters. In this paper, we proposed four methods based on EWMA control charts, namely SESOP, STSSO, SESOP-MFIR and STSSO-MFIR, to improve the existing monitoring methods. Specifically, SESOP standardizes variable on the basis of an EWMA charting method; STSSO replaces the statistics of the o