Six Sigma Methodology Can Be Used to Improve Adherence for Antibiotic Prophylaxis In Patients Undergoing Noncardiac Surgery

Abstract

We conclude that Six Sigma methods were used to successfully improve our process for timing of perioperative antibiotic prophylaxis before surgical incision. An electronic anesthesia record keeping system is a useful tool to monitor this process improvement.

Health Care Systems Redesign Project to Improve Dysphagia Screening

“…12 Although relatively few dysphagiascreening/management studies have used Systems Redesign methodology, this approach has been employed in Veterans Health Administration health care performance projects for a variety of measures and in diverse settings, including acute care. [14][15] Findings from this study are similar to those of Parker et al 14 because the culture in the VAMC encouraged cooperation and communication across multiple disciplines and included information technology support.…”

“…This facilitator assists the team in identifying process improvement targets, discovering barriers or waste through process mapping, measuring performance parameters, and implementing rapid change to improve processes via rapid Plan, Do, Study, and Act (PDSA) cycles. [9][10][11][12][13][14][15][16] This project was a 100-day quality improvement project to change provider practices. It was specifically designed to train frontline clinicians in systems redesign methodology to improve dysphagia-screening processes for all veterans admitted to the VAMC.…”

“…Process mapping has been used in diverse clinical settings 14,16 and facilitates both the understanding of process flow and the identification of barriers to optimal flow that would serve as targets for improvement efforts. 14 In this project, the team mapped each step of the current state, from time of assessment to placing a patient on NPO and ordering a SLP consult.…”

A multicenter study on the application of Six Sigma management in clinical rational drug use by pharmacist intervention

“…With the further development of a specific rectification program for antibiotics in China, the corresponding clinical use management of antibiotics and other related systems is gradually being established and improved (30). As a result, clinical use management of antibiotics is gradually becoming institutionalized and standardized, and the resulting long-term working mechanism will be able to promote the continuous improvement of antibiotics in clinical application (31).…”

Fehler und Fehlermeldesysteme in der Anästhesiologie

“…Damit schließt sich auch der Kreis zum Gesundheitswesen: Es ist sich zwar jeder Patient bewusst, dass eine Nullfehlerrate während des Behandlungsprozesses grundsätzlich sehr unwahrscheinlich ist, allerdings bewegt sich die persönliche Erwartungshaltung als Betroffener in dem Bereich von Six Sigma. Nicht zuletzt deswegen hat sich die medizinische Literatur dieser Thematik in den letzten Jahren vermehrt angenommen [5] und die Methode auch schon erfolgreich zur Qualitätsverbesserung verwendet [11].…”