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Integrating Six Sigma with total quality management: a case example for measuring medication errors.

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  • Author(s): Revere L;Revere L; Black K
  • Source:
    Journal of healthcare management / American College of Healthcare Executives [J Healthc Manag] 2003 Nov-Dec; Vol. 48 (6), pp. 377-91; discussion 392.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Foundation of the American College of Healthcare Executives Country of Publication: United States NLM ID: 9803529 Publication Model: Print Cited Medium: Print ISSN: 1096-9012 (Print) Linking ISSN: 10969012 NLM ISO Abbreviation: J Healthc Manag
    • Publication Information:
      Original Publication: Chicago, IL : Foundation of the American College of Healthcare Executives, c1998-
    • Subject Terms:
    • Abstract:
      Six Sigma is a new management philosophy that seeks a nonexistent error rate. It is ripe for healthcare because many healthcare processes require a near-zero tolerance for mistakes. For most organizations, establishing a Six Sigma program requires significant resources and produces considerable stress. However, in healthcare, management can piggyback Six Sigma onto current total quality management (TQM) efforts so that minimal disruption occurs in the organization. Six Sigma is an extension of the Failure Mode and Effects Analysis that is required by JCAHO; it can easily be integrated into existing quality management efforts. Integrating Six Sigma into the existing TQM program facilitates process improvement through detailed data analysis. A drilled-down approach to root-cause analysis greatly enhances the existing TQM approach. Using the Six Sigma metrics, internal project comparisons facilitate resource allocation while external project comparisons allow for benchmarking. Thus, the application of Six Sigma makes TQM efforts more successful. This article presents a framework for including Six Sigma in an organization's TQM plan while providing a concrete example using medication errors. Using the process defined in this article, healthcare executives can integrate Six Sigma into all of their TQM projects.
    • Publication Date:
      Date Created: 20031216 Date Completed: 20040123 Latest Revision: 20191210
    • Publication Date:
      20220302
    • Accession Number:
      14671947