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JCOM Abstract


J Clin Outcomes Manage 
2004 Aug;11(8):510-516
Using the six sigma approach to meet quality standards for cardiac medication administration
Elberfeld A, Goodman K, Van Kooy M

Objective: To improve the quality of patient c are through the correct use and appropriate documentation of aspirin, b blockers, and angiotensin-converting enzyme inhibitors in patients with congestive heart failure (CHF) and acute myocardial infarction (AMI). Methods: Six Sigma process improvement methodology. Results: The project team identified drivers of process failure and implemented improvement strategies, including physician and staff education, stocking aspirin on each hospital floor, and shortening the form that paramedics need to complete. The health system exceeded both internal and external benchmarks, and improved performance continues to be sustained 18 months after implementation. Conclusion: A sustained clinical and cultural change in the delivery of care for AMI and CHF patients can be achieved using the Six Sigma process.

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