Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2009 Sep ;16(9):411-414
Optimizing patient care processes in a children's hospital using six sigma
Sagy M

Abstract Objective: To describe a children’s hospital experience with applying Six Sigma methodology to improve clinical processes. Methods: Three projects are described. The first project sought to reduce the time from order to insertion of peripherally inserted central catheters (PICCs), the second sought to reduce the length of stay of patients requiring tracheostomy and gastrostomy tube placements prior to transfer to rehabilitation facilities, and the third sought to reduce medication order defects. Results: Implemented process changes resulted in a significant and progressive improvement in the mean time to PICC placement, which was reduced from 3.7 ± 2.7 days to 2.42 ± 1.6 days after 1 month and to 1.7 ± 1.2 days at 1 year. While we created a more efficient process that led to a shorter pediatric intensive care stay, we did not see a reduced time to transfer to rehabilitation facilities. At baseline, the mean number of defects per medication order was 2.1; this was improved to 1.4 at 1 month and 0.3 at 1 year. Conclusion: Clinical process analysis using Six Sigma methodology can significantly reduce defects as well as address quality aims established by the Institute of Medicine.

Reports from the Field

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw