Improving Healthcare Quality and Cost with Six Sigma (paperback)

Improving Healthcare Quality and Cost with Six Sigma: Trends in the Healthcare Industry

---

But, until now, most discussions of Six Sigma have focused on Rising costs are making healthcare unaffordable for millions of individuals and employers. But, until now, most discussions of Six Sigma have focused on fields far distant from healthcare. In this book, four leading experts introduce Six Sigma from the standpoint of the healthcare professional, showing exactly how to implement it successfully in real-world environments.

This hands-on, start-to-finish guidebook covers every facet of Six Sigma in healthcare, demonstrating its use through examples and case studies. The authors show Six Sigma at work in every area of the hospital: Hardcover , pages. To see what your friends thought of this book, please sign up. Lists with This Book.

This book is not yet featured on Listopia. Jun 27, Zhifei Ge rated it it was ok Shelves: Not an insightful book at all. Too much statement and outcome, instead of logic and how. Gwen Wyles rated it it was amazing Jun 16, Andrew Quinlan rated it liked it Sep 21, Mike rated it really liked it Jun 29, Dylan marked it as to-read Sep 20, Cor-jan added it Oct 14, Linden Priest marked it as to-read Sep 15, There was a lack of generalizability because of small sample size.

Addressing some of the problems created others e. These are discussed as follows: Evidence-Based Practice Implications From the improvement strategies and projects assessed in this review, several themes emerged from successful initiatives that nurses can use to guide quality improvement efforts. The strength of the following practice implications is associated with the methodological rigor and generalizability of these strategies and projects: The importance of having strong leadership commitment and support cannot be overstated. Leadership needs to empower staff, be actively involved, and continuously drive quality improvement.

Without the commitment and support of senior-level leadership, even the best intended projects are at great risk of not being successful. Champions of the quality initiative and quality improvement need to be throughout the organization, but especially in leadership positions and on the team. A culture of safety and improvement that rewards improvement and is driven to improve quality is important.

The culture is needed to support a quality infrastructure that has the resources and human capital required for successfully improving quality. Due to the complexity of health care, multidisciplinary teams and strategies are essential. Quality improvement teams and stakeholders need to understand the problem and root causes. There must be a consensus on the definition of the problem. To this end, a clearly defined and universally agreed upon metric is essential. This agreement is as crucial to the success of any improvement effort as the validity of the data itself.

Use a proven, methodologically sound approach without being distracted by the jargon used in quality improvement. The importance given to using clear models, terms, and process is critical, especially because many of the quality tools are interrelated; using only one tool will not produce successful results. Standardizing care processes and ensuring that everyone uses those standards should improve processes by making them more efficient and effective—and improve organizational and patient outcomes.

Efforts to change practice and improve the quality of care can have multiple purposes , including redesigning care processes to maximize efficiency and effectiveness, improving customer satisfaction, improving patient outcomes, and improving organizational climate. Appropriate use of technology can improve team functioning, foster collaboration, reduce human error, and improve patient safety. Continually collect and analyze data and communicate results on critical indicators across the organization.

The ultimate goal of assessing and monitoring quality is to use findings to assess performance and define other areas needing improvement. Research Implications Given the complexity of health care, assessing quality improvement is a dynamic and challenging area. Some key areas are offered for consideration: How can quality improvement efforts recognize the needs of patients, insurers, regulators, patients, and staff and be successful?

Top Authors

What is the best method to identify priorities for improvement and meet the competing needs of stakeholders? What is the threshold of variation that needs to be attained to produce regular desired results? How can a bottom-up approach to changing clinical practice be successful if senior leadership is not supportive or the organizational culture does not support change? Conclusions Whatever the acronym of the method e. Evidence Table Quality Methods.

National Healthcare Quality Report. Agency for Healthcare Research and Quality; Crossing the quality chasm: National Academy Press; A strategy for quality assurance in Medicare. N Engl J Med. To err is human: Failure mode and effects analysis in improving a drug distribution system. Am J Health Syst Pharm. Basics of quality improvement in health care.

Public reporting on quality in the United States and the United Kingdom. The current state of performance measurement in healthcare. Int J Qual Health Care. National Healthcare Disparities Report. The public release of performance data: Schneider EC, Lieberman T.

Publicly disclosed information about the quality of health care: PMC ] [ PubMed: How Pennsylvania hospitals have responded to publicly release reports on coronary artery bypass graft surgery. Jt Comm J Qual Improv. The nonspread of innovations: Glouberman S, Mintzberg H.

Managing the care of health and the cure of disease— part I: Health Care Manage Rev. Mediating the cultural boundaries between medicine, nursing and management—the central challenge in hospital reform. Health Serv Manage Res. Structural and organizational issues is patient safety: Does what nurses do affect clinical outcomes for hospitalized patients? A review of the literature.

Problem solving in clinical nursing practice. From novice to expert: Learning from samples of one or fewer. Developing a clinical performance measure. Am J Prev Med. Choosing and evaluating clinical performance measures. Gift RG, Mosel D. Benchmarking in health care. American Hospital Publishing, Inc. Evaluating quality of medical care. Out of the Crisis. Sustainability in changing clinical practice promotes evidence-based nursing care. Developing and testing changes in delivery of care.

Quality of Care—part 3: Improving the quality of care. Can evidence-based medicine and outcomes research contribute to error reduction? What do we do? Nwabueze U, Kanji GK. The implementation of total quality management in the NHS: Successfully implementing total quality management tools within healthcare: Closing the quality gap: Agency for Healthcare Research and Quality; Aug, Furman C, Caplan R.

Appling the Toyota production system: Simon and Schuster; The ethics of using quality improvement methods in health care. Differentiating quality improvement from research. Blumenthal D, Kilo CM. A report card on continuous quality improvement.

1st Edition

Assessing the impact of continuous quality improvement on clinical practice: When does quality improvement count as research? Human subject protection and theories of knowledge. Qual Saf Health Care. Bellin E, Dubler NN. The quality improvement-research divide and the need for external oversight. Am J Public Health. Thin line between research and audit. Quality improvement, research, and the institutional review board.

Eleven worthy aims for clinical leadership of health care reform. Improvement, trust, and the healthcare workforce. The Six Sigma way. The Six Sigma book for healthcare: Health Administration Press; Lanham B, Maxson-Cooper P. Is Six Sigma the answer for nursing to reduce medical errors and enhance patient safety? Statistical method from the viewpoint of quality control. Department of Agriculture; The Six Sigma was: Generating management research on improving quality. Creating a lean practice. Printezis A, Gopalakrishnan M. Q Manage Health Care. Fixing health care from the inside, today.

Ancillary services in the health care industry: Cambridge University Press; The critical incident technique and nursing care quality research. Joint Commission Resources; Human Error in Medicine. Lawrence Erlbaum Associates; Root cause analysis for beginners. Qualitative research in health care.

Are the results of the study valid? Evidence-Based Medicine Working Group. Using aggregate root cause analysis to improve patient safety. Wald H, Shojania K. Making health care safer: The Veterans Affairs root cause analysis system in action. Transforming the Work Environment of Nurses.

See a Problem?

Individual, practice, and system causes of errors in nursing: Spath PL, Hickey P. Proactively error-proofing health care processes. Error reduction in health care: Williams E, Talley R. The use of failure mode effect and criticality analysis in a medication error subcommittee. FMEA—the cure for medical errors. Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving safety of IV drug administration. Using health care failure mode and effect analysis: Management in the nursing home: J Am Med Dir Assoc. The science of Six Sigma in hospitals.

Am Heart Hosp J. Using aggregate root cause analysis to reduce falls and related injuries. Using online and offline change models to improve ICU access and revenues. What perioperative and emerging workforce nurses want in a manager. Developing and implementing new safe practices: Smith DS, Haig K. Reduction of adverse drug events and medication errors in a community hospital setting. Nurs Clin North Am. Reducing waste and errors: J Qual Patient Saf. Using the online and offline change model to improve efficiency for fast-track patients in an emergency department.

Gowdy M, Godfrey S. Using tools to assess and prevent inpatient falls. Six Sigma plan delivers stellar results. Mater Manag Health Care.

Improving Healthcare Quality and Cost with Six Sigma (paperback)

Semple D, Dalessio L. Improving telemetry alarm response to noncritical alarms using a failure mode and effects analysis. Improving assessment and treatment of pain in the critically ill. Failure mode and effect analysis: Systematic root cause analysis of adverse drug events in a tertiary referral hospital.

Solutions to the Healthcare Quality Crisis | ASQ

Aust J Rural Health. Prioritizing threats to patient safety in rural primary care. Implementation and case-study results of potentially better practices to improve pain management of neonates. Patient safety in the ambulatory setting. J Gen Intern Med. Quality improvement efforts in the intensive care unit: Engaging nurses in patient safety. Reviewing recommendations of root cause analyses. Farbstein K, Clough J. Improving medication safety across a multihospital system. Using healthcare failure mode and effect analysis tool to review the process of ordering and administrating potassium chloride and potassium phosphate.

Health care failure mode and effect analysis: Eisenberg P, Painer JD.

Background

Intravascular therapy process improvement in a multihospital system: Estimating impacts on safety caused by the introduction of electronic medical records in primary care. Papastrat K, Wallace S. Teaching baccalaureate nursing students to prevent medication errors using a problem-based learning approach. Continuous improvement as an ideal in health care.

Pexton C, Young D. Reducing surgical site infections through Six Sigma and change management. Patient Safety Qual Healthc [e-Newsletter]. Program evaluation of hospital-based antenatal home care for high-risk women. Design of a safer approach to intravenous drug infusions: Computerized order entry and failure modes and effects analysis.

• La llengua basca fàcil per a la gent que parla català (Catalan Edition)
• Marie Heim-Vögtlin - Die erste Schweizer Ärztin (1845-1916): Ein Leben zwischen Tradition und Aufbruch (German Edition)
• Rising Son: Reflections of a Chinese Gentleman Warrior
• I, God, & Country
• Evidence-Based Nursing: An Introduction
• Anitas Menage (The Office Daydreamer Series)