Reduction of Complications of Local Anaesthesia in Dental Healthcare Setups by Application of the Six Sigma Methodology: A Statistical Quality Improvement Technique

Akifuddin, Syed; Khatoon, Farheen

doi:10.7860/jcdr/2015/16829.6989

Cited by 6 publications

(6 citation statements)

References 5 publications

(5 reference statements)

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“…& Berg, M., 2006) praised the implementation of SS for its contribution to innovative healthcare services. (Akifuddin, S. & Khatoon, F. 2015) confirmed that the application of SS in the healthcare sector improved hospital management and increased patients' satisfaction. (El-Eid, G., Kaddoum, R., Tamim, H. & Hitti, E. A.…”

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confidence: 59%

Success Factors and Benefits of Six Sigma Implementation in Hospitals: A Systematic Review

Alhamali

2019

BMS

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This review explores critical success factors of Six Sigma implementation in hospitals and identifies the benefits. Data sources and Methodology: Prior studies on Six Sigma (SS) totaling 100 were selected from more than 100 journals. These studies came from numerous databases and are classified based on the year of publication. Journal names with corresponding number of papers selected are reported. The review reveals 25 critical success factors (

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confidence: 59%

Success Factors and Benefits of Six Sigma Implementation in Hospitals: A Systematic Review

Alhamali

2019

BMS

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“…While the first studies in patient safety aimed to measure the incidence or prevalence of AE to know the problem's magnitude 6 , the initial studies in Dentistry, besides measuring their frequency, aimed to understand their causes, sparking reflection on the inherent challenges in the specificities of dental practice. From the perspective of measuring the incidence/prevalence of harms, the studies 12,21,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43 produced findings that ranges from the complications of local anesthesia/sedation; lesions to the tongue and lips; and loss of teeth from switched tooth extractions, ocular lesions and even death. Incidents involved allergies, infections, diagnostic delay or failure, and failure in the procedure, among others.…”

Section: The Problem's Size and Understanding Its Causesmentioning

confidence: 99%

“…Quality improvement methodologies tend to favor patient safety 29,97 . For example, the clinical audit is a useful tool, especially if: (i) it is structured formally and continuously with a regular schedule of meetings and events with permission for direct vertical and horizontal communication; (ii) training includes a significant number of staffers; (iii) it is aligned with local priorities; (iv) there is follow-up of all its phases (recording, data collection, data analysis, and report); and (v) there is timely monitoring of each recommendation in the action plan and its conclusion is reached before the next audit cycle is executed 100 .…”

Section: The Solutions Identified and Their Contribution To Improvemementioning

confidence: 99%

Segurança do paciente no cuidado odontológico: revisão integrativa

2020

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Resumo: Eventos adversos constituem grave problema relacionado à qualidade do cuidado de saúde. A prática odontológica, por ser eminentemente invasiva e implicar contato íntimo e rotineiro com secreções, é potencialmente propícia à ocorrência desses eventos. Diversos estudos em segurança do paciente foram desenvolvidos nas duas últimas décadas, entretanto, em maior número no ambiente hospitalar, em função de sua complexidade organizacional, gravidade de casos, diversidade e especificidade de procedimentos. O objetivo foi identificar e explorar os estudos voltados à segurança do paciente odontológico. Foi realizada revisão integrativa da literatura com consulta ao MEDLINE via PubMed, Scopus via Portal Capes e ao Portal Regional da Biblioteca Virtual de Saúde, utilizando-se os termos segurança do paciente e odontologia nos idiomas inglês, espanhol e português a partir de 2000. Utilizou-se o ciclo de pesquisa em segurança do paciente, proposto pela Organização Mundial da Saúde para classificar os estudos incluídos. Foram analisados 91 artigos. Os eventos adversos mais comuns foram relacionados às alergias, às infecções, ao atraso ou falha de diagnóstico e ao erro da técnica. Medidas para mitigar o problema apontaram para a necessidade de melhoria da comunicação, incentivo à notificação e procura por instrumentos para auxiliar a gestão do cuidado. Constatou-se carência de estudos de implementação e avaliação de impacto das propostas de melhoria. A Odontologia evoluiu no campo da segurança do paciente, mas ainda está aquém de transpor resultados para a prática, sendo importante envidar esforços para prevenir os eventos adversos nesta área.

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“…Healthcare seeks to give improvements in the prevention, control, and treatment of diseases, but at the same time, it also deals with complications, inefficiencies, and other problems that put patients' safety at risk. erefore, it is necessary to monitor the health services provided by applying management methods and tools to control quality [1].…”

Section: Introductionmentioning

confidence: 99%

“…For the first time, Bill Smith developed this methodology in 1986 with the aim of reducing product or process defects that did not satisfy customers [18,22]. DMAIC is then a framework used to enable the team to define and achieve set objectives [1,23,24].…”

Section: Introductionmentioning

confidence: 99%

Application of DMAIC Cycle and Modeling as Tools for Health Technology Assessment in a University Hospital

Ponsiglione

Ricciardi

Scala

et al. 2021

Journal of Healthcare Engineering

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Background. The Health Technology Assessment (HTA) is used to evaluate health services, manage healthcare processes more efficiently, and compare medical technologies. The aim of this paper is to carry out an HTA study that compares two pharmacological therapies and provides the clinicians with two models to predict the length of hospital stay (LOS) of patients undergoing oral cavity cancer surgery on the bone tissue. Methods. The six Sigma method was used as a tool of HTA; it is a technique of quality management and process improvement that combines the use of statistics with a five-step procedure: “Define, Measure, Analyze, Improve, Control” referred to in the acronym DMAIC. Subsequently, multiple linear regression has been used to create two models. Two groups of patients were analyzed: 45 were treated with ceftriaxone while 48 were treated with the combination of cefazolin and clindamycin. Results. A reduction of the overall mean LOS of patients undergoing oral cavity cancer surgery on bone was observed of 40.9% in the group treated with ceftriaxone. Its reduction was observed in all the variables of the ceftriaxone group. The best results are obtained in younger patients (−54.1%) and in patients with low oral hygiene (−52.4%) treated. The regression results showed that the best LOS predictors for cefazolin/clindamycin are ASA score and flap while for ceftriaxone, in addition to these two, oral hygiene and lymphadenectomy are the best predictors. In addition, the adjusted R squared showed that the variables considered explain most of the variance of LOS. Conclusion. SS methodology, used as an HTA tool, allowed us to understand the performance of the antibiotics and provided variables that mostly influence postoperative LOS. The obtained models can improve the outcome of patients, reducing the postoperative LOS and the relative costs, consequently increasing patient safety, and improving the quality of care provided.

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Reduction of Complications of Local Anaesthesia in Dental Healthcare Setups by Application of the Six Sigma Methodology: A Statistical Quality Improvement Technique

Cited by 6 publications

References 5 publications

Success Factors and Benefits of Six Sigma Implementation in Hospitals: A Systematic Review

Success Factors and Benefits of Six Sigma Implementation in Hospitals: A Systematic Review

Segurança do paciente no cuidado odontológico: revisão integrativa

Application of DMAIC Cycle and Modeling as Tools for Health Technology Assessment in a University Hospital

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