title: Use of Six Sigma for eliminating missed opportunities for prevention services.
abstract: Delivery of primary care preventative services can be significantly increased utilizing Six Sigma methods. Missed preventative service opportunities were compared in the study clinic with the community clinic in the same practice. The study clinic had 100% preventative services, compared with only 16.3% in the community clinic. Preventative services can be enhanced to Six Sigma quality when the nurse executive and medical staff agree on a single standard of nursing care executed via standing orders.
authors: Political Science and Public Administration, Texas Tech University, Lubbock (Dr Gittner); Center for Prevention Research, Tennessee State University, Nashville (Drs Husaini and Emerson); Division of Epidemiology, Vanderbilt University, Nashville, Tennessee (Dr Hull); Department of Family and Community Medicine (Dr Levine), Department of Pediatric Medicine, Meharry Medical College, Nashville, Tennessee (Dr Tropez-Sims); Department of Health Services Management and Policy, East Tennessee State University, Johnson City (Dr Reece); and Baylor University, Houston, Texas (Dr Zoorob).
authors: LisaAnn S
authors: LS
authors: Gittner
authors: Baqar A
authors: BA
authors: Husaini
authors: Pamela C
authors: PC
authors: Hull
authors: Janice S
authors: JS
authors: Emerson
authors: Suzanne
authors: S
authors: Tropez-Sims
authors: Michelle C
authors: MC
authors: Reece
authors: Roger
authors: R
authors: Zoorob
authors: Robert S
authors: RS
authors: Levine
mesh_terms: D000554:Ambulatory Care Facilities / Q000592:standards; D055318:Evidence-Based Nursing; D005260:Female; D006801:Humans; D008297:Male; D008503:Medical Staff; D008913:Minority Groups; D009718:Nurse Administrators; D019982:Organizational Case Studies; D011314:Preventive Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000592:standards; D058996:Quality Improvement; D017749:Total Quality Management