Abstract
Six Sigma is a managerial philosophy for detecting the error rate of particular (or a set of) activities. This research applies the process DMAIC (define, measure, analyse, improve, control) of the Six Sigma concept in dealing with troublesome Unplanned Endotracheal Extubation (UEE) events that frequently occur in a hospital. Grounded on Continuous Quality Improvement-Total Quality Management (CQI-TQM), this research attempts to combine Six Sigma and the Health Quality Improvement Circle (HQIC) to guide the complete participation of the Intensive Care Unit (ICU) of the case hospital. The project suggests taking several actions, including establishing standard operations and on-the-job training on the nursing staff for this particular purpose. The result shows that the focal events decreased significantly from 11.3% to 4.1% monthly, while the standard error improved from 2.7069 σ to 3.2437 σ. Although the case has proven the usefulness of Six Sigma, continuous efforts with a similar approach to this specific process and others within the hospital will be needed.
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