Improving the quality of health care has gradually developed new ideas have been explored and applied in various clinical and nonclinical. One of the ways to improve the quality, attention to health agencies have been introduced to Six Sigma. Six Sigma is a rigorous set of procedures and techniques to measure, improve and control the quality of nursing care is important for the client (Woodard, 2005, p. 229) is based. "The objective of this approach is the development of procedures for each level without trying to do to eliminate variations in the process. The flaws, as all factors to take into account customer dissatisfaction. Many processes in the health sector is virtually no margin for error, especially in a clinical setting. Bring to a level of trial, error-free benefits for patient care, safety measures, the results Heide, efficiency and cost reduction initiatives.
Six Sigma touchedrange of health functions. care through an example of such implementations to demonstrate the possibility of medication errors, more successful, the response time of the laboratory management of the supply chain of inputs, the impact of recovery, treatment The conservation status of the results of care for patients, and others (Revere and 2003, Black). Although the benefits of these projects are clear, high specificity, analysis and design, it is very resource intensive. Resource requirements involvedfor these projects to create a great challenge. In reviewing the literature on this subject at least one article proposes a solution. Revere and Black suggest existing runways in Six Sigma Total Quality Management (TQM) programs. His reasons, like quality that can be synergistic efforts to achieve better results with fewer interruptions in organizations. "Six Sigma is an extension of the failure mode and effect analysis, weJCAHO can be easily integrated in active quality management (Revere and Black, 2003, p. 377) "This would entail the integration of Six Sigma in an existing program that provides a detailed analysis must be immersed in the process .. ongoing assessment and improvement activities to a more detailed level.
Some TQM programs can not collect and analyze enough data to understand the process of change. Six Sigma can meet these challengesamended with the emphasis on understanding the variation of the process with the application. This aspect of Six Sigma is TQM effectively. "The work of Six Sigma is no different from the law, but its ambitious objectives and methods are better defined (Revere and Black, p. 379, 2003)." These two approaches can be very useful in creating effective programs to improve the quality.
While Six Sigma provides a level of measurement, it is not the only aspect ofcan be successful in health care organizations. parameters to improve the management should be accompanied by skill so that programs to reduce the process of change successfully, the. The programs are designed to change structures and processes that produce real changes in earnings. In addition, there are methods to ensure compliance of this process to ensure that changes are made. These tasks are the responsibility of the participants and program management, andThe measures should be effectively managed to succeed. Six Sigma has gone through the DMAIC approach: define, measure, analyze, improve and control (Riebling and Tria, 2005).
The level of detail and reporting for Six Sigma and challenges for organizations that need, "every part of every service must be informed, measured and recorded regularly (Revere and Black, 2003, p. 388)." The specific problems posed by the nature of matterOrganization are involved, including processes, data sources and data quality. intermediate process may be particularly difficult in the case of many, many levels of interaction and many methods of feedback.
Using Six Sigma organizations in health care has obvious advantages, but not without difficulty. In addition to the potential usefulness of current quality improvement programs, benchmarking and internal prioritization of projectsSix Sigma improve if the parameters are used (Revere and Black, 2003). This can be an advantage, the senior management to decide how to allocate resources to the project. Ultimately, Six Sigma in health care, will only be successful if it improves the quality management systems and to manage the costs of these efforts.
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