ArticleHealthcare (Basel, Switzerland)2022
Sustaining Improvements of Surgical Site Infections by Six Sigma DMAIC Approach.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- The impact of enhanced cleaning on bacterial contamination of the hospital environmental surfaces: a clinical trial in critical care unit in an Egyptian hospital.Antimicrobial resistance and infection control · 2024Trial
- Development, Validation, and Comparison of Machine Learning Models for Predicting Pediatric Surgical Site Infections Using the NSQIP-P Database.Journal of the American College of Surgeons · 2026Article
- Facilitate behavior change among surgeons for infection prevention and stewardship: lessons learned from Asia.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Implementation of six sigma management to standardize surgical hand disinfection practices.BMC surgery · 2025Article
- Decision-maker roles in healthcare quality improvement projects: a scoping review.BMJ open quality · 2024Article
- A comprehensive study on the risk factors and pathogen analysis of postoperative wound infections following caesarean section procedures.International wound journal · 2024Article
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSSIs (surgical site infections) are associated with increased rates of morbidity and mortality. The traditional quality improvement strategies focusing on individual performance did not achieve sustainable improvement. This study aimed to implement the Six Sigma DMAIC method to reduce SSIs and to sustain improvements in surgical quality. The surgical procedures, clinical data, and surgical site infections were collected among 42,233 hospitalized surgical patients from 1 January 2019 to 31 December 2020. Following strengthening leadership and empowering a multidisciplinary SSI prevention team, DMAIC (Define, Measure, Analyze, Improve, and Control) was used as the performance improvement model. An evidence-based prevention bundle for reduction of SSI was adopted as performance measures. Environmental monitoring and antimicrobial stewardship programs were strengthened to prevent the transmission of multi-drug resistant microorganisms. Process change was integrated into a clinical pathway information system. Improvement cycles by corrective actions for the risk events of SSIs were implemented to ensure sustaining improvements. We have reached the targets of the prevention bundle elements in the post-intervention period in 2020. The carbapenem resistance rates of Enterobacteriaceae and
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