Table 1

Tools and outcomes for each Six Sigma phase

PhaseTools usedOutcomes
DefineProject charter
Stakeholder analysis
Gap analysis
Project opportunity and goal identified
Project team formed
Approval to proceed obtained from governance team
MeasureTeam consensus
Histogram
Control chart
Patient and staff survey questionnaire
Data analysis performed
Key metrics of improvement (baseline and target) identified (HCAHPS survey)
Employee satisfaction survey developed
AnalyseBrainstorming
Fishbone diagram
Root causes of the opportunity identified
ImproveAction register and implementation plan
IDT rounding tool
Best practice research
Interventions developed, tested and implemented
ControlControl plan
Preintervention vs postintervention statistical analysis
Sustainability plan in place
  • HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems; IDT, interdisciplinary rounds.