Safe Drug apportioning utilizing Six Sigma Methodology

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What is Six Sigma?. All out Quality administration framework initially created by Motorola Their objective was to lessen deformity levels beneath 3.4 imperfections for each (one) million open doors (DPMO). It is an enlisted trademark of Motorola and brought about a sparing of US$17 billion in 2006 . Sigma. The Greek letter s (sigma) alludes to the standard deviation of a populace. Sigma, or standard deviation, is utilized as

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Safe Drug apportioning utilizing Six Sigma Methodology Dr Ho Chung Ping HKMA 20070705 Cpho@hkma.org

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What is Six Sigma? Add up to Quality administration framework initially created by Motorola Their objective was to lessen imperfection levels underneath 3.4 deformities for each (one) million open doors (DPMO). It is an enrolled trademark of Motorola and brought about a sparing of US$17 billion in 2006

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Sigma The Greek letter s (sigma) alludes to the standard deviation of a populace. Sigma, or standard deviation, is utilized as a scaling variable to change over upper and lower particular points of confinement to Z. In this way, a procedure with three standard deviations between its mean and a spec point of confinement would have a Z estimation of 3 and normally would be alluded to as a 3 sigma prepare.

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Striving for Six Sigma Sigma PPM (Process (Defects per Million Capability) Opportunities) 2 308,537 3 66,807 4 6,210 5 233 6 3.4

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Objective The principal goal of the Six Sigma system is the usage of an estimation construct methodology that concentrations in light of process change and variety diminishment through the utilization of Six Sigma change ventures.

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Six Sigma DMAIC The Six Sigma DMAIC handle (characterize, measure, examine, enhance, control) is a change framework for existing procedures falling beneath determination and searching for incremental change.

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DMAIC in the Clinic Define objective - decrease apportioning mistake to 3 sigma Measure – report and record administering blunder Analysis – explain conceivable wellspring of blunder in the center Improve - contract Control – staff preparing

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Analysis: Possible wellspring of mistake in administering Each facility ought to do its own particular examination, however all falls into two classes Errors in medication acquisition Errors in arrangement Errors in medication apportioning

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Analysis: Errors in Drug acquirement Error in medication requesting via telephone Failure to check the pharmaceutical on landing Put in wrong area

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Analysis: Problem in medication apportioning Failure to get the right prescription Changing brand names Similar solution names Similar tablet appearance

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Analysis: Error in naming Instruction not clear Before/many mealses Warning notification not finish ACEI – contraindicated in pregnancy Allopurinol and sulphonamide –skin responses No marks after bunch planning Drug activity not finish

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Analysis: Others mistakes Error in amount Improved with PC programming Error in readiness Error amid exchange of drug Error in medication exacerbating and weakening Error in nature of medication Expired prescription

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Improve: sedate obtainment Drug requesting by telephone and by fax. Structures will be created by PC utilizing the database from the center administration framework Clinic medical attendant will hold the shape Drugs entry checked & marked by 2 staff individuals Doctors to confirm every so often

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Improve: sedate apportioning Use non specific names beyond what many would consider possible Use furosemide (fursemide) rather than lasix Use metalozone rather than diulo Use domperidone rather than motilium Eliminate drugs with comparative medication names Beware of medications with comparative appearance

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Improve – tranquilize administering technique Staff preparing State the medication credits to be checked Drugs ought to be cross-checked in the wake of apportioning Checked by the specialist before issue to patients

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Staff preparing Attending courses In house preparing The quantity of pharmaceuticals utilized as a part of individual facility is constrained Staff will have more exhaustive comprehension of the medication utilized as a part of her facility Doctor can give more exact data

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Control: Mistake Proofing Mistake-sealing gadgets counteract absconds by anticipating blunders or by foreseeing when mistakes could happen. In the Improve stage, botch sealing is utilized to outline your procedure so it will be difficult to commit errors

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Control – documentation and supervision Set up an administering contract/or utilize HKMA tranquilize apportioning manual Supervision by more ranking staff

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Charter A sanction is an archive that sets up a reason and plan for the venture. It contains an announcement of the issue, the extent of the venture (counting the procedure to be enhanced), a change objective, an arrangement and calendar for the venture, assessed money related advantages, and a rundown of colleagues and their parts.

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Six sigma in center apportioning The Six Sigma standard can be connected in administering in little private facilities Collection of information difficult in facilities (?culture) Pooled information valuable in the long haul Good framework and staff preparing the foundation of safe practice

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