Use of Six Sigma for eliminating missed opportunities for prevention services

Lisaann S. Gittner, Baqar A. Husaini, Pamela C. Hull, Janice S. Emerson, Suzanne Tropez-Sims, Michelle C. Reece, Roger Zoorob, Robert S. Levine

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Delivery of primary care preventative services can be significantly increased utilizing Six Sigma methods. Missed preventative service opportunities were compared in the study clinic with the community clinic in the same practice. The study clinic had 100% preventative services, compared with only 16.3% in the community clinic. Preventative services can be enhanced to Six Sigma quality when the nurse executive and medical staff agree on a single standard of nursing care executed via standing orders.

Original languageEnglish
Pages (from-to)254-260
Number of pages7
JournalJournal of Nursing Care Quality
Issue number3
StatePublished - Sep 1 2015

Bibliographical note

Publisher Copyright:
Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.


  • Evidence-based nursing
  • Nursing protocols
  • Preventative services
  • Primary care
  • Quality improvement
  • Six Sigma

ASJC Scopus subject areas

  • General Nursing


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