Case 1

Assignment Overview
Before beginning this assignment please view these videos:
Lean Six Sigma for Healthcare Introduction

Six Sigma for Healthcare – A Better Hospital in Five Days

Case Assignment
You are attending a general meeting with management to discuss proposed changes in the Quality Assurance program secondary to a “never event” occurring in your organization [you can consider any never event offered by the AHRQ]. After the presentation and during a question and answer period, several nurses indicate that the “never event” occurred because of inadequate staffing. Several surgeons joined the nursing staff in these allegations.