Six Sigma in surgery: how to create a safer culture in the operating theatre using innovative technology

Br J Anaesth. 2021 Dec;127(6):817-820. doi: 10.1016/j.bja.2021.08.023. Epub 2021 Sep 28.


Safe delivery of patient care in the operating theatre is complex and co-dependent of many individual, organisational, and environmental factors, including patient, task and technology, individual, and human factors. The Six Sigma approach aims to implement a data-driven strategy to reduce variability and consequently improve safety. Analytical data platforms such as a Black Box ought to be embraced to support process optimisation and ultimately create a higher level of Six Sigma safety performance of the operating theatre team.

Keywords: Six Sigma; black box; operating room; quality improvement; safety culture; team training.

Publication types

  • Editorial

MeSH terms

  • Humans
  • Operating Rooms / standards*
  • Patient Safety / statistics & numerical data*
  • Quality Control*
  • Quality of Health Care*
  • Safety Management / methods*
  • Total Quality Management / methods*