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

This editorial discusses the importance of improving safety culture in operating rooms using the Six Sigma approach and innovative technology like the the OR Black Box®. The authors argue that surgical errors are often the result of complex, multifactorial events rather than individual failures. They propose using a data-driven strategy, similar to that used in aviation, to reduce variability and improve safety in healthcare. The Six Sigma methodology, which aims for near-perfect performance (3.4 defects per million opportunities), is suggested as a framework for implementing this approach.

The authors advocate for the use of comprehensive data capture systems, such as the OR Black Box, to collect and analyze real-time data from multiple sources in the operating room. This technology allows for objective evaluation of team performance, identification of safety threats, and opportunities for improvement. The editorial emphasizes the importance of creating a blame-free culture where errors are discussed openly, and teams can learn from them. By following the Six Sigma strategy (Define, Measure, Analyze, Improve, Control) and utilizing data monitoring systems, healthcare organizations can work towards achieving a higher level of safety performance in the operating room.