Reducing patients’ falls rate in an Academic Medical Center (AMC) using Six Sigma “DMAIC” approach

  • Ahmed Al Kuwaiti, Arun Vijay Subbarayalu
  • International Journal of Health Care Quality Assurance, May 2017, Emerald
  • DOI: 10.1108/ijhcqa-03-2016-0030

Reducing patients' falls rate

What is it about?

The purpose of this paper is to evaluate the impact of adopting the Six Sigma define, measure, analyze, improve and control (DMAIC) approach in reducing patients fall rate in an Academic Medical Center, Saudi Arabia. Design/methodology/approach.

Why is it important?

A control plan was also executed to sustain the improvements obtained. Originality/value The Six Sigma "DMAIC" approach improves the processes related to the prevention of falls. A greater reduction in patients falls rate (over 70 percent) was observed after the implementation of the improvement strategy.


Dr Ahmed Al Kuwaiti
Imam Abdulrahman Bin Faisal University, Dammam

A prospective study design was adopted and this study was conducted at King Fahd Hospital of the University (KFHU) during the year 2014. Based on the historical data of the patients' falls reported at KFHU during the year 2013, the goal was fixed to reduce the falls rate from 7.18 to<3 (over 60 percent reduction) by the end of December 2014. This study was conducted through the five phases of "DMAIC" approach using various quality tools. Three time periods were identified, namely, pre-intervention phase; intervention phase; and post-intervention phase. Appropriate strategies were identified through the process of brainstorming and were implemented to study the potential causes leading to the occurrence of falls.

Read Publication

The following have contributed to this page: Dr Arun Vijay Subbarayalu and Dr Ahmed Al Kuwaiti