How can I initiate Six Sigma project in Medical Transcription which is totally inherent variability of input quality and human skills. How to stop the wrong text errors which is totally based on the listening skills of a person and even medical errors like entering wrong drug other than what is dictated due to sound alike. How can we avoid demographics error which is based on discretion of MT or different specifications by different clients. To what extent we can initiate Poka-Yoka or other control methods.