scholarly journals Maintaining the Quality Management Program

Author(s):  
Nick van Sinderen

AbstractsEstablishing and maintaining a quality management program (QMP) is easy in theory but difficult in practice. It requires considerable time, energy, and the full commitment of everyone involved, starting with the program management. The time involved in establishing a QMP varies in terms of time, depending on the scope of your system and the starting point. The initial question you need to ask is, “What standards, knowledge, do we already have?” In almost every case, the answer is “a considerable amount!” These days many hospitals already have accreditations or certifications like Joint Commission International (JCI), International Organization for Standardization (ISO), standards issued by the government and institutions and professional organizations. The most important pool of knowledge, however, is the education and experience of staff. All standards are initially created by colleagues in the field and, at least for FACT-JACIE, also further developed in a 3-year review cycle.

1929 ◽  
Vol 23 (1) ◽  
pp. 17-31
Author(s):  
Manley O. Hudson

Whatever may be the present attitude of the people of the United States toward the League of Nations, it now seems clear that the Government of the United States has come to feel the necessity for such an international organization. For several years past, official American coöperation with the League has steadily increased. The situation has now developed to a point where the current formulae for explaining the official attitude are to some extent misleading, and it may serve a useful purpose to trace the changes which have occurred since 1920, to survey the situation as it now exists, and to forecast some of the probabilities for the future.Let us start with the fact that the United States has not ratified the Covenant of the League of Nations and has not accepted the place provided for her in the Assembly and the Council of the League. It is beside the present purpose to explain that fact, to attempt to say whether it is due to drift or to design, or to offer any argument for changing it. Whatever the seven millions of voters who constituted President Harding's majority in 1920 may have desired at that time, the Government of the United States has since interpreted their votes as a determination that the United States should not accept membership in the League, and it has proceeded on the theory that that issue is closed. But if this fact is to be taken as the starting-point, there still remains a question as to the account to be taken by the Government of the United States of other important facts, viz., that the League of Nations continues to exist, that more than fifty governments are vigorously pushing its work and effecting through it their coöperative action, and that much of the organized international life of our time is centered at Geneva.


Author(s):  
Zuber Mujeeb Shaikh

Patient and Family Rights (PFR) is a common chapter available in the Joint Commission International (JCI) Accreditation[i] (fifth edition) and Central Board for Accreditation of Healthcare Institutions (CBAHI) Standards for hospitals (second edition)[ii]. JCI Accreditation is a USA based international healthcare accrediting organization, whereas CBAHI is the Kingdom of Saudi Arabia based national health care accrediting organization. However, both these standards are accredited by Ireland based International Society for Quality in Health Care (ISQua), which is the only accrediting organization who “accredit the accreditors' in the world. In Patient and Family Rights (PFR) chapter of JCI Accreditation for hospitals, there are nineteen (19) standards and seventy-seven (77) measurable elements (ME) whereas in CBAHI Accreditation there are thirty one (31) standards, ninety nine (99) sub-standards and fifty (50) evidence(s) of compliance (EC). The scoring mechanism is totally different in both these accrediting organizations. The researcher has identified thirty two (32) common parameters from JCI Accreditation and CBAHI standards, intent statement, measurable elements, sub-standard and evidence of compliance. On the basis of these identified common parameters, the researcher has compared the Patient and Family Rights chapter in JCI Accreditation and CBAHI Standards. Methods: This is a comparison study (normative comparison) in which the researcher has critically analyzed and compared the Patient and Family Rights (PFR) standards of JCI (Joint Commission International) Accreditation of USA (United States of America) and CBAHI (Central Board for Accreditation of Healthcare Institutions) of the Kingdom of Saudi Arabia. Data Collection: Primary data are collected from the JCI Accreditation Standards for hospitals, fifth edition, 2013 and CBAHI Standards for hospitals of Kingdom of Saudi Arabia, second edition, 2011. Secondary data are collected from relevant published journals, articles, research papers, academic literature and web portals. Objectives of the Study: The aim of this study is to analyze critically Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards to point out the best in among both these standards. Conclusion: This critical analysis of Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards for hospitals clearly show that the PFR Standards in CBAHI Standards are very comprehensive than the JCI Accreditation standards.


Author(s):  
Paul Craig

This chapter analyzes engagement and disengagement with international institutions from the perspective of U.K. law. The first part of the chapter considers the relevant legal rules that pertain to engagement by the United Kingdom in international institutions. It is divided into three sections. The first section is directed toward dualism as understood in U.K. constitutional law, whereby an international treaty cannot take effect in national law unless it has been transformed or adopted into domestic law, thereby preventing the executive from undertaking obligations without the imprimatur of the U.K. legislature. The second section explains the U.K. constitutional rules designed to prevent the executive from ratifying an international treaty, and hence committing the United Kingdom at the international level, before Parliament has had the opportunity to consider the treaty. This area is interesting, since it reveals a shift from practice, to a convention, and then to a statutory obligation. The third part investigates the limits of dualism, connoting in this respect that the doctrinal rules explicated here apply to formal treaties, but do not cover all global regulatory rules, which can impact, de jure or de facto, on the United Kingdom. The focus in the second section of the chapter shifts to the constitutional constraints that limit the national applicability of a treaty regime that the United Kingdom has ratified. Parliament may impose constraints on delegation, which condition the legal reception in U.K. law of changes made by an international organization. There are, in addition, constitutional constraints fashioned by the courts, which can affect the acceptance of rules or decisions made by an international organization, to which the United Kingdom is a party, within the U.K. legal order, more especially where U.K. courts feel that such a rule of decision can impact adversely on U.K. constitutional identity. These judicially created constraints can be interpretive or substantive. The final part of the chapter is concerned with disengagement from international institutions. The relevant legal precepts are, to a certain degree, symmetrical with those that govern initial engagement. The basic starting point is that the executive, acting pursuant to prerogative power, negotiates withdrawal or disengagement from an international organization, and Parliament then enacts or repeals the requisite legislation to make this a legal reality in national law. Matters can, however, be more complex, as exemplified by the litigation concerning the United Kingdom’s exit from the European Union.


2014 ◽  
Vol 138 (12) ◽  
pp. 1564-1577 ◽  
Author(s):  
Fan Lin ◽  
Zongming Chen

Context Immunohistochemistry has become an indispensable ancillary technique in anatomic pathology laboratories. Standardization of every step in preanalytic, analytic, and postanalytic phases is crucial to achieve reproducible and reliable immunohistochemistry test results. Objective To standardize immunohistochemistry tests from preanalytic, analytic, to postanalytic phases. Data Sources Literature review and Geisinger (Geisinger Medical Center, Danville, Pennsylvania) experience. Conclusions This review article delineates some critical points in preanalytic, analytic, and postanalytic phases; reiterates some important questions, which may or may not have a consensus at this time; and updates the newly proposed guidelines on antibody validation from the College of American Pathologists Pathology and Laboratory Quality Center. Additionally, the article intends to share Geisinger's experience with (1) testing/optimizing a new antibody and troubleshooting; (2) interpreting and reporting immunohistochemistry assay results; (3) improving and implementing a total immunohistochemistry quality management program; and (4) developing best practices in immunohistochemistry.


Author(s):  
Yong-Yi Wang ◽  
Don West ◽  
Douglas Dewar ◽  
Alex McKenzie-Johnson ◽  
Millan Sen

Ground movements, such as landslides and subsidence/settlement, can pose serious threats to pipeline integrity. The consequence of these incidents can be severe. In the absence of systematic integrity management, preventing and predicting incidents related to ground movements can be difficult. A ground movement management program can reduce the potential of those incidents. Some basic concepts and terms relevant to the management of ground movement hazards are introduced first. A ground movement management program may involve a long segment of a pipeline that may have a threat of failure in unknown locations. Identifying such locations and understanding the potential magnitude of the ground movement is often the starting point of a management program. In other cases, management activities may start after an event is known to have occurred. A sample response process is shown to illustrate key considerations and decision points after the evidence of an event is discovered. Such a process can involve fitness-for-service (FFS) assessment when appropriate information is available. The framework and key elements of FFS assessment are explained, including safety factors on strain capacity. The use of FFS assessment is illustrated through the assessment of tensile failure mode. Assessment models are introduced, including key factors affecting the outcome of an assessment. The unique features of girth welds in vintage pipelines are highlighted because the management of such pipelines is a high priority in North America and perhaps in other parts of the worlds. Common practice and appropriate considerations in a pipeline replacement program in areas of potential ground movement are highlighted. It is advisable to replace pipes with pipes of similar strength and stiffness so the strains can be distributed as broadly as possible. The chemical composition of pipe steels and the mechanical properties of the pipes should be such that the possibility of HAZ softening and weld strength undermatching is minimized. In addition, the benefits and cost of using the workmanship flaw acceptance criteria of API 1104 or equivalent standards in making repair and cutout decisions of vintage pipelines should be evaluated against the possible use of FFS assessment procedures. FFS assessment provides a quantifiable performance target which is not available through the workmanship criteria. However, necessary inputs to perform FFS assessment may not be readily available. Ongoing work intended to address some of the gaps is briefly described.


2000 ◽  
Vol 124 (5) ◽  
pp. 672-681 ◽  
Author(s):  
Bruce A. Jones ◽  
Diane D. Davey

Abstract Objective.—To describe a comprehensive integrated laboratory quality management plan for gynecologic cytology. Design and Setting.—Cytopathology laboratory performance monitors with interlaboratory comparison. Results.—Utilizing College of American Pathologists Q-Probes studies, the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytology, and other published data, a quality management program for gynecologic cytology involving diagnostic statistics, screening limits and competency assessment, retrospective rescreening, real-time rescreening, cytology-biopsy correlation, follow-up of patients with abnormal cytology results, turnaround time, examination of unknown slides (survey programs), and new technology is described. Conclusion.—Regular coordinated monitoring of performance, with longitudinal and interlaboratory comparison utilizing the methods described, provides an opportunity to optimize gynecologic cytology service.


2020 ◽  
Vol 13 (2) ◽  
pp. 206-217
Author(s):  
V. P. Soloviev ◽  
T. A. Pereskokova

The authors of the article explore the problem of introducing process and risk-oriented thinking in national organizations. In 2000 the International Organization for Standartization, ISO, announced process approach as the basis principle of management in any organization. It became the embodiment of Deming’s postulate who recommended to consider any activity as a technological process. The authors show the practicability of transition from the functional structure of an organization to integrated process. New ISO 9000:2015 standards reflect presentday challenges and require that organizations should carry out risk assessment and accounting. One of the key objectives of the quality management system is to act as the prevention tool. Preventive action lies in using riskoriented thinking in formulating requirements to the quality management system. The authors introduce the system analysis method in risk management to reveal potential risks and plan preventive action.


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