An Analysis of Root Cause Identification and Continuous Quality Improvement in Public Health H1N1 After-Action Reports

2014 ◽  
Vol 20 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Christa-Marie Singleton ◽  
Summer DeBastiani ◽  
Dale Rose ◽  
Emily B. Kahn
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Root Cause ◽  
Continuous Quality ◽  
Root Cause Identification

A novel auditing procedure for an oral chemotherapy process improvement project.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 164-164
Author(s):  
Adam Bursua ◽  
R. Alejandro Sica ◽  
Katherine Sencion ◽  
Amer Sidani ◽  
Christina Haaf ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Real Time ◽  
Process Improvement ◽  
Continuous Quality Improvement ◽  
Oral Chemotherapy ◽  
Front Line ◽  
Web Based ◽  
Chemotherapy Drug ◽  
Root Cause ◽  
Continuous Quality

164 Background: A process to standardize ordering, documentation, and administration of inpatient oral chemotherapy was implemented at the University of Illinois Hospital and Health Sciences System. The process requires oncology clinician review and endorsement of inpatient oral chemotherapy drug orders via an oral chemotherapy note within the electronic health record. Pharmacists are instructed to reject oral chemotherapy drug orders that lack this required documentation. A novel auditing procedure was established in order to track adherence to these new requirements and provide real time and adaptable feedback to front-line staff critical to the project’s success. Methods: To support continuous quality improvement (QI) with this project, an auditing tool was developed in REDCap, a secure, web-based data management application. The auditing tool was originally developed as a traditional web-based data collection instrument with the primary purpose of tracking performance. By utilizing more advanced features offered by the REDCap platform, the auditing tool generated automated follow-up surveys to pharmacists involved in non-adherent outlier cases. The survey solicited information on the root cause of non-adherence, and based on the end-user response, provided adaptable continuing education tailored to this root cause. Results: Between June and September 2015, a total of 67 orders for oral chemotherapy were audited. Compliance with process improvement requirements was noted in 58%, 100%, 78%, and 93% of cases in June, July, August, and September, respectively. Outlier surveys were sent to 12 pharmacists in the non-adherent cases; of 11 responses, the most common response reflected an unfamiliarity with the process. Following targeted education, through September 2015, no single pharmacist has been involved in more than one non-adherent case. Conclusions: The novel auditing tool supported the continuous quality improvement process by engaging front-line staff, generating automated and real time surveys for outlier responses, and providing targeted and personalized education aimed at resolving the root cause in non-adherent cases. As such, it can be applied towards any REDCap QI projects.

The Presence of Total Quality Management and Continuous Quality Improvement Processes in California Public Health Clinics

1997 ◽  
Vol 3 (3) ◽  
pp. 57-60 ◽  
Author(s):  
F. Douglas Scutchfield ◽  
María Luisa Zúñiga de Nuncio ◽  
Ruth A. Bush ◽  
Sara Handelman Fainstein ◽  
Maria Alena LaRocco ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Quality Management ◽  
Total Quality Management ◽  
Continuous Quality Improvement ◽  
Total Quality ◽  
Continuous Quality ◽  
Health Clinics ◽  
Public Health Clinics

Continuous Quality Improvement in Public Health in Ghana

2001 ◽  
Vol 9 (4) ◽  
pp. 1-10 ◽  
Author(s):  
Irene Akua Agyepong ◽  
William A. Sollecito ◽  
Sam Adjei ◽  
James E. Veney
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Continuous Quality

scholarly journals The use of quality management techniques to analyse the cluster of porosities on the turbine outlet nozzle

2019 ◽  
Vol 24 (24) ◽  
pp. 33-36
Author(s):  
Dominika Siwiec ◽  
Andrzej Pacana
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Quality Analysis ◽  
Outlet Nozzle ◽  
Root Cause ◽  
Ishikawa Diagram ◽  
Continuous Quality ◽  
Fluorescent Method ◽  
Management Techniques ◽  
The Subject

Abstract As part of continuous quality improvement in well-managed enterprises, identifying unconformity should initiate actions to find their causes. Therefore, it was proposed to the enterprise located in Podkarpacie to use in the sequential way the Ishikawa diagram and 5Why method. The aim was to analyse of unconformity (porosity cluster) on the turbine outlet nozzle and identify the root of its creation. In the enterprise, the quality analysis of the products with a fluorescent method was carried out, but after identifying the unconformity, non-analysis of their reason for their occurrence was not practiced. Therefore, it was intentional to propose the use of sequence i.e. Ishikawa diagram and 5Why method to identify the root of unconformity. The subject of study was the turbine outlet nozzle, on which the fluorescent method the porosity cluster was identified. With the use of the Ishikawa diagram, the main cause of the problem was pointed (unconformity during production), and by the 5Why method the root cause of the problem, i.e. unconformity material from the supplier, was identified. The proposed method sequence is a simple and effective way to make analyses of unconformities and it can be used in different products and service enterprises.

scholarly journals Assessing Continuous Quality Improvement in Public Health: Adapting Lessons from Healthcare

2017 ◽  
Vol 12 (3) ◽  
pp. 34-49 ◽  
Author(s):  
Alex Price ◽  
Robert Schwartz ◽  
Joanna Cohen ◽  
Heather Manson ◽  
Fran Scott
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Continuous Quality

Syphilis testing performance in Aboriginal primary health care: exploring impact of continuous quality improvement over time

2020 ◽  
Vol 26 (2) ◽  
pp. 178
Author(s):  
Armita Adily ◽  
Seham Girgis ◽  
Catherine D'Este ◽  
Veronica Matthews ◽  
Jeanette E. Ward
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Torres Strait Islander ◽  
Torres Strait Islander People ◽  
Continuous Quality ◽  
Syphilis Testing ◽  
Testing Performance ◽  
Torres Strait ◽  
Over Time

Data from 110 primary healthcare clinics participating in two or more continuous quality improvement (CQI) cycles in preventive care, which included syphilis testing performance (STP) for Aboriginal and Torres Strait Islander people aged between 15 and 54 years, were used to examine whether the number of audit cycles including syphilis testing was associated over time with STP improvement at clinic level in this specific measure of public health importance. The number of cycles per clinic ranged from two to nine (mode 3). As shown by medical record audit at entry to CQI, only 42 (38%) clinics had tested or approached 50% or more of their eligible clients for syphilis in the prior 24 months. Using mixed effects logistic regression, it was found that the odds of a clinic’s STP relative to its first cycle increased only modestly. Counterintuitively, clinics undertaking the most preventive health CQI cycles tended to have the lowest STP throughout. Participation in a general preventive care CQI tool was insufficient to achieve and sustain high rates of STP for Aboriginal and Torres Strait Islander people required for public health benefit. Improving STP requires dedicated effort and greater understanding of barriers to effective CQI within and beyond clinic control.

Pelaksanaan Continuous Quality Improvement(CQI) dalam Kalangan Pensyarah di Kolej Kemahiran Tinggi Mar

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Lyssa Daud ◽  
◽  
Faizal Amin Nur Yunus ◽  
Mohd Bekri Rahim ◽  
Mohd. Zulfadli Rozali ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Continuous Quality

scholarly journals Tracking metrics that matter for scaling up employment outcomes

2021 ◽  
pp. 1-6
Author(s):  
Alberto Migliore ◽  
John Butterworth ◽  
Jeannine Pavlak ◽  
Michael Patrick ◽  
Stephen Aalto
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Service Providers ◽  
Scaling Up ◽  
Employment Outcomes ◽  
Job Seekers ◽  
Continuous Quality ◽  
Employment Supports ◽  
Employment Programs ◽  
Improved Methods

BACKGROUND: Supporting employment consultants in their work with job seekers is critical for increasing the employment outcomes of people with disabilities. OBJECTIVE: To better understand how to leverage data for supporting employment consultants, including what metrics to track, what to do with the data, and what can be improved. METHODS: A panel of three directors of employment programs addressed these questions as part of the Association of People Supporting Employment First (APSE) 2020 conference. RESULTS: Most employment service providers collect data for billing and compliance reporting. Innovative providers leverage data for quality improvement. CONCLUSIONS: Tracking metrics designed specifically for monitoring the implementation of effective employment supports is key for leveraging data for continuous quality improvement and thus improving job seekers’ employment outcomes.

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