Greek gynecology healthcare professionals towards quality management systems

2019 ◽  
Vol 32 (1) ◽  
pp. 164-175
Author(s):  
Konstantinos Dinas ◽  
Eleftherios Vavoulidis ◽  
Georgios Chrysostomos Pratilas ◽  
Alexandros Basonidis ◽  
Anastasios Liberis ◽  
...  

Purpose Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of gynecology healthcare professionals toward quality and quality management in healthcare facilities (HFs) in Greece. Design/methodology/approach An anonymous self-administered questionnaire was distributed to healthcare professionals, asking for opinions on quality objectives associated with the everyday workflow in HFs (e.g. management of patients, resources, etc.) and on QMS. The study was conducted in Hippokration Hospital of Thessaloniki, including 187 participants. Statistical assessment and analysis of the questionnaires were carried out. Findings Although 87.5 percent recognized the importance of potential QMS implementation and accreditation, over 50 percent believed that it would lead rather to increased workload and bureaucracy than to any considerable quality improvement. More than 60 percent were completely unaware of the implementation of quality objectives such as quality handbook, quality policy, audit meetings and accreditation status in their HFs. This unawareness was also reported in terms of patient, data, human and general resources management. Finally, awareness over medical malpractice and positive attitude toward official reporting were detected. Originality/value Most respondents acknowledged the significance of quality, QMS implementation and accreditation in Greek hospitals. However, there was a critical gap in knowledge about quality management objectives/processes that could be possibly resolved by expert teams and well-organized educational programs aiming to educate personnel regarding the various quality objectives in Greek HFs.

2014 ◽  
Vol 26 (4) ◽  
pp. 312-328 ◽  
Author(s):  
Leonardo Sedevich-Fons

Purpose – The purpose of this paper is to highlight the usefulness of financial information as a complementary tool for quality programs implemented in healthcare institutions and, subsequently, to introduce an approach to its systematic management. Design/methodology/approach – This paper begins with a description of the current status of quality management in healthcare services, continues with a theoretical explanation of the importance of financial indicators for making decisions, and finishes with a practical example showing how to integrate financial data into healthcare quality programs. Findings – Financial indicators play a key role in healthcare quality management systems (QMSs). These indicators can be managed jointly with traditional non-financial measures, through introducing minor adjustments to the ISO 9000 model. Research limitations/implications – The approach presented in the second part of this paper was built based on theoretical arguments and on its use in industries other than healthcare. Hence, further research is needed to provide evidence of its practical application. Originality/value – First, this work integrates disciplines which are usually managed separately, such as quality and accounting. Furthermore, it focusses on an industry such as healthcare, where QMSs are not highly developed.


2016 ◽  
Vol 24 (3) ◽  
pp. 394-415 ◽  
Author(s):  
Francisco José Fernández Cruz ◽  
Inmaculada Egido Gálvez ◽  
Rafael Carballo Santaolalla

Purpose Quality management systems are being used more frequently in educational institutions, although their application has generated a certain amount of disagreement among education experts, who have at times questioned their suitability and usefulness for improving schools. The purpose of this paper is to contribute to this discussion by providing additional knowledge on the effects in educational institutions of implementing quality management systems. Specifically, this study investigates teachers’ and managers’ perception of the impact that quality management systems have on one essential dimension of schools, the teaching–learning processes, with impact being understood as sustained medium- and long-term organisational change. Design/methodology/approach The responses were analysed and classified into a set of sub-dimensions linked to quality management processes in a total of 29 Spanish primary and secondary education schools that have used such systems for at least three years. Findings The results showed that, according to the respondents, the following sub-dimensions were improving as a result of implementing quality management plans: teaching and learning processes, the analysis of student results, tutoring, consideration of attitudes and values and assessment processes. Conversely, quality management systems did not seem to have a clear impact on the teaching methodologies used by teachers or on family involvement in student learning. In fact, the perceived impact in these sub-dimensions varied among teachers of public and private schools as well as when comparing different regional autonomous communities. Originality/value As the main objective of a school is to guarantee student learning, one of the essential purposes of school quality assurance systems is to perform all the activities aimed at ensuring high levels of student performance.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Mehrabioun Mohammadi ◽  
Ali Jalali ◽  
Arezoo Hasani

PurposeThis manuscript concentrates on addressing the success and failure factors to satisfy the small- and medium-sized enterprises (SMEs) need when facing challenges during the implementation of the quality management systems (QMSs) such as lack of both the financial and human resources and inadequate technical knowledge of quality management and employee indifference.Design/methodology/approachThis research employs a mixed-method research approach in three different steps. First, based on interviews and a review of previous research, a list of critical factors influencing the success and failure of QMS implementation in SMEs is provided. After conducting the interview and extracting the results, a quantitative questionnaire is recruited as a complementary tool to demonstrate the accuracy of the literature review and interview findings and to increase the validity and reliability of the data. By applying the exploratory factor analysis (EFA) method, the factors affecting the failure and success of QMS implementation are identified separately. In the third step, a focus group meeting is used to name the factors and identify the relationships among them. The relationships among the factors are also shown using the concept map. Finally, after conducting the focus group meeting, several key issues have been extracted from practice and literature to realize the critical success and failure factors.FindingsThe current study reveals that the factors supporting the SMEs during the implementation of the QMSs may be classified into nine groups. Of these, six factors are related to critical success factors (CSFs), and three factors are related to critical failure factors (CFFs).Originality/valueThere have been several studies developed and conducted to address the success factors supporting the QMSs in SMEs. However, the scope of these studies has only been set on either qualitative or quantitative approaches. Hence, the proposed method presented in this essay, which is, in turn, a new contribution, attempts to use a combined approach based on both the semistructured interviews and survey methods. The results of this study can be used as a reference by scholars and practitioners to identify the relevant issues of QMSs and their application in SMEs.


2014 ◽  
Vol 31 (2) ◽  
pp. 144-165 ◽  
Author(s):  
Ying-Chin Ho ◽  
Liang-Chen Fan

Purpose – The purpose of this study is threefold. First, the authors will confirm the existence and the intensity of the latent “genius loci” within quality management systems. Second, the authors will confirm the extent of the genius loci with environmental sustainability. Finally, the authors will try to understand whether a quality management system's performance can be affected by its genius loci, and whether a quality management system's environmental sustainability performance can be affected by the extent of environmental sustainability in its genius loci. Design/methodology/approach – The extent of the genius loci in quality management systems and the genius loci with environmental sustainability are tested through higher-order confirmatory factor analysis. Findings – The findings of this study are as follows. First, genius loci partially exist in quality management systems. Second, the genius loci with the environmental sustainability concept also exist partially in certain respects. There is a lack of recognition and actions on environmental sustainability activities in organizations. The lack of recognition and actions leads to the unsatisfactory performance of quality management systems in environmental sustainability. As a result, business goals with environmental sustainability aspects cannot be fully supported and achieved. Originality/value – The results of this study can help small- and medium-sized OEM and ODM computer accessories companies in Taiwan and Southern China to understand the level of genius loci within their quality management systems and the extent that genius loci are linked with environmental sustainability. This understanding can be beneficial to them in achieving successful quality management systems with environmental sustainability.


2018 ◽  
Vol 24 (1) ◽  
pp. 216-233 ◽  
Author(s):  
Jose Arturo Garza-Reyes

Purpose The purpose of this paper is to present a systematic approach to conduct a diagnosis of the current status of a company’s quality management systems (QMS) and business processes. Design/methodology/approach The approach proposed is based upon the assessment of the maturity level of a company’s QMS, for which a “maturity diagnostic instrument” is also proposed, a self-assessment exercise using a business excellence model and a first-party quality audit. Findings The integration of a QMS’ maturity assessment, a self-assessment exercise and a quality audit may provide a more thorough evaluation of various company’s systems and operations. This paper provides organisations, and their managers, with a systematic approach to help them understand better the current performance of their QMSs and business processes. Originality/value This paper’s main contribution consists in the proposal of a novel approach for organisation to measure and understand the status of their QMS and business processes. Subsequently, better management decisions to improve a company’s operations can be taken.


2018 ◽  
Vol 56 (7) ◽  
pp. 1467-1484 ◽  
Author(s):  
Zoltán Krajcsák

Purpose The purpose of this paper is to create a theoretical framework that shows how the specialties of the organizational culture relate to the success of quality management systems’ (QMSs) application. In addition to these variables, the dependent variables of employees’ self-evaluation and some dimensions of commitment are also analyzed. Design/methodology/approach Unsuccessful organizational implementations of ISO 9000, total quality management (TQM) and Six Sigma are presented in case studies. These conclusions are utilized to retrieve individual and organizational barriers to the variables considered in each culture. Findings The characteristics of adhocracy determine self-efficacy and professional commitment. Through high levels of these variables, Six Sigma can be suggested for adhocracies. The clan culture is characterized by a high level of affective commitment and self-esteem, which support the TQM together with the internal focus dimension of the culture. The market culture is characterized by a high level of continuance commitment and neuroticism, which support ISO 9000 standards together with the control dimension of the culture. Research limitations/implications The limitation of the findings comes from the small sample size. The model presented is partly based on case studies; therefore, further research studies need to support or refute it. Practical implications In the practical use of the results, QMSs can be selected more targeted, reducing the risk of failing quality improvement strategies. Social implications Increasing and aligning quality and commitment in organizations supports the strengthening of individual and social well-being. Originality/value The study attempts to determine the most appropriate QMSs for organizational cultures in a complex way by analyzing the relationships between multiple organizational and individual variables.


2018 ◽  
Vol 35 (8) ◽  
pp. 1490-1507 ◽  
Author(s):  
Manjot Singh Bhatia ◽  
Anjali Awasthi

Purpose The purpose of this paper is to examine the relationship between implementation of quality management systems (QMS) and business performance, through mediating factors (operating performance, information quality, product quality, design performance, environmental performance and competitive priorities). Most of the published literature examines the direct impact of implementation of QMS on business performance, and on some of the above stated factors. However, the impact of implementation of QMS on business performance, through these mediating factors has not received much attention. Accordingly, the authors develop a theoretical framework depicting impact of implementation of QMS on business performance through the above stated factors. Design/methodology/approach The paper proposes several hypotheses linking implementation of QMS, mediating factors and business performance. The hypothesized model is empirically tested using data collected from 120 professionals working in quality engineering/management in India and North America. The collected data are analyzed with the aid of structural equation modeling (SEM) technique. Findings Information quality and design performance have emerged as the important factors in the research. Information quality directly effects design performance, operating performance and environmental performance. The model indicates that besides a well-designed product, managers need to focus on the operating performance to improve overall product quality. Empirical evidence is found regarding direct and indirect effect of implementation of QMS on above stated mediating factors and on business performance. Originality/value The research fills a gap in the literature by considering several mediating factors that aid in improving business performance with implementation of QMS.


2015 ◽  
Vol 28 (3) ◽  
pp. 267-273 ◽  
Author(s):  
Dimitris Theodorou ◽  
Padelis Giannelos

Purpose – The purpose of this paper is to highlight changes in ISO 15189:2012 and ISO 15189:2007 concerning management review requirements and to present a management review checklist, which includes all the revised ISO 15189’s requirements. Design/methodology/approach – The recent revised and updated ISO 15189:2012 standard recommends a management review using a process approach and includes some additional topics. Findings – The management review is a key element in many quality management systems, including medical laboratory management systems in accordance with ISO 15189. The process approach enables laboratory top managers and personnel to achieve all the quality management system’s important inputs and outputs. Originality/value – As laboratory staff often encounter difficulties fully exploiting the management review process, this checklist helps laboratory staff carry out an effective management review covering all the quality management system’s important aspects.


2020 ◽  
Vol 32 (4) ◽  
pp. 815-835 ◽  
Author(s):  
Neeraj Yadav ◽  
Ravi Shankar ◽  
Surya Prakash Singh

PurposeThis paper compares impact of Industry 4.0 / emerging information and communication Technologies (ICTs), for example, Internet of things (IOT), machine learning, artificial intelligence (AI), robotics and cloud computing, on 22 organisational performance indicators under nine combinations of Lean Six Sigma (LSS) and quality management systems (QMS).Design/methodology/approachSurvey of 105 Indian organisations was done about their experience of using QMS, Lean Six Sigma and emerging ICTs. Respondents included both manufacturing and service enterprises of different scales and sectors. The responses collected were compared, and statistically significant difference among them was evaluated using chi-square test.FindingsThe study confirmed statistically significant difference among 20 organisational performance indicators under different combinations of QMS, LSS and ICTs. These indicators include quality performance, delivery performance, sales turnover, inventory level and so forth. However, for two indicators, namely, absenteeism and throughput, significant difference in responses was not established.Research limitations/implicationsAll possible combinations of QMS, LSS, only LSS tools and ICTs were not studied because of either theoretical impossibility (e.g. using LSS without LSS tools) or practically rare situations (e.g. organisations using ICTs and LSS without QMS). Furthermore, the impact from different sequences of implementing QMS, LSS and ICTs can be studied.Practical implicationsUsing this study, practitioners can identify which LSS, Quality System and ICT combination results in best performance and quick success. On theoretical front, the study confirms impact of LSS and QMS on organisational performance.Originality/valueThis study evaluates organisational performance under several possible combinations of QMS, LSS, and emerging ICTs, which was so far unexplored.


2018 ◽  
Vol 29 (1) ◽  
pp. 149-167 ◽  
Author(s):  
Rosley Anholon ◽  
Izabela Simon Rampasso ◽  
Robert Eduardo Cooper Ordonez ◽  
Dirceu da Silva ◽  
Osvaldo Luiz Gonçalves Quelhas ◽  
...  

Purpose The purpose of this paper is to analyze the difficulties observed during implementation of quality management systems (QMSs) in Brazilian manufacturing companies. Design/methodology/approach The methodological strategy used was a literature review, a panel of experts and a survey. Through the literature review, 15 difficulties associated with the implementation of QMS were raised; these were organized into latent variables by specialists in the subject and served as the basis for a survey. In total, 123 professionals working with quality management in manufacturing companies participated in the research and the data collected were analyzed by means of second-order confirmatory factorial analysis. Findings The results allowed the validation of the 15 difficulties observed in the literature, and it was evidenced that these difficulties are structured in four latent variables as follows: difficulties associated with employees; difficulties associated with QMS structuration; difficulties associated with integration; and difficulties resulting from the planning. Research limitations/implications The main limitation of this research is the sample size, because 123 professionals that work with quality management in manufacturing companies participated in the research. It should be noted, however, that all parameters evaluated through the second-order confirmatory factorial analysis were validated. Practical implications The findings have great value for both quality management professionals, who may use those findings to guide the pre-implementation phase of a QMS, and researchers, who may use those findings as a foundation for future studies, in the development of models or tools related to QMS implementation. Originality/value No other paper was found on the scientific basis with the same focus for Brazilian manufacturing companies, thus demonstrating originality. The value of the research lies in the fact that the results presented here, statistically validated, may be used by other researchers and market professionals.


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