Effective quality systems: implementation in Australian public hospitals

2018 ◽  
Vol 31 (8) ◽  
pp. 1044-1057 ◽  
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Quality Improvement ◽  
Quality Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Quality Systems ◽  
High Quality ◽  
Content Type ◽  
High Quality Care ◽  
Self Evaluation ◽  
Focus Group Data

Purpose The purpose of this paper is to review the implementation of seven components of quality systems (QSs) linked with quality improvement in a sample of Australian hospitals. Design/methodology/approach The authors completed a systematic review to identify QS components associated with measureable quality improvement. Using mixed methods, the authors then reviewed the current state of these QS components in a sample of eight Australian hospitals. Findings The literature review identified seven essential QS components. Both the self-evaluation and focus group data suggested that none of the hospitals had all of these seven components in place, and that there were some implementation issues with those components that were in use. Although board and senior executives could point to a large number of quality and safety documents that they felt were supporting a vision and framework for safe, high-quality care, middle managers and clinical staff described the QSs as compliance driven and largely irrelevant to their daily pursuit of safe, high-quality care. The authors also found little specific training in quality improvement for staff, lack of useful data for clinicians on the quality of care they provide and confusion about how organisational QSs work. Practical implications This study provides a clearer picture of why QSs are not yet achieving the results that boards and executives want to achieve, and that patients require. Originality/value This is the first study to explore the implementation of QSs in hospitals in-depth from the perspective of hospital staff, linking the findings to the implementation of QS component identified in the literature.

scholarly journals Quantum nanoconstrictions fabricated by cryo-etching in encapsulated graphene

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
V. Clericò ◽  
J. A. Delgado-Notario ◽  
M. Saiz-Bretín ◽  
A. V. Malyshev ◽  
Y. M. Meziani ◽  
...  
Keyword(s):  
Zero Magnetic Field ◽  
Quality Systems ◽  
High Quality ◽  
Conductance Quantization ◽  
Force Microscopy ◽  
Edge Geometry ◽  
Atomic Force ◽  
Etching Method ◽  
Edge Roughness

Abstract We report on a novel implementation of the cryo-etching method, which enabled us to fabricate low-roughness hBN-encapsulated graphene nanoconstrictions with unprecedented control of the structure edges; the typical edge roughness is on the order of a few nanometers. We characterized the system by atomic force microscopy and used the measured parameters of the edge geometry in numerical simulations of the system conductance, which agree quantitatively with our low temperature transport measurements. The quality of our devices is confirmed by the observation of well defined quantized 2e2/h conductance steps at zero magnetic field. To the best of our knowledge, such an observation reports the clearest conductance quantization in physically etched graphene nanoconstrictions. The fabrication of such high quality systems and the scalability of the cryo-etching method opens a novel promising possibility of producing more complex truly-ballistic devices based on graphene.

Process-Centered Contributions to Information Systems Quality

2011 ◽  
pp. 158-180 ◽  
Author(s):  
Evan W. Duggan ◽  
Richard Gibson
Keyword(s):  
Information Systems ◽  
Direct Relationship ◽  
Software Process ◽  
Quality Systems ◽  
High Quality ◽  
Process Improvements ◽  
Systems Quality ◽  
Quality Programs ◽  
The Many ◽  
Information Systems Quality

The growing attendance at seminars and conferences dedicated to quality programs attests to the increasing recognition of the continued importance of quality. Unfortunately, in many organizations, this intensified quality focus has not been effectively applied to information systems — a surprising outcome given the many demonstrations of a direct relationship between information systems delivery process and information systems quality and success. In this chapter, we analyze process-centered contributions and solutions to the increasing challenges of producing high-quality systems. We provide a balanced overview of evidence that has emerged from practical, real-world experiences and empirical research studies, an overview that incorporates the positions of both proponents and opponents of process-centricity. We then provide an assessment of the contexts in which software process improvements and quality- enhancing initiatives can thrive.

XML-Based Analysis of UML Models for Critical Systems Development

2011 ◽  
pp. 257-274
Author(s):  
Jan Jurjens ◽  
Pasha Shabalin
Keyword(s):  
Unified Modeling Language ◽  
Systems Development ◽  
Industrial Applications ◽  
Tool Support ◽  
Modeling Language ◽  
Critical Systems ◽  
High Quality ◽  
Unified Modeling ◽  
Industry Standard ◽  
System Properties

High-quality development of critical systems poses serious challenges. Formal methods have been proposed to address them, but their use in industry is not as widespread as originally hoped. This chapter proposes to use the Unified Modeling Language (UML), the de-facto industry standard specification language, as a notation together with a formally based tool-support for critical systems development. The authors extend the UML notation with new constructs for describing criticality requirements and relevant system properties, and introduce their formalization in the context of the UML executable semantics. Furthermore tool-support concepts for this approach are presented, which facilitate transfer of the methodology to industrial applications.

scholarly journals Implementasi Sistem Pendukung Pengambilan Keputusan pada Pembelian Bahan Olahan Karet dari Pemasok

2019 ◽  
Vol 3 (1) ◽  
pp. 84
Author(s):  
Ridha Luthvina ◽  
Rika Ampuh Hadiguna ◽  
Jonrinaldi Jonrinaldi
Keyword(s):  
Query Language ◽  
Unified Modeling Language ◽  
Crumb Rubber ◽  
Monitoring Systems ◽  
Modeling Language ◽  
High Quality ◽  
Unified Modeling ◽  
Highest Weight ◽  
West Sumatra

The need for high-quality crumb rubber in West Sumatra tends to increase. However, the amount and quality of rubber from suppliers belong to weak caused by the bad monitoring systems, the supply cannot be met properly, and there is a lot of shrinkage in rubbers purchased by the company. Therefore this research was carried by implementing the Decision Support System (DSS) which was expected to help facilitate supplier data searches and evaluate the supplier's performance. The first stage in this research was designing DSS included the use of Unified Modeling Language (UML) diagram and database design. Next, built an applicable software using Personal Home Page (PHP), My Structured Query Language (MySQL), and Apache. An advantage of DSS designed was to accommodate differences and changes in rubber supplier assessment criteria according to the consideration of each crumb rubber industry in West Sumatra. There were 3 of 11 main crumb rubber criteria assessed. The results of these 3 criteria were obtained highest weight, namely Dryness (0.18), cleanliness (0.15), and consistency of quality (0.10). While the previous performance obtained the lowest weight (0.05). This meant that the criteria of dryness, cleanliness, and consistency of quality, will be the main considerations for companies in ranking and evaluating suppliers who work with companies.

scholarly journals Development of a Dynamic Virtual Reality Model of the Inner Ear Sensory System as a Learning and Demonstrating Tool

2009 ◽  
Vol 2009 ◽  
pp. 1-10 ◽  
Author(s):  
P. Selva ◽  
J. Morlier ◽  
Y. Gourinat
Keyword(s):  
Virtual Reality ◽  
Inner Ear ◽  
Sensory System ◽  
The Body ◽  
Modeling Language ◽  
High Quality ◽  
Simulink Model ◽  
Virtual Reality Modeling Language ◽  
Cad Models ◽  
Virtual Reality Model

In order to keep track of the position and motion of our body in space, nature has given us a fascinating and very ingenious organ, the inner ear. Each inner ear includes five biological sensors—three angular and two linear accelerometers—which provide the body with the ability to sense angular and linear motion of the head with respect to inertial space. The aim of this paper is to present a dynamic virtual reality model of these sensors. This model, implemented in MATLAB/Simulink, simulates the rotary chair testing which is one of the tests carried out during a diagnosis of the vestibular system. High-quality 3D animations linked to the Simulink model are created using the export of CAD models into Virtual Reality Modeling Language (VRML) files. This virtual environment shows not only the test but also the state of each sensor (excited or inhibited) in real time. Virtual reality is used as a tool of integrated learning of the dynamic behavior of the inner ear using ergonomic paradigm of user interactivity (zoom, rotation, mouse interaction, etc.). It can be used as a learning and demonstrating tool either in the medicine field—to understand the behavior of the sensors during any kind of motion—or in the aeronautical field to relate the inner ear functioning to some sensory illusions.

scholarly journals Bridging existing governance gaps: five evidence-based actions that boards can take to pursue high quality care

2019 ◽  
Vol 43 (2) ◽  
pp. 126
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Health Service ◽  
Health Services ◽  
Care Delivery ◽  
Quality Care ◽  
Successful Implementation ◽  
Evidence Based ◽  
Quality And Safety ◽  
Quality Systems ◽  
High Quality ◽  
High Quality Care

Objective To explore the impact of the organisational quality systems on quality of care in Victorian health services. Methods During 2015 a total of 55 focus groups were conducted with more than 350 managers, clinical staff and board members in eight Victorian health services to explore the effectiveness of health service quality systems. A review of the quality and safety goals and strategies outlined in the strategic and operating plans of the participating health services was also undertaken. Results This paper focuses on the data related to the leadership role of health service boards in ensuring safe, high-quality care. The findings suggest that health service boards are not fully meeting their governance accountability to ensure consistently high-quality care. The data uncovered major clinical governance gaps between stated board and executive aspirations for quality and safety and the implementation of these expectations at point of care. These gaps were further compounded by quality system confusion, over-reliance on compliance, and inadequate staff engagement. Conclusion Based on the existing evidence we propose five specific actions boards can take to close the gaps, thereby supporting improved care for all consumers. What is known about this topic? Effective governance is essential for high-quality healthcare delivery. Boards are required to play an active role in their organisation’s pursuit of high quality care. What does this paper add? Recent government reports suggest that Australian health service boards are not fully meeting their governance requirements for high quality, safe care delivery, and our research pinpoints key governance gaps. What are the implications for practitioners? Based on our research findings we outline five evidence-based actions for boards to improve their governance of quality care delivery. These actions focus on an organisational strategy for high-quality care, with the chief executive officer held accountable for successful implementation, which is actively guided and monitored by the board.

scholarly journals GMP/GACP - new standards for quality assurance of cannabis

2020 ◽  
Vol 66 (1) ◽  
pp. 91-101
Author(s):  
Mirela Ilikj ◽  
Irena Brchina ◽  
Liljana Ugrinova ◽  
Vasil Karcev ◽  
Aleksandra Grozdanova
Keyword(s):  
Quality Control ◽  
Quality Assurance ◽  
Quality Standards ◽  
Quality System ◽  
Quality Systems ◽  
High Quality ◽  
Iso Standard ◽  
Continuous Quality ◽  
Medicinal Use

In 2015, in Republic of North Macedonia, a new law for narcotics has been adopted, where the changes include legal cultivation of cannabis for medicinal use as well as legal production of cannabis extracts for medicinal use. In order to gain high quality of cannabis and cannabis products for medicinal use and to meet some quality standards that will guarantee consistency, traceability and continuous quality of the product, it is necessary to implement Quality Systems. Good quality system is ISO standard system but for cannabis for medicinal use, GACP, GMP and GLC standards are used more often. Production of cannabis for medicinal use consists of: process of cultivation where GACP standards are applicable, primary processing where GMP standards are the most important and quality control of final product regulated with GLP standard. In this review, explanation of these standards as well as overview of modes of their implementation has been made. Keywords: GxP, GMP, GACP, GLP

scholarly journals Financial Support for Food Manufacturers – European and Polish Food Quality Systems

2020 ◽  
Vol 53 (2) ◽  
pp. 86-93
Author(s):  
E. Brągiel ◽  
◽  
B. Ślusarczyk ◽  
B. Bienia ◽  
B. Bielawa ◽  
...  
Keyword(s):  
European Union ◽  
Food Quality ◽  
Financial Support ◽  
Geographical Location ◽  
Agricultural Products ◽  
The European Union ◽  
Quality Systems ◽  
High Quality ◽  
Manufactured Products

In the European Union and Poland, one of the priorities within the framework of the policy of quality and distinguishing food products is to preserve regional traditions and customs. This is realized through European and Polish food quality systems, which aim to protect specific agricultural products and food, including traditional, regional and ecological food. This protection is based on high quality, a recipe that adds authenticity to products, as well as unique and unchanging character. For several years, there has been a growing interest in the European Union and Poland in high quality products with appropriate markings. The aim of the article was to present European and Polish food quality systems and to indicate the possibility of financial support for food manufacturers within the framework of these systems. Participation of Polish food manufacturers in programs for the development and maintenance of the quality of manufactured products and their distinctions is crucial to exist and stay in the highly globalized and competitive market. The geographical location of our country, rich cultural heritage, culinary tradition and an unpolluted natural environment are the advantages that undoubtedly contribute to the development of these systems. The purpose of supporting food quality systems is also evident by the involvement at the level of the Ministry of Agriculture and Rural Development and in activities of individual regions and entities applying for these quality certificates. It can be assumed (by observing the set requirements and reported needs of customers and available financial support options for food manufacturers) that the quantity of reported products within the framework of European and Polish quality systems will grow and be appreciated by customers and manufacturers.

Sign in / Sign up

Export Citation Format

Share Document