An International Survey of Quality and Safety Programs in Radiology

2020 ◽  
pp. 084653711989919 ◽  
Author(s):  
Jeremy Dick ◽  
Kathryn E. Darras ◽  
Frank J. Lexa ◽  
Erika Denton ◽  
Shigeru Ehara ◽  
...  
Keyword(s):  
Critical Incident ◽  
The United States ◽  
Quality Initiatives ◽  
Dose Monitoring ◽  
The Status ◽  
Imaging Appropriateness ◽  
Quality Programs ◽  
Radiation Dose Monitoring ◽  
Improvement Programs ◽  
Quality Improvement Programs

Purpose: The aim of this study was to determine the status of radiology quality improvement programs in a variety of selected nations worldwide. Methods: A survey was developed by select members of the International Economics Committee of the American College of Radiology on quality programs and was distributed to committee members. Members responded on behalf of their country. The 51-question survey asked about 12 different quality initiatives which were grouped into 4 themes: departments, users, equipment, and outcomes. Respondents reported whether a designated type of quality initiative was used in their country and answered subsequent questions further characterizing it. Results: The response rate was 100% and represented Australia, Canada, China, England, France, Germany, India, Israel, Japan, the Netherlands, Russia, and the United States. The most frequently reported quality initiatives were imaging appropriateness (91.7%) and disease registries (91.7%), followed by key performance indicators (83.3%) and morbidity and mortality rounds (83.3%). Peer review, equipment accreditation, radiation dose monitoring, and structured reporting were reported by 75.0% of respondents, followed by 58.3% of respondents for quality audits and critical incident reporting. The least frequently reported initiatives included Lean/Kaizen exercises and physician performance assessments, implemented by 25.0% of respondents. Conclusion: There is considerable diversity in the quality programs used throughout the world, despite some influence by national and international organizations, from whom further guidance could increase uniformity and optimize patient care in radiology.

QS-9000 – Using the Automotive Requirements to Improve Existing ISO 9000 Systems

1998 ◽  
Author(s):  
J.F. Young
Keyword(s):  
Continuous Improvement ◽  
Cost Effective ◽  
Iso 9000 ◽  
The United States ◽  
Quality System ◽  
General Motors ◽  
Improvement Program ◽  
Quality Initiatives ◽  
Cost Of Quality ◽  
Improvement Programs

Abstract In this paper, we will discuss how to incorporate several of the QS-9000 quality system requirements into an existing ISO 9000 quality system. This expansion of the existing quality system will be cost effective and ensure that the continuous improvement program will meet its goals. The QS-9000 quality system was developed in 1994 by the "Big Three" automotive and truck producers in Detroit, Michigan. This document, originated in the United States, is based upon the International Standard: ISO 9001-94. It is mandatory that any supplier of goods and/or services to either Chrysler, Ford or General Motors must have their quality system registered to the QS-9000 standard. We believe that there can be benefits to non-automotive organizations if they will incorporate some of the QS-9000 clauses into their current ISO 9000 quality systems. We will discuss actual cases in the following areas: purchasing, safety, process control, training, business management and continuous improvement. We will show how these examples of quality system enhancement are both effective and efficient ways of driving cost reduction and process improvement programs. Cost of quality initiatives can be better managed.

Assessing the Status of Thoracic Surgical Research and Quality Improvement Programs: A Survey of the Members of the Canadian Association of Thoracic Surgeons

2011 ◽  
Vol 68 (4) ◽  
pp. 258-265 ◽  
Author(s):  
Jelena Ivanovic ◽  
Donna E. Maziak ◽  
Sebastien Gilbert ◽  
Farid M. Shamji ◽  
R. Sudhir Sundaresan ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Surgical Research ◽  
Canadian Association ◽  
The Status ◽  
Improvement Programs ◽  
Quality Improvement Programs

Trauma Center Quality Improvement Programs in the United States, Canada, and Australasia

2012 ◽  
Vol 256 (1) ◽  
pp. 163-169 ◽  
Author(s):  
Henry T. Stelfox ◽  
Sharon E. Straus ◽  
Avery Nathens ◽  
Russell L. Gruen ◽  
Syed M. Hameed ◽  
...  
Keyword(s):  
United States ◽  
Quality Improvement ◽  
Trauma Center ◽  
The United States ◽  
Improvement Programs ◽  
Quality Improvement Programs

Implementing Quality Improvement Programs Designed to Enhance Customer Satisfaction: Quasi-Experiments in the United States and Spain

2000 ◽  
Vol 37 (1) ◽  
pp. 102-112 ◽  
Author(s):  
Duncan I. Simester ◽  
John R. Hauser ◽  
Birger Wernerfelt ◽  
Roland T. Rust
Keyword(s):  
United States ◽  
Quality Improvement ◽  
Customer Satisfaction ◽  
State Of The Art ◽  
The United States ◽  
Multinational Firm ◽  
Dependent Variables ◽  
Quasi Experimental ◽  
Improvement Programs ◽  
Quality Improvement Programs

A multinational firm uses sophisticated, state-of-the-art methods to design and implement customer satisfaction improvement programs in the United States and Spain. Quasi-experimental analysis reveals a complex and surprising picture that highlights (1) implementation issues (empowerment), (2) a construct of residual satisfaction not captured by customer needs, and (3) the managerial need for combining nonequivalent controls and nonequivalent dependent variables.

Concurrent implementation of quality improvement programs

2014 ◽  
Vol 27 (3) ◽  
pp. 190-208 ◽  
Author(s):  
Monica Elisabeth Nyström ◽  
Rickard Garvare ◽  
Anna Westerlund ◽  
Lars Weinehall
Keyword(s):  
Management Strategies ◽  
Change Initiatives ◽  
Quality Initiatives ◽  
Content Type ◽  
Team Members ◽  
National Initiative ◽  
Improvement Programs ◽  
Healthcare Associated ◽  
Quality Improvement Programs ◽  
Hospital Acquired

Purpose – Competing activities and projects can interfere with implementing new knowledge and approaches. The purpose, therefore, was to investigate processes and impact related to implementing two concurrent quality initiatives in a Swedish hospital. These were a regionally initiated, system-wide organizational learning programme called the Dynamic and Viable Organization (DVO) and a national initiative on stopping healthcare-associated and hospital-acquired infections (SHAI). Both undertakings aspired to increase staff competence in systematic improvement approaches. Design/methodology/approach – Multiple methods were applied including surveys, observations, interviews, process diaries, documents and organizational measurements. Respondents were unit managers, change facilitators and improvement team members. Findings – Even though both initiatives shared the same improvement approach, there was no strong indication that they were strategically combined to benefit each other. The initiatives existed side by side with some coordination and some conflict. Despite absent management strategies to utilize the national SHAI initiative, positive developments in QI culture and communication were reported. The current study illustrates the inherent difficulties coordinating change initiatives, even in favourable circumstances. Orginality/value – This article addresses the lesser studied but common situation of coinciding and competing projects in organizations.

Quality and Safety

2015 ◽  
pp. 16-35
Author(s):  
Daniel Rubin ◽  
Avery Tung
Keyword(s):  
Quality Improvement ◽  
Surgical Care ◽  
Large Database ◽  
Improvement Project ◽  
Quality Improvement Process ◽  
Quality Programs ◽  
Improvement Programs ◽  
Surgical Care Improvement Project ◽  
Care Improvement ◽  
Quality Improvement Programs

Quality improvement is a goal of all institutions but effective quality improvement programs have been difficult to create and sustain. Cardiac surgery has long been a pioneer in the quality improvement process through protocolization, large database analysis, and evidence based research. This chapter will discuss the theoretical foundation for quality improvement in medicine, and address current quality improvement strategies in the cardiothoracic ICU including care bundles, large database review, and externally promulgated quality programs such as the Surgical Care Improvement Project (SCIP) or the Physician Quality Reporting Initiative (PQRS). Controversies from national quality improvement programs including SCIP, extended staffing, and the value of quality culture will be discussed.

The Status of Quality Improvement Programs for Pediatric Traumatic Brain Injury Care in Argentina

2021 ◽  
Vol 265 ◽  
pp. 71-78
Author(s):  
Silvia Lujan ◽  
Gustavo Petroni ◽  
Pablo Castellani ◽  
Sabrina Bollada ◽  
Michael J. Bell ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Quality Improvement ◽  
Brain Injury ◽  
Pediatric Traumatic Brain Injury ◽  
The Status ◽  
Improvement Programs ◽  
Quality Improvement Programs

Multicultural Assessment of Personality and Psychopathology in the United States: Still Art, Not Yet Science, and Controversial

1998 ◽  
Vol 14 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Richard H. Dana
Keyword(s):  
United States ◽  
Racial Identity ◽  
The United States ◽  
Therapeutic Assessment ◽  
Culturally Competent ◽  
Research Attention ◽  
The Status ◽  
Training Research ◽  
Multicultural Assessment ◽  
Personality Description

This paper describes the status of multicultural assessment training, research, and practice in the United States. Racism, politicization of issues, and demands for equity in assessment of psychopathology and personality description have created a climate of controversy. Some sources of bias provide an introduction to major assessment issues including service delivery, moderator variables, modifications of standard tests, development of culture-specific tests, personality theory and cultural/racial identity description, cultural formulations for psychiatric diagnosis, and use of findings, particularly in therapeutic assessment. An assessment-intervention model summarizes this paper and suggests dimensions that compel practitioners to ask questions meriting research attention and providing avenues for developments of culturally competent practice.

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