scholarly journals High-performing physicians are more likely to participate in a research study: findings from a quality improvement study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Simone Dahrouge ◽  
Catherine Deri Armstrong ◽  
William Hogg ◽  
Jatinderpreet Singh ◽  
Clare Liddy
Keyword(s):  
Quality Improvement ◽  
Research Study ◽  
High Performing

Complex Systems and Approaches to Quality Improvement

2016 ◽  
Author(s):  
Loren Riskin ◽  
Alex Macario
Keyword(s):  
Quality Improvement ◽  
Complex Systems ◽  
Research Study ◽  
Systems Management ◽  
Improvement Science ◽  
Cause Analysis ◽  
Root Cause ◽  
Traditional Research ◽  
Current Thinking ◽  
History Of

This chapter, “Complex Systems and Approaches to Quality Improvement,” serves as an introduction to complex systems management and current thinking in improvement science. It explains the context behind quality improvement (QI) initiatives, beginning with a discussion of the ultimate goals of this movement. It then briefly reviews the history of QI development and early leaders in the field. The universal elements of a successful QI or patient safety project are discussed, followed by the exploration of commonly encountered barriers to systems and individual improvement. The chapter also highlights the differences between QI work and traditional research study. Selected tools to examine and prevent risk are explored, including informal approaches, Deming’s model for improvement, Six Sigma, healthcare failure mode and effects analysis (HFMEA), and root cause analysis (RCA).

Establishing achievable benchmarks for quality improvement in systemic therapy for early-stage breast cancer.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 263-263
Author(s):  
Melanie Powis ◽  
Alejandro Gonzalez ◽  
Rinku Sutradhar ◽  
Katherine Enright ◽  
Nathan Taback ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Improvement ◽  
Systemic Therapy ◽  
Early Stage ◽  
Quality Care ◽  
Early Stage Breast Cancer ◽  
High Quality ◽  
Eligibility Criteria ◽  
High Performing ◽  
The Individual

263 Background: Setting realistic targets for performance on quality indicators (QI) is a consistent challenge in quality improvement. The purpose of this study was to utilize administrative data to define achievable targets for QI in the early stage breast cancer (EBC) population in relation to systemic therapy (ST) delivery based on best performers. Methods: Deterministically linked administrative healthcare databases were used to identify EBC cases diagnosed 2006 – 2010 in Ontario, Canada. Panel of previously established QIs for systemic therapy was applied to patients who met eligibility criteria for the individual indicators. Institutions with less than 10 eligible patients for a specific indicator were excluded. An empiric benchmark was defined as the proportion of patients meeting the indicator from institutions accounting for the top decile of eligible patients. Results: We identified 28,303 EBC patients who received surgery of which 12,252 received adjuvant chemotherapy. Benchmark results are summarized in Table. Conclusions: Many institutions fell considerably below the benchmark. Further analysis of institution-level drivers of high quality care is required to help characterize high performing institutions. [Table: see text]

scholarly journals Using standard and institutional mentorship models to implement SLMTA in Kenya

2014 ◽  
Vol 3 (2) ◽  
Author(s):  
Ernest P. Makokha ◽  
Samuel Mwalili ◽  
Frank L. Basiye ◽  
Clement Zeh ◽  
Wilfred I. Emonyi ◽  
...  
Keyword(s):  
Quality Improvement ◽  
State Of The Art ◽  
Quality Management Systems ◽  
Improvement Project ◽  
High Performing ◽  
Quality Improvement Process ◽  
Percentage Points ◽  
The Mean ◽  
Art Research ◽  
The One

Background: Kenya is home to several high-performing internationally-accredited research laboratories, whilst most public sector laboratories have historically lacked functioning quality management systems. In 2010, Kenya enrolled an initial eight regional and four national laboratories into the Strengthening Laboratory Management Toward Accreditation (SLMTA) programme. To address the challenge of a lack of mentors for the regional laboratories, three were paired, or ‘twinned’, with nearby accredited research laboratories to provide institutional mentorship, whilst the other five received standard mentorship.Objectives: This study examines results from the eight regional laboratories in the initial SLMTA group, with a focus on mentorship models.Methods: Three SLMTA workshops were interspersed with three-month periods of improvement project implementation and mentorship. Progress was evaluated at baseline, mid-term, and exit using the Stepwise Laboratory Quality Improvement Process Towards Accreditation (SLIPTA) audit checklist and scores were converted into a zero- to five-star scale.Results: At baseline, the mean score for the eight laboratories was 32%; all laboratories were below the one-star level. At mid-term, all laboratories had measured improvements. However, the three twinned laboratories had increased an average of 32 percentage points and reached one to three stars; whilst the five non-twinned laboratories increased an average of 10 percentage points and remained at zero stars. At exit, twinned laboratories had increased an average 12 additional percentage points (44 total), reaching two to four stars; non-twinned laboratories increased an average of 28 additional percentage points (38 total), reaching one to three stars.Conclusion: The partnership used by the twinning model holds promise for future collaborations between ministries of health and state-of-the-art research laboratories in their regions for laboratory quality improvement. Where they exist, such laboratories may be valuable resources to be used judiciously so as to accelerate sustainable quality improvement initiated through SLMTA.

scholarly journals Increasing Recruitment Rates in an Inpatient Clinical Research Study Using Quality Improvement Methods

2014 ◽  
Vol 4 (6) ◽  
pp. 335-341 ◽  
Author(s):  
H. S. Sauers ◽  
A. F. Beck ◽  
R. S. Kahn ◽  
J. M. Simmons
Keyword(s):  
Quality Improvement ◽  
Clinical Research ◽  
Research Study ◽  
Clinical Research Study

scholarly journals Paradigm Shift in the Concept of Workforce Diversity: A Key to increase the Organizational Efficiency

2021 ◽  
Vol 6 (2) ◽  
pp. 1-3
Author(s):  
Dr. Pooja Aggarwal ◽  
Keyword(s):  
Paradigm Shift ◽  
Research Study ◽  
Workforce Diversity ◽  
Workplace Diversity ◽  
Psychological Variables ◽  
High Performing ◽  
Secondary Sources ◽  
Managing Diversity ◽  
Guidelines And Recommendations ◽  
Diversity In The Workplace

Workplace diversity refers to the commonalities and contrasts among individuals at work in terms of class, nationality, age, ethnic heritage, academic background, physical capabilities and impairments, gender, interpersonal, and psychological variables. As a result, organizations must create an environment that is compatible with the diversification of their workforce in order to improve their efficiency in this globalised era. The goal of managing workforce diversity is to build and keep a favorable work environment where each employee's contributions are recognized. This reseаrсh рарer сritiсаlly аnаlyses wоrkfоrсe diversity аnd its раrаdigm shift оver time in the соntext оf аn оrgаnizаtiоn. Furthermore, this planned research intends to investigate of workplace diversity and its impact on an organization's efficiency. This study's research will be solely collected from secondary sources. The reseаrch study's findings will be beneficial to the organization since they provide some guidelines and recommendations that can be utilized to develop effective раrаdigms for managing diversity in the workplace. The proposed research study concludes with the belief that appropriate handling of workplace diversity may lead to more committed, pleased, and high-performing employees, as well as make the organization a more efficient workplace.

scholarly journals Variations in Institutional Review Board Approval in the Implementation of an Improvement Research Study

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Darpan I. Patel ◽  
Kathleen R. Stevens ◽  
Frank Puga
Keyword(s):  
Quality Improvement ◽  
Research Study ◽  
Science Research ◽  
Institutional Review Board ◽  
Data Sources ◽  
Research Network ◽  
Board Meeting ◽  
Improvement Science ◽  
Institutional Review Board Approval ◽  
Institutional Review

The purpose of this paper is to report the variance in institutional review board (IRB) reviews as part of the implementation of a multisite, quality improvement study through the Improvement Science Research Network (ISRN) and recommend strategies successful in procuring timely IRB approval. Using correspondence documents as data sources, the level of review was identified and time to submission, time to approval, and time to study start were analyzed. Thirteen of the 14 IRBs conducted independent reviews of the project. Twelve IRBs approved the study through expedited review while two IRBs reviewed the project at a full board meeting. Lastly, 11 of the 14 sites required documented consent. The greatest delay in approval was seen early on in the IRB process with site PIs averaging 45.1 ± 31.8 days to submit the study to the IRB. IRB approvals were relatively quick with an average of 14 ± 5.7 days to approval. The delay in study submission may be attributed to a lack of clear definitions and differing interpretations of the regulations that challenge researchers.

The Quality Improvement Experience in a High-Performing Local Health Department

2010 ◽  
Vol 16 (1) ◽  
pp. 39-48 ◽  
Author(s):  
Jeffrey D. Gunzenhauser ◽  
Zuzka P. Eggena ◽  
Jonathan E. Fielding ◽  
Kathleen N. Smith ◽  
Dawn Marie Jacobson ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
High Performing

scholarly journals Staff Turnover and Organizational Performance of Selected Private Hospitals in Kilifi County, Kenya

2019 ◽  
Vol 3 (VI) ◽  
pp. 309-326
Author(s):  
Aisha Halako Abubakar ◽  
Lawrence Wainaina
Keyword(s):  
Organizational Performance ◽  
Research Study ◽  
Middle Level ◽  
Organizational Efficiency ◽  
Private Hospitals ◽  
Capital Theory ◽  
Healthcare Facilities ◽  
High Performing ◽  
Personnel Turnover ◽  
The Impact

The performance within most of the private hospitals in Kilifi County has been deteriorating as more of its staff is leaving the private hospitals in search of the county government jobs. The study took a look at the results of personnel turnover on the organizational performance of chosen private hospitals in Kilifi County. The specific goals that assisted the research study were to evaluate the impact of voluntary turnover, involuntary turnover, functional turnover and dysfunctional turnover on the organizational performance. Theories utilized consisted of equity theory, human capital theory expectancy theory and balance score card model. The study embraced the descriptive research study design. The reliability of the survey was tested utilizing a pilot study. Main data was gathered utilizing close-ended questions. The study utilized a population of 53 top and middle-level managers in 6 private hospitals in Kilifi County. The sample size was accomplished using Stratified sampling. The population studied was subdivided into three strata; personnel supervisors, administrators and assistant administrators and departmental heads. SPSS was utilized to examine the information. The findings of the study developed that the four types of turnover under investigation had either a weak or moderate relationship with organizational efficiency. The study, for that reason, concluded that voluntary and practical turnover favorably relates with the organizational efficiency of the personal medical facility while both uncontrolled turnover and inefficient turnover negatively related with the organizational performance of the personal healthcare facilities in Kilifi County. Based on the conclusion, the study recommended that management should improve employee compensation and offer training to their employees as they contribute to employee voluntary exit. Management should put measures in place to reduce cases of indiscipline and fraud which causes involuntary turnover among the employees. Measures should also be implemented to help improve the health of the staff and reduce stress levels. Concerning functional turnover, the study recommended that private hospitals should have a good system of employment that promotes the retention of good performers and the release of poor performers. Finally, the study recommended that dysfunctional turnover should be avoided as it negatively affects organizational performance. Measures should, therefore, be put in place to discourage the departure of competent and high performing employees.    

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