scholarly journals Enhancing the effectiveness of community drug and alcohol teams working with opioid-dependent pregnant women: results of an audit

2012 ◽  
Vol 36 (11) ◽  
pp. 421-423
Author(s):  
Mani Sairam ◽  
Rakesh Magon ◽  
Christos Kouimtsidis
Keyword(s):  
Pregnant Women ◽  
Action Plan ◽  
National Standards ◽  
Quality Of Services ◽  
Clinical Implications ◽  
Substitution Treatment ◽  
Benefit Analysis ◽  
Drug And Alcohol ◽  
Risk Benefit Analysis

Aims and methodTo evaluate the quality of services offered by community drug and alcohol teams (CDATs) to pregnant women in substitution treatment. A full audit of the practice across all local CDATs against national standards was undertaken in 2008 and 2010.ResultsQuality of services improved and met three standards in 100% and the fourth standard in 96% of cases. There was good implementation of the recommendations arising out of the action plan of the first cycle, which resulted in significant improvements in interagency liaison and risk-benefit analysis documentation within the CDATs.Clinical implicationsManagement of pregnant women in substitution treatment can be improved by adhering to a multipronged approach as identified by this audit.

scholarly journals EVALUATION OF ISUP SUPPORTING SERVICE IN THE RADIO ELECTRONIC INDUSTRY SPHERE WITHIN THE REENGINEERING CYCLE START

2019 ◽  
Vol 2019 (3) ◽  
pp. 30-35
Author(s):  
Ольга Кондратьева ◽  
Olga Kondratyeva
Keyword(s):  
Content Analysis ◽  
Action Plan ◽  
State Assessment ◽  
Quality Of Services ◽  
Electronic Industry ◽  
Emergency Situations ◽  
Radio Electronic ◽  
Current State ◽  
Conflict Situations

This article discusses methods of assessment of the trunk "Customers" for the ISUP re-engineering. We have used two tools: • Current state assessment of service quality using tree chart of indicators on four trunks: Customers, Process, Owners and the State. • Action plan development based on the Kobayashi PROF methodology. Evaluation of the trunk "Customers" (q1) is conducted in three branches: P1 - functionality, P2 - convenience, P3 - emotional background. Functionality is evaluated by type of work and sufficient level of Reliability, Responsibility, Availability and Sociability of each of them in relation to all applications. Convenience is estimated by means of survey of customers by means of questioning on the website by criteria (leaves): comfort, the interface, conflict situations, feedback, emergency situations and functionality Emotional background is assessed by analyzing changes in the emotional background of communication and is based on the content analysis of the text. All messages from the user are considered to be text. The proposed tree-like information model of structure construction of indicators makes it possible to assess the quality of services in the field of ISUP support at the enterprises of the radio-electronic industry.

scholarly journals Auditing Orthopaedic Audit

2008 ◽  
Vol 90 (8) ◽  
pp. 675-678 ◽  
Author(s):  
E Guryel ◽  
K Acton ◽  
S Patel
Keyword(s):  
Patient Care ◽  
Medical Training ◽  
Action Plan ◽  
National Standards ◽  
Junior Doctors ◽  
Audit Process ◽  
Quality Of Patient Care ◽  
Audit Cycle ◽  
The Uk

INTRODUCTION Clinical audit plays an important role in the drive to improve the quality of patient care and thus forms a cornerstone of clinical governance. Assurance that the quality of patient care has improved requires completion of the audit cycle. A considerable sum of money and time has been spent establishing audit activity in the UK. Failure to close the loop undermines the effectiveness of the audit process and wastes resources. PATIENTS AND METHODS We analysed the effectiveness of audit in trauma and orthopaedics at a local hospital by comparing audit projects completed over a 6-year period to criteria set out in the NHS National Audit and Governance report. RESULTS Of the 25 audits performed since 1999, half were presented to the relevant parties and only 20% completed the audit cycle. Only two of these were audits against national standards and 28% were not based on any standards at all. Only a third of the audits led by junior doctors resulted in implementation of their action plan compared to 75% implementation for consultant-led and 67% for nurse-led audits. CONCLUSIONS A remarkably large proportion of audits included in this analysis failed to meet accepted criteria for effective audit. Audits completed by junior doctors were found to be the least likely to complete the cycle. This may relate to the lack of continuity in modern medical training and little incentive to complete the cycle. Supervision by permanent medical staff, principally consultants, and involvement of the audit department may play the biggest role in improving implementation of change.

scholarly journals Evaluation of Current Therapies for COVID-19 Treatment

2020 ◽  
Vol 8 (8) ◽  
pp. 1097 ◽  
Author(s):  
Atin Sethi ◽  
Horacio Bach
Keyword(s):  
Lung Infection ◽  
Multiple Organ ◽  
Efficacy And Safety ◽  
Benefit Analysis ◽  
Efficacious Treatment ◽  
Current Therapies ◽  
Potential Benefits ◽  
Risk Benefit Analysis ◽  
Unproven Therapies

The virus SARS-CoV-2, the etiological agent of COVID-19, is responsible for more than 400,000 deaths worldwide as of 10 June 2020. As a result of its recent appearance (December 2019), an efficacious treatment is not yet available. Although considered a lung infection since its emergence, COVID-19 is now causing multiple organ failure, requiring a continuous adjustment in the procedures. In this review, we summarize the current literature surrounding unproven therapies for COVID-19. Analyses of the clinical trials were grouped as chemotherapy, serotherapy, anticoagulant, and the use of human recombinant soluble ACE2 therapies. We conclude that, while no agent has hit the threshold for quality of evidence to demonstrate efficacy and safety, preliminary data show potential benefits. Moreover, there is a possibility for harm with these unproven therapies, and the decision to treat should be based on a comprehensive risk–benefit analysis.

scholarly journals Reasons for consultation in the psychiatric out-patient clinic of a university teaching hospital in Nigeria: is this optimal use of psychiatrists' time and expertise?

2003 ◽  
Vol 27 (11) ◽  
pp. 421-423
Author(s):  
Olayinka Omigbodun ◽  
Oluyomi Esan
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Quality Of Services ◽  
Clinical Implications ◽  
Repeat Prescription ◽  
The Mean

Aims and MethodTo identify activities that can be modified in the psychiatry out-patient clinic in order to improve the quality of services rendered. Consulting doctors obtained information on the reason for consultation and time spent by each patient over a one-month period.ResultsHalf of all the patients (50.5%) came for a repeat prescription, and 19.3% came for a repeat prescription and counselling. The mean times spent on these two activities were 5.13 (s.d.=2.5) and 7.81 (s.d.=7.51) minutes, respectively. The time spent on these activities by doctors was 47% of the total clinic time.Clinical ImplicationsClinic services should be reorganised so that doctors can use their skills in more efficient and creative ways.

scholarly journals The need for quality improvement in diagnosing pregnancy induced hypertension in Sri Lanka

2013 ◽  
Vol 2 (2) ◽  
pp. 55-60
Author(s):  
S Prathapan ◽  
P Fonseka ◽  
G Lindmark ◽  
R Prathapan ◽  
A Lokubalasooriya
Keyword(s):  
Blood Pressure ◽  
Sri Lanka ◽  
Pregnant Women ◽  
Medical Officer ◽  
Quality Of Services ◽  
Pregnancy Induced Hypertension ◽  
Cross Sectional ◽  
Induced Hypertension ◽  
Antenatal Clinics

Sri Lanka has shown relatively good maternal outcome indicators for a developing country. However, high maternal deaths from pregnancy induced hypertension and pre-eclamptic toxemia raise questions about the quality of detection and treatment at field antenatal clinics, which is the primary care setting for pregnant women. The objective of the study was to assess the quality of facilities and services provided at the field antenatal clinics to di-agnose pregnancy induced hypertension or pre-eclamptic toxemia. It was a cross-sectional study. This study was set in field antenatal clinics and was conducted in two stages based on the Lot Quality Assurance Sampling method. In the first stage 55 antenatal clinics were selected from 11 Medical officers of Health areas, and in the second stage 275 pregnant women were recruited from these 55 clinics. Quality of services and quality of facilities were assessed using observation checklists. The quality of facilities was better than the quality of services in the Colombo district. The quality of facilities was acceptable in all areas other than for the presence of the Medical Officer. The quality of services was unacceptable in all areas for history taking and examination. Investigation for urine albumin was also unacceptable in all the areas. The sensitivity for measuring the systolic blood pressure and the diastolic blood pressure were 57% (95% CI: 47.4%–66.8%) and 16.7% (95% CI: 9.4%–24%) respectively. Urgent steps should be taken to improve the quality of care in the substandard areas to reduce the leading cause of maternal mortality in Sri Lanka. DOI: http://dx.doi.org/10.3329/seajph.v2i2.15952 South East Asia J Public Health | Jul-Dec 2012 | Vol 2 Issue 2 | 55-60

Cultural Competency Methodological and Data Strategies to Assess the Quality of Services in Mental Health Systems of Care

2002 ◽  
Author(s):  
Carole Siegel ◽  
Gary Haugland ◽  
Ethel Davis Chambers ◽  
Carmen Aponte ◽  
Ralph Blackshear ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
Cultural Competency ◽  
Systems Of Care ◽  
Quality Of Services ◽  
Mental Health Systems

PENGARUH KUALITAS INFORMASI DAN KUALITAS LAYANAN TERHADAP SIKAP DALAM PENGGUNAAN SISTEM APLIKASI DENGAN KEMUDAHAN PENGGUNAAN SEBAGAI VARIABEL INTERVENING PADA JASA TRANSPORTASI ONLINE (GOJEK) DI YOGYAKARTA

2019 ◽  
Vol 27 (2) ◽  
pp. 119-133
Author(s):  
Putri Aprilia Isnaini ◽  
Ida Bagus Nyoman Udayana
Keyword(s):  
Social Media ◽  
Quality Of Service ◽  
Information Quality ◽  
Sampling Technique ◽  
Ease Of Use ◽  
Quality Of Services ◽  
Quality Of Information ◽  
Transportation Services ◽  
Application Systems

This writing is done to determine the effect of information quality and service quality on attitudes in the use of application systems with the ease of use of the system as an intervining variable in online transportation services (gojek) in Yogyakarta. The sample in this study is customers who use online motorcycle transportation services in Yogyakarta. The sampling technique uses accidental sampling technique. Data collection is done by distributing online questionnaires through the Goegle form and distributed with social media such as WhatsApp and Instagram on a 1-4 scale to measure 4 indicators. The results of this study show 1) the quality of information affects the ease of use, 2) the quality of service affects the ease of use, 3) the quality of information influences attitudes in use, 4) the quality of services does not affect attitudes in use, and 5) ease of use attitude in use.

Customer’s satisfaction on service quality at Vietnam Technological and Commercial Joint Stock Bank – An Giang Branch

2020 ◽  
Vol 4 (3) ◽  
pp. First
Author(s):  
Tran Minh Hieu ◽  
Nguyen Duong Ngoc Mai Chi
Keyword(s):  
Customer Satisfaction ◽  
Service Quality ◽  
Test Method ◽  
Quality Of Services ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Alpha Reliability ◽  
Survey Results ◽  
Development Orientation

This study applied SERVQUAL scale of Parasuraman et al to measure factors affecting customer satisfaction on service quality at Vietnam Technological and Commercial Joint Stock Bank - An Giang Branch (Techcombank An Giang). The study was conducted to survey 207 customers who have been using the service at Techcombank An Giang. The survey results were analyzed by the Cronbach's Alpha reliability test method, then used Exploratory factor analysis (EFA) to verify and evaluate the scale of service quality. The results of the regression analysis show that customer's satisfaction about service quality at Techcombank An Giang includes four factors: The factor with the highest level is the Empathy with Beta = 0.253, the second of factor is the Responsibility with Beta = 0.248, ranked third in the influence level is the Tangible with Beta = 0.235, and the lowest impact level is the Reliability with Beta = 0.144. The research also uses statistical methods to describe and test the differences of demographic factors with customer's satisfactionon service quality.The analysis results show that there is no difference between customer's satisfaction on service quality and factors such as gender, age, income, number of transaction banks, regular transaction banks, and time to use the service at Techcombank An Giang. Through the research results, the author would like to propose some ideas to improve the quality of services, thereby attracting new customers and importantly, keeping traditional customers because the development orientation of Techcombank is to take care of old customers to cross sell other products of the bank. The Stud results offer a basis for the branch to identify the factors influencing customer satisfaction on their service quality, thereby having an appropriate strategy to improve customer satisfaction.

THE IMPLEMENTATION OF ISO 9001:2015 TO IMPROVE QUALITY OF SERVICE AT PUSAT KESIHATAN UNIVERSITI (PKU), UNIVERSITI UTARA MALAYSIA(UUM)

2018 ◽  
Vol 13 (Number 2) ◽  
pp. 67-77
Author(s):  
Anis Syamimi Abd Rahim ◽  
Mohd Norhasni Mohd Asaad
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Descriptive Statistics ◽  
Iso 9001 ◽  
Quality Of Services ◽  
Research Questions ◽  
Spss Software ◽  
The Relationship ◽  
Universiti Utara Malaysia

The purpose of this study is to review the implementation of ISO 9001:2015 in order to improve the quality of services at Pusat Kesihatan Universiti (PKU), Universiti Utara Malaysia. The respondents of this study were customers at the PKU, UUM. The questionnaire was distributed to 50 respondents. The data were analyzed using SPSS software version 24. The data were tested using descriptive statistics, and correlation analysis to answer the research questions and to achieve the objectives. The findings show that customers agree that implementation of ISO 9001:2015 give service at PKU, UUM is good and satisfied. Through the correlation test, the results showed that the relationship between the implementation of ISO 9001:2015 has a positive and significant impact on customer satisfaction and the effect of implementing ISO 9001:2015 has a positive and significant impact in improving quality of service at PKU, UUM.Through mean and standard deviation tests, results show that tangible dimensions are the main dimensions of customer satisfaction while dimensions with low values are dimensions of responsiveness.Therefore, all aspects of service in PKU, UUM will be strengthened and all aspects of the weaknesses could be addressed to improve the service in order to maintain good quality services.

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