A novel auditing procedure for an oral chemotherapy process improvement project.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 164-164
Author(s):  
Adam Bursua ◽  
R. Alejandro Sica ◽  
Katherine Sencion ◽  
Amer Sidani ◽  
Christina Haaf ◽  
...  

164 Background: A process to standardize ordering, documentation, and administration of inpatient oral chemotherapy was implemented at the University of Illinois Hospital and Health Sciences System. The process requires oncology clinician review and endorsement of inpatient oral chemotherapy drug orders via an oral chemotherapy note within the electronic health record. Pharmacists are instructed to reject oral chemotherapy drug orders that lack this required documentation. A novel auditing procedure was established in order to track adherence to these new requirements and provide real time and adaptable feedback to front-line staff critical to the project’s success. Methods: To support continuous quality improvement (QI) with this project, an auditing tool was developed in REDCap, a secure, web-based data management application. The auditing tool was originally developed as a traditional web-based data collection instrument with the primary purpose of tracking performance. By utilizing more advanced features offered by the REDCap platform, the auditing tool generated automated follow-up surveys to pharmacists involved in non-adherent outlier cases. The survey solicited information on the root cause of non-adherence, and based on the end-user response, provided adaptable continuing education tailored to this root cause. Results: Between June and September 2015, a total of 67 orders for oral chemotherapy were audited. Compliance with process improvement requirements was noted in 58%, 100%, 78%, and 93% of cases in June, July, August, and September, respectively. Outlier surveys were sent to 12 pharmacists in the non-adherent cases; of 11 responses, the most common response reflected an unfamiliarity with the process. Following targeted education, through September 2015, no single pharmacist has been involved in more than one non-adherent case. Conclusions: The novel auditing tool supported the continuous quality improvement process by engaging front-line staff, generating automated and real time surveys for outlier responses, and providing targeted and personalized education aimed at resolving the root cause in non-adherent cases. As such, it can be applied towards any REDCap QI projects.

JOUTICA ◽  
2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Nur Nafiiyah

The performance assessment of administration staff in the college did in order to improve the quality of the service process and internal continuous quality improvement. This study aims at the development of information systems web-based performance assessment. This system was built using the programming language PHP (Hypertext Processor) and MySql database, which is expected to provide a more efficient and effective in conducting this evaluation, all the colleges are trying to have an information system that not only presents a variety of important information, but also can perform the data processing. Assessmentof the performance is measurements made on various activities with the questioner. The results of the study give a rank of accumulation is obtained by calculating the second component of the assessment, the results of this can be seen anyone to find the highest rank to lowest. It is hoping that every values obtained can push Employees the administration in Lamongan Islamic university to improve its performance.


2019 ◽  
Vol 24 (24) ◽  
pp. 33-36
Author(s):  
Dominika Siwiec ◽  
Andrzej Pacana

Abstract As part of continuous quality improvement in well-managed enterprises, identifying unconformity should initiate actions to find their causes. Therefore, it was proposed to the enterprise located in Podkarpacie to use in the sequential way the Ishikawa diagram and 5Why method. The aim was to analyse of unconformity (porosity cluster) on the turbine outlet nozzle and identify the root of its creation. In the enterprise, the quality analysis of the products with a fluorescent method was carried out, but after identifying the unconformity, non-analysis of their reason for their occurrence was not practiced. Therefore, it was intentional to propose the use of sequence i.e. Ishikawa diagram and 5Why method to identify the root of unconformity. The subject of study was the turbine outlet nozzle, on which the fluorescent method the porosity cluster was identified. With the use of the Ishikawa diagram, the main cause of the problem was pointed (unconformity during production), and by the 5Why method the root cause of the problem, i.e. unconformity material from the supplier, was identified. The proposed method sequence is a simple and effective way to make analyses of unconformities and it can be used in different products and service enterprises.


2018 ◽  
Author(s):  
Siswanto

Continuous Quality Improvement (CQI) atau disebut juga Perbaikan mutu berkesinambungan atas kinerja oraganisasi secara menyeluruh hendaknya di jadikan sebagai patokan tetap dari oraganisasi. Proses berkesinambungan merupakan prinsip dasar yang paling fundamental di mana mutu adalah sebagai pusatnya. proses ini merupakan pelengakap dan yang menghidupkan proses, dan juga prinsip fokus pada customer atau pelanggan. Perbaikan yang berkesinambungan berkaitan dengan komitmen dan proses (continuous process improvement) kometmen terhadap kualitas di mulai dengan pernyataan dedikasi pada misi dan visi bersama, serta pemberdayaan semua partisipan untuk secara inkremental mewujudkan visi tersebut.Perbaikan mutu yang berkesinambungan bergantung pada dua unsur. Pertama, mempelajari proses alat, dan keterampilan yang tepat. Kedua Menerapkan keterampilan baru pada small achiveable projects. Namun, upaya perbaikan kualitas secara berkesinambungan dalam lembaga pendidikan ditentukan oleh sumber daya manusia sebagai pemberi pelayanan pendidikan yang berkualitas pada customer.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Lyssa Daud ◽  
◽  
Faizal Amin Nur Yunus ◽  
Mohd Bekri Rahim ◽  
Mohd. Zulfadli Rozali ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Alberto Migliore ◽  
John Butterworth ◽  
Jeannine Pavlak ◽  
Michael Patrick ◽  
Stephen Aalto

BACKGROUND: Supporting employment consultants in their work with job seekers is critical for increasing the employment outcomes of people with disabilities. OBJECTIVE: To better understand how to leverage data for supporting employment consultants, including what metrics to track, what to do with the data, and what can be improved. METHODS: A panel of three directors of employment programs addressed these questions as part of the Association of People Supporting Employment First (APSE) 2020 conference. RESULTS: Most employment service providers collect data for billing and compliance reporting. Innovative providers leverage data for quality improvement. CONCLUSIONS: Tracking metrics designed specifically for monitoring the implementation of effective employment supports is key for leveraging data for continuous quality improvement and thus improving job seekers’ employment outcomes.


Urology ◽  
2021 ◽  
Author(s):  
Franklin Gaylis ◽  
Ryan Nasseri ◽  
Amirali Salmasi ◽  
Christopher Anderson ◽  
Sarah Mohedin ◽  
...  

2020 ◽  
Vol 34 (1) ◽  
pp. 49-55
Author(s):  
Laura J. Kennedy ◽  
Nathan G. A. Taylor ◽  
Taylor Nicholson ◽  
Emily Jago ◽  
Brenda L. MacDonald ◽  
...  

Healthcare organizations engage in continuous quality improvement to improve performance and value-for-performance, but the pathway to change is often rooted in challenging the way things are “normally” done. In an effort to propel system-wide change to support healthy eating, Nova Scotia Health developed and implemented a healthy eating policy as a benchmark to create a food environment supportive of health. This article describes the healthy eating policy and its role as a benchmark in the quality improvement process. The policy, rooted in health promotion, sets a standard for healthy eating and applies to stakeholders both inside and outside of health. We explain how the policy offers nutrition but also cultural benchmarks around healthy eating, bringing practitioners throughout Nova Scotia Health together and sustaining collaborative efforts to improve upon the status quo.


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