Quality assurance and quality improvement in medical practice – Part 1. Definition and importance of quality in medical practice

2012 ◽  
Vol 153 (3) ◽  
pp. 83-92
Author(s):  
Sándor Gődény

In Hungary healthcare finance has decreased in proportion with the GDP, while the health status of the population is still ranks among the worst in the European Union. Since healthcare finance is not expected to increase, the number of practicing doctors per capita is continuously decreasing. In the coming years it is an important question that in this situation what methods can be used to prevent further deterioration of the health status of the Hungarian population, and within this is the role of the quality approach, and different methods of quality management. In the present and the forthcoming two articles those standpoints will be summarized which support the need for the integration of quality assurance in the everyday medical practice. In the first part the importance of quality thinking, quality management, quality assurance, necessity of quality measurement and improvement, furthermore, advantages of the quality systems will be discussed. Orv. Hetil., 2012, 153, 83–92.

2015 ◽  
Vol 8 (1) ◽  
pp. 77-83
Author(s):  
Eva Turk ◽  
Stephen Leyshon ◽  
Morten Pytte

Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.


Author(s):  
Manfred Bruhn

This chapter describes how the four phases of quality management (quality planning, quality control, quality inspection and quality assurance) for service firms should be structured and what individual measures can be employed in the respective phases. Since the QM-system – particularly in the case of the services sector – has to be adapted to a firm’s specific characteristics, the selection of the methods and techniques suited to the specific situation is of particular importance. For this reason, the criteria for evaluating such methods are also outlined. In addition to the classical instruments used for quality management, recently quality awards, national customer satisfaction barometers and certificates have become well established, also sharing the objective of raising quality standards for services. Finally, an overview is given of the techniques and methods used for securing and promoting quality standards which are linked to the phases of the management process – analysis, planning, implementation and audit. This results in the construction of a systematic system for the quality management of services using a ten-step procedure.


Author(s):  
Alessandro Lamberti-Castronuovo ◽  
Jeremy A. Pine ◽  
Giorgio Brogiato ◽  
Hans-Friedemann Kinkel

Although a large amount of research exists about migration into the European Union (EU) and the role of migrants in European society, relatively little information is available on the health status of migrants after arriving in the EU. This is particularly true in the case of the most marginalised migrants, migrants from sub-Saharan Africa, who work as itinerant laborers harvesting fruits and vegetables in southern Italy. This study analyzes demographic and health data gathered by a non-government organization-run primary healthcare clinic in order to understand the challenges these migrants face when trying to maintain their health. Results show that their health suffers greatly due to substandard living and working conditions, partially due to the fact that these individuals experience many barriers when trying to access care from the national health system. The health status of this population cannot improve without broad reforms to the welfare system and the agricultural sector. Government action is needed to ensure that such individuals are not denied their basic human rights and freedoms, including the right to health.


2007 ◽  
Vol 4 (1) ◽  
Author(s):  
Heide Muckenfuss ◽  
Klaus Cichutek ◽  
Egbert Flory

AbstractThe rapid biotechnological progress has promoted the development of novel medicinal therapies which are currently changing medical practice substantially. Patients may benefit from new opportunities for the treatment of various diseases, but on the other hand new risks have to be faced. To ensure timely access of patients to innovative medicines while taking safety aspects into consideration, an appropriate legislation is needed. This review aims at giving an overview of the role of the so called “Advanced Therapy Products” in today's medical practice and describes their current regulation in the European Union (EU).


Author(s):  
Bhuvan Unhelkar ◽  
Abbass Ghanbary ◽  
Houman Younessi

This chapter discusses the important issues related to quality management, quality assurance and testing of information systems that are used by collaborative business. The discussion thus far in this book has been in the area of collaborative business models, technologies for collaboration and their effect on business organization. Each of these areas of collaborative business can be, and should be, subjected to quality assurance and testing. This chapter discusses how these important aspects of quality can be applied to a collaborative business. The overall strategic approach to quality, which starts with quality management, is also explained. This chapter further discusses the testing strategy, testing processes and the test data required in the solution space of CWBS. The practical checklists approach to enhance the quality of software model created in Chapter 6 using the Business Process Modeling Notation (BPMN) goes a long way in ensuring a smooth transition of the business to a collaborative business.


1991 ◽  
Vol 11 (4_suppl) ◽  
pp. S57-S60
Author(s):  
Peter J. Haug ◽  
Philip R. Frederick ◽  
Irena Tocino

Quality assurance techniques provide an opportunity to identify sources of error and to provide the feedback necessary to prevent their repetition. The authors outline an effort to define the steps required for effective quality management procedures in a computerized medical information system (MIS). The computerized management of medical information can be used not only to enhance current quality management activities but also to extend the realm of quality assurance to areas that have heretofore resisted management. Quality-management techniques have the potential for measuring and improving medical decision making processes central to patient care.


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