scholarly journals Evaluation of the cost-effectiveness of fmea analysis (assembly of aircraft tail as-semblies at PJSC VASO)

2021 ◽  
Vol 83 (2) ◽  
pp. 300-311
Author(s):  
Y. A. Salikov ◽  
M. I. Samogorodskaya
Keyword(s):  
Cost Effectiveness ◽  
Quality Management ◽  
Quality Management System ◽  
Industrial Enterprises ◽  
Specific Analysis ◽  
Increased Risk ◽  
Fmea Analysis ◽  
The Cost ◽  
Assessment Procedures

The problems of improving the quality of technological processes in domestic enterprises due to their high relevance are reflected in numerous publications of both theoretical and practical nature. However, the performance assessment procedures in the standards are schematically not properly spelled out. This makes it difficult in practice to choose evaluation mechanisms and methods. The priority mechanism of improvement of the enterprise's activity in the field of quality is measurement of efficiency and efficiency of the current quality management system. In our opinion, any activity aimed at improving quality should be economically justified at the stage of its planning. The article proposes a mechanism for assessing the cost-effectiveness of using one of the tools of quality management – analysis of the types, consequences and causes of potential consequences of the industrial production process. The purpose of this analysis is to ensure that all process quality requirements with increased risk are met by developing corrective measures to eliminate the occurrence of probable failures. The article provides an example of such a process-specific analysis. The presented mechanism for assessing the economic efficiency of QMS is based on the real financial performance of the enterprise and can be used at domestic industrial enterprises to measure the costs and results of investments in product (work, services) quality management.

scholarly journals Constructing a system of integrated management of aviation safety as a key element of airport service quality

2021 ◽  
Vol 4 (3(112)) ◽  
pp. 13-26
Author(s):  
Alla Valko ◽  
Olena Soloviova ◽  
Ganna Volkovska ◽  
Iryna Herasymenko
Keyword(s):  
Quality Management ◽  
Quality Management System ◽  
Integrated Management ◽  
Aviation Safety ◽  
Management Decision ◽  
System Quality ◽  
Transport Services ◽  
The Cost ◽  
Functional Components

The scientific-practical basis of the quality of passenger and clientele service at the airport were studied. This was prompted by the need to determine the role of aviation safety (AS) and its impact on the quality and competitiveness of airport services. It was proved that within the framework of the system, quality monitoring is performed in the areas of the service of aviation safety (SAS). As a result of research, a quantitative assessment of the level of aviation safety of the airport, which is the basis for making a relevant management decision in the analysis subsystems, was determined. Management , in this case, implies the system of measures to improve the activities of the SAS. A procedure for assessing the quality of airport services, which reveals the essence of aviation safety in the system of airport quality management , was devised. The sequence of assessment of the system of aviation safety, reflecting the cost approach, the application of which involves determining the reserves for ensuring aviation safety in the continuous implementation of the quality management system, was proposed. The share of costs of aviation safety (AS) was determined on the example of three airports by economic elements (the model of criteria for choosing a subject) to determine the cost of ensuring an adequate level of aviation safety. It was proposed to introduce a comprehensive indicator of the quality of aviation safety for its functional components, which further makes up the integrated indicator of the quality of provided services. As a result of calculations, the amount of payment for aviation safety using adjustment coefficients to counteract the threat of a possible act of unlawful interference (AUI) will increase. This enables an aircraft company to form timely a reserve to prevent or eliminate the consequences of the AUI by including the aviation safety fee in the total cost of air transport services.

scholarly journals IMPROVING THE QUALITY MANAGEMENT SYSTEM OF REPAIR OF TRUNK PIPELINES WITH PRESENTATION OF INFORMATION IN THE FUNCTIONAL ANALYTICAL FORM

2017 ◽  
pp. 98-104
Author(s):  
Yu. V. Kolotilov ◽  
A. M. Korolenok ◽  
S. V. Kitaev
Keyword(s):  
Life Cycle ◽  
Quality Management ◽  
Quality Management System ◽  
Analytical Form ◽  
Management Systems ◽  
Quality Management Systems ◽  
The Cost ◽  
Basic Level ◽  
Intensive Development

The paper describes the process of establishing a regulatory level of quality of construction and installation works, taking into account the implementation of effective quality management systems, which in turn leads to an intensive development of quality assessment methods of construction production in all stages of its life-cycle. It is shown, that the cost-effectiveness of switching to the new regulatory level of quality of the final production of the construction production in comparison with the preceding, basic level, can be represented in a functionalanalytical form.

MODEL MANAJEMEN MUTU MADRASAH KAJIAN DI MIN & MI MA’RIF PAGERAJI PURWOKERTO

2018 ◽  
Vol 19 (1) ◽  
pp. 74-105
Author(s):  
Rohmat Rohmat
Keyword(s):  
Quality Management ◽  
Quality Management System ◽  
Management Model ◽  
Teacher Competence ◽  
Model Quality ◽  
Community Environment ◽  
The Family ◽  
Quality Management Model ◽  
Community Cooperation

Abstract: The quality of madrasah education needs to get serious attention both from process aspect and its result. The quality of madrasah education is also influenced by the family and community environment. This brings with it the need for a review and mapping of the quality management model of education in Madrasah Ibtidaiyah. The Madrasah Ibtidaiyah of Purwokerto and MI Ma'arif Pageraji Purwokerto were chosen to be the subject of this study with the consideration that the school has a good quality management system. This study aims to find the typology of quality management education in MI that is effective so that it can be replicated. Based on the findings of the data, it can be concluded as follows: (1) Quality planning conducted in MIN and MI Ma’arif pageraji Purwokerto through (a) improvement of teacher competence, through OJT activity (on the job trainning), (b) teacher. (c) Development of natural competence matrix. (d) Parent and community cooperation in establishing some madrasah programs. (2) Quality control system conducted in MIN and MI Ma’arif pageraji Purwokerto done through supervision activities. (3) Quality assurance conducted in MIN and MI Ma’arif pageraji Purwokerto done internally by madrasah and audited through accreditation activities run by the accreditation bodies of madrasah or other institutions externally. Keywords: Management model, quality of madrasah.

scholarly journals Cost-Effectiveness of Colorectal Cancer Genetic Testing

2021 ◽  
Vol 18 (16) ◽  
pp. 8330
Author(s):  
Abdul Rahman Ramdzan ◽  
Mohd Rizal Abdul Manaf ◽  
Azimatun Noor Aizuddin ◽  
Zarina A. Latiff ◽  
Keng Wee Teik ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Genetic Testing ◽  
Cost Effectiveness ◽  
Cancer Survival ◽  
Screening Method ◽  
Targeted Prevention ◽  
Activity Based Costing ◽  
Cross Sectional ◽  
Increased Risk ◽  
The Cost

Colorectal cancer (CRC) remains the second leading cause of cancer-related deaths worldwide. Approximately 3–5% of CRCs are associated with hereditary cancer syndromes. Individuals who harbor germline mutations are at an increased risk of developing early onset CRC, as well as extracolonic tumors. Genetic testing can identify genes that cause these syndromes. Early detection could facilitate the initiation of targeted prevention strategies and surveillance for CRC patients and their families. The aim of this study was to determine the cost-effectiveness of CRC genetic testing. We utilized a cross-sectional design to determine the cost-effectiveness of CRC genetic testing as compared to the usual screening method (iFOBT) from the provider’s perspective. Data on costs and health-related quality of life (HRQoL) of 200 CRC patients from three specialist general hospitals were collected. A mixed-methods approach of activity-based costing, top-down costing, and extracted information from a clinical pathway was used to estimate provider costs. Patients and family members’ HRQoL were measured using the EQ-5D-5L questionnaire. Data from the Malaysian Study on Cancer Survival (MySCan) were used to calculate patient survival. Cost-effectiveness was measured as cost per life-year (LY) and cost per quality-adjusted life-year (QALY). The provider cost for CRC genetic testing was high as compared to that for the current screening method. The current practice for screening is cost-saving as compared to genetic testing. Using a 10-year survival analysis, the estimated number of LYs gained for CRC patients through genetic testing was 0.92 years, and the number of QALYs gained was 1.53 years. The cost per LY gained and cost per QALY gained were calculated. The incremental cost-effectiveness ratio (ICER) showed that genetic testing dominates iFOBT testing. CRC genetic testing is cost-effective and could be considered as routine CRC screening for clinical practice.

scholarly journals A Systematic Review of the Cost-Effectiveness of Nurse Practitioners and Clinical Nurse Specialists: What Is the Quality of the Evidence?

2014 ◽  
Vol 2014 ◽  
pp. 1-28 ◽  
Author(s):  
Faith Donald ◽  
Kelley Kilpatrick ◽  
Kim Reid ◽  
Nancy Carter ◽  
Ruth Martin-Misener ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Nurse Practitioners ◽  
Internal Validity ◽  
Risk Of Bias ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Education Experience ◽  
The Cost

Background. Improved quality of care and control of healthcare costs are important factors influencing decisions to implement nurse practitioner (NP) and clinical nurse specialist (CNS) roles.Objective. To assess the quality of randomized controlled trials (RCTs) evaluating NP and CNS cost-effectiveness (defined broadly to also include studies measuring health resource utilization).Design. Systematic review of RCTs of NP and CNS cost-effectiveness reported between 1980 and July 2012.Results. 4,397 unique records were reviewed. We included 43 RCTs in six groupings, NP-outpatient (n=11), NP-transition (n=5), NP-inpatient (n=2), CNS-outpatient (n=11), CNS-transition (n=13), and CNS-inpatient (n=1). Internal validity was assessed using the Cochrane risk of bias tool; 18 (42%) studies were at low, 17 (39%) were at moderate, and eight (19%) at high risk of bias. Few studies included detailed descriptions of the education, experience, or role of the NPs or CNSs, affecting external validity.Conclusions. We identified 43 RCTs evaluating the cost-effectiveness of NPs and CNSs using criteria that meet current definitions of the roles. Almost half the RCTs were at low risk of bias. Incomplete reporting of study methods and lack of details about NP or CNS education, experience, and role create challenges in consolidating the evidence of the cost-effectiveness of these roles.

scholarly journals THE DEVELOPMENT OF THE QUALITY MANAGEMENT SYSTEM IN TERMS OF KNOWLEDGE MANAGEMENT / KOKYBĖS VADYBOS SISTEMŲ TOBULINIMAS ŽINIŲ VADYBOS ASPEKTU

2011 ◽  
Vol 3 (4) ◽  
pp. 113-119
Author(s):  
Romualdas Vitkauskas
Keyword(s):  
Knowledge Management ◽  
Quality Management ◽  
Quality Management System ◽  
Analysis Method ◽  
Continual Improvement ◽  
Correlation Analysis Method ◽  
Product And Process ◽  
Quality Of Products ◽  
The Relationship

The interaction of quality management and knowledge man­agement are analyzed quite widely in scientific literature and discussed with reference to various models integrating these two management theories. However, there are not enough precise tools that could provide a possibility of improving the quality of products and services through knowledge management. To this end, the article examines the already existing models for the interaction between quality management and knowledge management. The results of a survey on Lithuanian industry show what organizational knowledge is the most important while implementing quality management principles aimed at improving quality. The correlation analysis method showed the relationship between quality management principles (process approach, continual improvement, management, facts) and the factors defining the product and process quality (the extent of determining process execution time, process resources, costs of process stages, indicators for products and/or services, the dura­tion of the process, the extent of measuring indicators, the extent of collecting information on indicators, the extent of collecting information about the costs of the process). Santrauka Kokybės vadybos ir žinių vadybos sąveika mokslinėje literatūroje analizuojama gana plačiai, aptariami įvairūs sąveikos modeliai integruojant šias dvi vadybos teorijas. Tačiau nepakankamai nagrinėjamos konkrečios priemonės, kuriomis būtų galima pagerinti produktų ir paslaugų kokybę pasitelkiant žinių vadybą. Tuo tikslu straipsnyje analizuojami jau egzis­tuojantys kokybės vadybos ir žinių vadybos sąveikos modeliai bei pateikiami Lietuvos pramonės įmonių tyrimo rezultatai, parodantys, kokios organizacinės žinios svarbiausios įgyvendinant kokybės vadybos principus, skirtus kokybei gerinti. Taikant koreliacinės analizės metodą nustatyta, kad egzistuoja ryšys tarp kokybės vadybos principų (procesinio požiūrio, nuolatinio gerinimo, valdymo remiantis faktais) įgyvendinimo lygio ir veiksnių, apibūdinančių produktų ir procesų kokybę (procesų įvykdymo laiko nustatymas, procesų išteklių nustatymas, procesų etapų išlaidų nustatymas, produktų ir (ar) paslaugų rodiklių nustatymas, rodiklių matavimas, rodiklių informacijos rinkimas, informacijos apie proceso trukmę nustatymas ir informacijos apie proceso išlaidas rinkimas).

scholarly journals Cost-Effectiveness of Hip Arthroscopy for Treatment of Femoroacetabular Impingement Syndrome and Labral Tears: A Systematic Review

2021 ◽  
Vol 9 (3) ◽  
pp. 232596712098753
Author(s):  
Cammille C. Go ◽  
Cynthia Kyin ◽  
Jeffrey W. Chen ◽  
Benjamin G. Domb ◽  
David R. Maldonado
Keyword(s):  
Systematic Review ◽  
Cost Effectiveness ◽  
Femoroacetabular Impingement ◽  
Hip Arthroscopy ◽  
Nonoperative Treatment ◽  
Cochrane Library ◽  
System Perspective ◽  
Labral Tears ◽  
The Cost

Background: Hip arthroscopy has frequently been shown to produce successful outcomes as a treatment for femoroacetabular impingement (FAI) and labral tears. However, there is less literature on whether the favorable results of hip arthroscopy can justify the costs, especially when compared with a nonoperative treatment. Purpose: To systematically review the cost-effectiveness of hip arthroscopy for treating FAI and labral tears. Study Design: Systematic review; Level of evidence, 3. Methods: PubMed/MEDLINE, Embase, and Cochrane Library databases, and the Tufts University Cost-Effectiveness Analysis Registry were searched to identify articles that reported the cost per quality-adjusted life-year (QALY) generated by hip arthroscopy. The key terms used were “hip arthroscopy,” “cost,” “utility,” and “economic evaluation.” The threshold for cost-effectiveness was set at $50,000/QALY. The Methodological Index for Non-Randomized Studies instrument and Quality of Health Economic Studies (QHES) score were used to determine the quality of the studies. This study was prospectively registered on PROSPERO (CRD42020172991). Results: Six studies that reported the cost-effectiveness of hip arthroscopy were identified, and 5 of these studies compared hip arthroscopy to a nonoperative comparator. These studies were found to have a mean QHES score of 85.2 and a mean cohort age that ranged from 33-37 years. From both a health care system perspective and a societal perspective, 4 studies reported that hip arthroscopy was more costly but resulted in far greater gains than did nonoperative treatment. The preferred treatment strategy was most sensitive to duration of benefit, preoperative osteoarthritis, cost of the arthroscopy, and the improvement in QALYs with hip arthroscopy. Conclusion: In the majority of the studies, hip arthroscopy had a higher initial cost but provided greater gain in QALYs than did a nonoperative treatment. In certain cases, hip arthroscopy can be cost-effective given a long enough duration of benefit and appropriate patient selection. However, there is further need for literature to analyze willingness-to-pay thresholds.

ENSURING THE ACHIEVABILITY OF QUALITY GOALS BY PURPOSEFULLY CHANGING THE VALUES OF INDICATORS OF INDUSTRIAL ENTERPRISES SUBSYSTEMS UNDER THE LINEAR MANAGEMENT LAW

2020 ◽  
Vol 6 ◽  
pp. 156-165
Author(s):  
O.V. ANIKEEVA ◽  
A.G. IVAKHNENKO
Keyword(s):  
Quality Management ◽  
Management System ◽  
Quality Management System ◽  
Light Industry ◽  
Organizational Resistance ◽  
Industrial Enterprises ◽  
Interaction Of Components ◽  
System Properties ◽  
Enterprise Activity

In the paper a model of the enterprise quality management system with a linear law of management and the presence of two goals in the field of quality are presented. The results of modeling the areas of admissible values of the parameters of system properties of enterprise activity and coefficients reflecting the interaction of components of potential and organizational resistance on the example of JSC "Salyut" are presented. An approach is proposed to identify a set of admissible ranges of values of these parameters and coefficients that ensure the achievability of quality goals for industrial enterprises with a linear management law, consisting of five stages. The results of modeling purposeful management, according to the developed approach, are presented on the example of a light industry enterprise.

The potential clinical and economic outcomes of pharmacogenetics-oriented management of warfarin therapy – a decision analysis

2004 ◽  
Vol 92 (09) ◽  
pp. 590-597 ◽  
Author(s):  
Fredric Chan ◽  
Raymond Wong ◽  
Gregory Cheng ◽  
Joyce You
Keyword(s):  
Cost Effectiveness ◽  
Major Bleeding ◽  
Marginal Cost ◽  
Warfarin Therapy ◽  
Anticoagulation Therapy ◽  
Economic Outcomes ◽  
Treatment Scheme ◽  
Increased Risk ◽  
The Cost ◽  
Anticoagulation Service

SummaryVariant cytochrome P450 (CYP) 2C9 genotypes are associated with low maintenance dose requirement of warfarin therapy and increased risk of major bleeding events. The objective of the present study was to evaluate the potential clinical and economic outcomes of using CYP2C9 genotype data to guide the management of anticoagulation therapy and to identify influential factors affecting the cost-effectiveness of this treatment scheme. A decision tree was designed to simulate, over 12 months, the clinical and economic outcomes of patients newly started on warfarin associated with two alternatives: (1) no genotyping (non-genotyped group) and (2) CYP2C9 genotyping prior to initiation of warfarin therapy (genotyped group). Nongenotyped group patients would receive standard care of an anticoagulation clinic (AC). In the genotyped group, patients with at least one variant CYP2C9 allele would receive intensified anticoagulation service. Most of the clinical probabilities were derived from literature. The direct medical costs were estimated from the Diagnosis-Related Group charges and from literature. The total number of events and the direct medical cost per 100 patient-years in the genotyped and non-genotyped groups were 9.58 and USD155,700, and, 10.48 and USD 150,500, respectively. The marginal cost per additional major bleeding averted in the genotyped group was USD 5,778. The model was sensitive to the variation of the cost and reduction of bleeding rate in the intensified anticoagulation service. In conclusion, the pharmacogenetics-oriented management of warfarin therapy is potentially more effective in preventing bleeding with a marginal cost. The cost-effectiveness of this treatment scheme depends on the relative cost and effectiveness of a pharmacogenetics-oriented intensified anticoagulation service comparing to the standard AC care.

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