scholarly journals The Challenges of Physicians' Participation in Hospital Accreditation Programs: A Qualitative Study in Iran

2021 ◽  
Author(s):  
Hosein Ebrahimipou ◽  
Elahe Houshmand ◽  
Mehdi Varmaghani ◽  
Javad Javan-Noughabi ◽  
Seyyed Morteza Mojtabaeian
Keyword(s):  
Quality Improvement ◽  
Quality Management ◽  
Evaluation System ◽  
Medical Community ◽  
Snowball Sampling ◽  
Hospital Accreditation ◽  
High Workload ◽  
Improvement Programs ◽  
Quality Improvement Programs

Abstract Background. Due to the increasing pressure on hospitals to improve the quality of patient care, the need for physicians to participate in quality improvement Programs, especially hospital accreditation, has become more important. The present study was conducted to describe challenges of physicians' participation in accreditation programs in Iran using a qualitative approach.Methods. We conducted interviews with 11 managers, 9 physicians, 8 officials and experts in the field of quality management selected through purposive snowball sampling. The initial in-depth unstructured interviews were reviewed and transformed into semi-structured ones. The data obtained were analyzed in ATLAS.ti using the conceptual framework method.Results. 3 main concepts (cultural, organizational, behavioral) and 12 sub-concepts (Motivation, patient demand, mutual trust and evaluation system, high workload, understanding the role of quality management unit, unrealistic accreditation, nature of accreditation, empowerment of physicians in the field of quality, effective communication, resource constraint, ambiguity in the role of uncertainty about participation), And 57 items emerged from the analysis of the data.Conclusion. The implementation of this program can be improved through Culture building, proper accreditation training and quality improvement activities in the medical community helped to implements.

scholarly journals The challenges of physicians’ participation in hospital accreditation programs: a qualitative study in Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hosein Ebrahimipour ◽  
Elahe Hooshmand ◽  
Mehdi Varmaghani ◽  
Javad Javan-Noughabi ◽  
Seyyed Morteza Mojtabaeian
Keyword(s):  
Evaluation System ◽  
Medical Community ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Hospital Accreditation ◽  
High Workload ◽  
Proper Training ◽  
Cultural Domain

Abstract Background Due to the increasing pressure on hospitals to enhance the quality of services, the participation of physicians in accreditation programs has become more important than ever. The present study was conducted to describe challenges of physicians’ participation in hospital accreditation programs in Iran using a qualitative approach. Methods We conducted interviews with 11 managers, 9 physicians and 8 experts in the field of hospital accreditation. Interviewees were selected through purposive snowball sampling. In-depth unstructured and semi-structured interviews were conducted for data collection. The data obtained were analyzed in ATLAS.ti using the conceptual framework method. Results The results of this study extracted 3 main themes including: cultural, organizational and behavioral factors. Also, this study found 12 sub-themes and 57 items. Sub-themes in the cultural domain were motivation, patient demand, mutual trust and evaluation system. The organizational domain consisted of seven sub-themes, including high workload, understanding the role of quality management unit, unrealistic accreditation, nature of accreditation, empowerment of physicians in the field of quality, effective communication, resource constraint. Sub-themes in the behavioral dimension were ambiguity in the role and uncertainty about how to participate in accreditation program. Conclusion Physicians’ participation in accreditation programs can be increased through culture building and proper training about accreditation activities in the medical community.

Factors that hinder quality improvement programs’ implementation in SME

2014 ◽  
Vol 21 (4) ◽  
pp. 690-715 ◽  
Author(s):  
Luís Mendes ◽  
Luís Lourenço
Keyword(s):  
Quality Improvement ◽  
Quality Management ◽  
Quality Management System ◽  
Longitudinal Research ◽  
Manufacturing Sector ◽  
Actual Performance ◽  
Content Type ◽  
Improvement Programs ◽  
Main Factors ◽  
Quality Improvement Programs

Purpose – The purpose of this paper is to focus on the following purposes: first, to identify/analyze the main factors that hinder quality improvement programs’ implementation in SMEs, and second, to test if the level of importance attributed to those factors differ according to firms’ dimension. Design/methodology/approach – A survey was mailed to 600 Portuguese SME randomly selected. Out of the sample, a total of 95 questionnaires were completed and returned, performing a final response rate around 16 per cent. Findings – Findings reached from this research, highlighted seven different factors affecting quality programs: top management's education/training level and priorities, costs and actual performance, lack of support from external agents, human resources’ overload, aversion to change, lack of resources, and culture and training. Furthermore, results suggest that these factors assume greater importance in medium-sized firms, compared to smaller ones. Research limitations/implications – The research focused specifically on the Portuguese manufacturing sector; thus, particular attention should be paid in attempting to generalize results. Moreover it is recognized that further researches may consider exploring longitudinal research designs in order to gain additional insights into the dynamic nature of problems faced. Practical implications – Understanding the main problems that hinder quality improvement programs’ implementation in SME may allow practitioners to plan more effectively their quality management system, especially faced with scarce resources. Originality/value – Quality management issues focus essentially on larger organizations. This paper is the first attempt to systematize the main factors that hinder quality improvement programs’ implementation in small and medium sized firms.

scholarly journals The Knowledge Management Process for Implementing Quality Improvement Programs

2012 ◽  
Vol 62 ◽  
pp. 97-108 ◽  
Author(s):  
Adolfas Kaziliūnas
Keyword(s):  
Knowledge Management ◽  
Quality Improvement ◽  
Quality Management ◽  
Management Strategy ◽  
Iso 9000 ◽  
Management Process ◽  
Learning Mechanisms ◽  
Knowledge Management Strategy ◽  
Improvement Programs ◽  
Quality Improvement Programs

The importance of quality to any and all organizations is well known, and it is necessary to teach employees quality discipline. However, the analysis of literature indicates that many of quality improvement programs are ineffective. This article discusses knowledge management processes for the organizational learning mechanisms that can help to plan and implement quality management programs more successfully. The processes are implemented in sequence for the development of knowledge management in an organization in which user needs and expectations are recognized as an input. The processes are controlled by knowledge management strategy planning, knowledge process, customer and knowledge supplier relationships. The mechanisms are led by a knowledge management leader, knowledge management personnel, and knowledge management system infrastructure. The input is transformed into knowledge management results in terms of users’ needs and expectations of knowledge management outcomes, knowledge management strategy and planning outcomes, knowledge management delivery outcomes. By using the knowledge management process organizations can increase the effectiveness of quality management training.Keywords: quality management, knowledge management, ISO 9000 standards, quality programsŽinių vadybos procesas kokybės gerinimo programoms įgyvendinti Adolfas Kaziliūnas Santrauka Daugelis organizacijų, siekdamos konkurencinio pranašumo, įtraukia kokybės gerinimą į savo stra­teginius tikslus, tačiau literatūros analizė rodo, kad dažnai kokybės gerinimo programos nepasiekia numatytų savo tikslų. Tai dažniausiai atsitinka dėl netikslaus kokybės programų pritaikymo organiza­cijos reikmėms ir netinkamai vykdomo mokymosi proceso. Šio tyrimo tikslas – rasti būdų efektyviau įgyvendinti kokybės gerinimo programas. Tyrimai parodė, kad pasitelkdamos žinių vadybos patirtį organizacijos gali padidinti kokybės gerinimo pro­gramų efektyvumą. Žinių vadybos procesai padeda organizacijai geriau analizuoti, parengti ir įsisavin­ti aktualią organizacijos darbuotojams informaciją. Straipsnyje pateikiamas literatūros analizės pagrin­du parengtas septynių fazių žinių vadybos procesas. Procese nuosekliai išdėstytos veiklos, kurias reikia atlikti rengiant ir įgyvendinant kokybės gerinimo programą. Prieš rengiant šią programą būtina išana­ lizuoti organizacijos darbuotojų mokymosi poreikius ir pagal tai suformuluoti mokymų strategiją. Organi­zacijos vadovai turėtų asmeniškai dalyvauti planuo­jant programą ir pageidautina – mokant darbuotojus. Kokybės gerinimo programos tikslai ir jų pasiekimo planai turi būti aiškiai apibrėžti. Į planavimo proce­są būtina įtraukti vidurinės grandies vadybininkus, nes jie geriausiai pastebi darbuotojų žinių trūkumus. Būtina rimtai vertinti dalies darbuotojų skeptišką požiūrį į mokymų programą ir reaguoti į jų pasta­bas. Labai svarbu mokymosi rezultatų matavimas ir analizė bei nuolatinis grįžtamojo ryšio su programos dalyviais palaikymas. Rezultatų matavimas ir anali­zė turi būti atliekama po kiekvienos esminės proceso fazės: vartotojų poreikių nustatymo, mokymosi stra­tegijos suformulavimo ir planavimo, mokymo planų įgyvendinimo. Reikšminiai žodžiai: kokybės vadyba, žinių va­dyba, kokybės programos, ISO 9000 standartai.

Effectiveness of Multifaceted Hospitalwide Quality Improvement Programs Featuring an Intervention to Remove Unnecessary Urinary Catheters at a Tertiary Care Center in Thailand

2007 ◽  
Vol 28 (7) ◽  
pp. 791-798 ◽  
Author(s):  
Anucha Apisarnthanarak ◽  
Kanokporn Thongphubeth ◽  
Sirinaj Sirinvaravong ◽  
Danai Kitkangvan ◽  
Chananart Yuekyen ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Care Center ◽  
Tertiary Care ◽  
Hospital Costs ◽  
Urinary Catheterization ◽  
Urinary Catheters ◽  
Improvement Program ◽  
Improvement Programs ◽  
Intervention Team ◽  
Quality Improvement Programs

Objective.To evaluate the efficacy of a multifaceted hospitalwide quality improvement program that featured an intervention to remind physicians to remove unnecessary urinary catheters.Methods.A hospitalwide preintervention-postintervention study was conducted over 2 years (July 1, 2004, through June 30, 2006). The intervention consisted of nurse-generated daily reminders that were used by an intervention team to remind physicians to remove unnecessary urinary catheters, beginning 3 days after insertion. Clinical, microbiological, pharmaceutical, and cost data were collected.Results.A total of 2,412 patients were enrolled in the study. No differences were found in the demographic and/or clinical characteristics of patients between the preintervention and postintervention periods. After the intervention, reductions were found in the rate of inappropriate urinary catheterization (mean rate, preintervention vs postintervention, 20.4% vs 11% [P = .04]), the rate of catheter-associated urinary tract infection (CA-UTI) (mean rate, 21.5 vs 5.2 infections per 1,000 catheter-days [P <.001]), the duration of urinary catheterization (mean, 11 vs 3 days [P < .001]), and the total length of hospitalization (mean, 16 vs 5 days [P < .001]). A linear relationship was seen between the monthly average duration of catheterization and the rate of CA-UTI (r = 0.89; P < .001). The intervention had the greatest impact on the rate of CA-UTI in the intensive care units (mean rate, preintervention vs postintervention, 23.4 vs 3.5 infections per 1,000 catheter-days [P = .01]). The monthly hospital costs for antibiotics to treat CA-UTI were reduced by 63% (mean, $3,739 vs $1,378 [P < .001]), and the hospitalization cost for each patient during the intervention was reduced by 58% (mean, $366 vs $154 [P < .001]).Conclusions.This study suggests that a multifaceted intervention to remind physicians to remove unnecessary urinary catheters can significantly reduced the duration of urinary catheterization and the CA-UTI rate in a hospital in a developing country.

scholarly journals BIAYA KUALITAS DAN KOMPQNENNYA PADA BAD AN USAHA PERAIH ISO 9000 DI KAWASAN INDUSTRI SIER DAN PIER

2005 ◽  
Vol 4 (1) ◽  
Author(s):  
Stefanus Budy Widjaja Subali ◽  
Yie Ke Feliana
Keyword(s):  
Quality Improvement ◽  
Iso 9000 ◽  
Cost Driver ◽  
Quality Costs ◽  
Activity Cost ◽  
Improvement Programs ◽  
Quality Improvement Programs

Quality has become an important competitive dimension for all organization. Recently, -the emphasis on quality has shifted from a source of strategic advantage to a compepetive necessity As the companies implement quality-improvement programs,one of those is. ISO 9000, a need arises to monitor and report on the progress of these programs. Managers r need to know about the quality costs and the component of quality costs. The component of quality costs include prevention, appraisal, internal failure and external failure costs. This article describes how the companies that were awarded ISO 9000 define the quality costs, what items to be included in the each component of quality costs and how the composition of each component of quality activity cost driver is.

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