Quality Improvement in the Fabrication of Railway Components-Case Studies

1994 ◽  
Vol 27 (3) ◽  
pp. 16
Author(s):  
N. K. Sarkar
Keyword(s):  
Quality Improvement ◽  
Case Studies

scholarly journals An evaluation of the implementation of quality improvement (QI) in primary care dentistry: a multi-method approach

2021 ◽  
Vol 10 (2) ◽  
pp. e000839
Author(s):  
Heather Cassie ◽  
Vinay Mistry ◽  
Laura Beaton ◽  
Irene Black ◽  
Janet E Clarkson ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Case Studies ◽  
Quality Care ◽  
Theoretical Domains Framework ◽  
Team Members ◽  
Knowledge And Skills ◽  
Scottish Government ◽  
The Impact

ObjectivesEnsuring that healthcare is patient-centred, safe and harm free is the cornerstone of the NHS. The Scottish Patient Safety Programme (SPSP) is a national initiative to support the provision of safe, high-quality care. SPSP promotes a coordinated approach to quality improvement (QI) in primary care by providing evidence-based methods, such as the Institute for Healthcare Improvement’s Breakthrough Series Collaborative methodology. These methods are relatively untested within dentistry. The aim of this study was to evaluate the impact to inform the development and implementation of improvement collaboratives as a means for QI in primary care dentistry.DesignA multimethod study underpinned by the Theoretical Domains Framework and the Kirkpatrick model. Quantitative data were collected using baseline and follow-up questionnaires, designed to explore beliefs and behaviours towards improving quality in practice. Qualitative data were gathered using interviews with dental team members and practice-based case studies.ResultsOne hundred and eleven dental team members completed the baseline questionnaire. Follow-up questionnaires were returned by 79 team members. Twelve practices, including two case studies, participated in evaluation interviews. Findings identified positive beliefs and increased knowledge and skills towards QI, as well as increased confidence about using QI methodologies in practice. Barriers included time, poor patient and team engagement, communication and leadership. Facilitators included team working, clear roles, strong leadership, training, peer support and visible benefits. Participants’ knowledge and skills were identified as an area for improvement.ConclusionsFindings demonstrate increased knowledge, skills and confidence in relation to QI methodology and highlight areas for improvement. This is an example of partnership working between the Scottish Government and NHSScotland towards a shared ambition to provide safe care to every patient. More work is required to evaluate the sustainability and transferability of improvement collaboratives as a means for QI in dentistry and wider primary care.

scholarly journals Accounting for quality improvement during the conduct of embedded pragmatic clinical trials within healthcare systems: NIH Collaboratory case studies

Healthcare ◽  
2021 ◽  
Vol 8 ◽  
pp. 100432
Author(s):  
Leah Tuzzio ◽  
Catherine M. Meyers ◽  
Laura M. Dember ◽  
Corita R. Grudzen ◽  
Edward R. Melnick ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Quality Improvement ◽  
Case Studies ◽  
Healthcare Systems ◽  
Pragmatic Clinical Trials

scholarly journals Seeing the quality improvement forest through the quality improvement trees: A meta-synthesis of case studies in Florida and Georgia

2019 ◽  
Vol 7 ◽  
pp. 205031211984570 ◽  
Author(s):  
William C Livingood ◽  
Lori Bilello ◽  
Katryne Lukens-Bull
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Case Studies ◽  
Group Dynamics ◽  
Critical Role ◽  
Lessons Learned ◽  
Quality Improvement Intervention ◽  
Dissemination And Implementation ◽  
Evidence Based ◽  
Healthcare Settings

Objectives: To identify important characteristics of quality improvement applications for population health and healthcare settings and to explore the use of quality improvement as a model for implementing and disseminating evidence-based or best practices. Methods: A meta-synthesis was used to examine published quality improvement case studies. A total of 10 published studies that were conducted in Florida and Georgia were examined and synthesized using meta-synthesis (a qualitative research methodology) for meaningful insights and lessons learned using defined meta-synthesis inclusion criteria. The primary focus of the analysis and synthesis were the reported processes and findings that included responses to structured questioning in addition to emergent results from direct observation and semi-structured open-ended interviewing. Results: The key insights for the use of quality improvement in public health and healthcare settings included (1) the essential importance of data monitoring, analysis, and data-based decision making; (2) the need to focus on internal mutable factors within organizations; (3) the critical role of quality improvement team group dynamics; (4) the value of using a quality improvement collaborative or multi-clinic quality council/committee for sharing and comparing performance on key metrics; and (5) the need to identify a quality improvement approach and methods for clarification as a structured quality improvement intervention. Conclusion: In addition to the advantages of using quality improvement to enhance or improve healthcare and public health services, there is also potential for quality improvement to serve as a model for enhancing the adoption of evidence-based practices within the context of dissemination and implementation research.

scholarly journals Implications and Recommendations From a Project ECHO Series on Aging With IDD

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 434-434
Author(s):  
Jenni Mathews ◽  
Faith Helm
Keyword(s):  
Quality Improvement ◽  
Family Caregivers ◽  
Case Studies ◽  
Work Setting ◽  
Knowledge Gain ◽  
Project Echo ◽  
Essential Components ◽  
The Us ◽  
Case Presentations ◽  
Scale Data

Abstract Ongoing evaluations of innovative educational programs provide opportunities for quality improvement. This paper reports results from a Project ECHO series on lifelong IDD and dementia. Participant responses (n = 85) were collected from spoke sites in various settings across the US. Using a 5-point (5 very effective) Likert scale, data were collected from assessment items on 4 didactic presentations and 5 case studies representing essential components of the ECHO model. Overall scores by spoke sites for satisfaction with the didactic and case presentations ranged from 3.94 to 4.94; relevance of case studies to the work setting ranged from 4.0 to 4.75. Knowledge gain questions showed consistently positive directionality. As a result of their participation, spokes rated intent to provide better care for patients (57% to 88%), train staff (62% to 81%), and educate family/caregivers (57% to 88%). Implications of findings for the application of quality improvement methods are discussed.

Introducing Case Studies in Health Information Management

1997 ◽  
Vol 27 (1) ◽  
pp. 44-44
Keyword(s):  
Quality Improvement ◽  
Health Information ◽  
Case Studies ◽  
Information Management ◽  
Financial Planning ◽  
Industrial Relations ◽  
Education Services ◽  
Communication Difficulties ◽  
Workplace Restructuring

In this issue we begin publication of a series of case studies prepared by HIMAA Education Services. Each case study highlights situations and problems that may confront health information managers in their work. The series will deal with human resource management, industrial relations, communication difficulties, financial planning, workplace restructuring, and quality improvement. Suggestions for other topics or outlines for case studies from readers are encouraged and welcomed.

Coproduction: a personal journey

2015 ◽  
Vol 20 (4) ◽  
pp. 267-278 ◽  
Author(s):  
Susan Fairlie
Keyword(s):  
Quality Improvement ◽  
Case Studies ◽  
Design Science ◽  
Lessons Learned ◽  
Content Type ◽  
Individual Level ◽  
Personal Reflections ◽  
The Impact ◽  
Staff Engagement ◽  
Wisdom Of The Crowds

Purpose – The purpose of this paper is to offer some personal reflections and experience of using coproduction in the NHS. The purpose is to demystify coproduction and it is hoped that sharing personal experience will encourage others who may be contemplating using this approach in their quality improvement work. Design/methodology/approach – Informed by underpinning literature, the approach is a combination of sharing case studies that span several decades at both the macro and micro level. Whilst several of the examples used are not mental health specific, they are equally applicable in this setting. Findings – Coproduction principles can be used at all levels of the health and care system and are generally empowering for those involved. By soliciting insights from those who would not normally have a voice, it can help to overcome blind spots and produce better products and services. There is a correlation between staff engagement and patient outcomes which provides compelling evidence for coproduction approaches to be incorporated into organisational practice. Furthermore, patients and service users should no longer be considered as passive recipients of care but as an integral component of quality improvement processes. Originality/value – The case studies offer examples of using coproduction at a national, organisational and individual level. In particular, the lessons learned from design science such as “thinking like an anthropologist” are shared. The distinction is made between patient satisfaction and patient experience and the impact that coproduction can have on organisational culture is discussed. By mobilising resources, knowledge and expertise across communities, coproduction capitalises on the “wisdom of the crowds” philosophy.

scholarly journals Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies

2021 ◽  
pp. bmjqs-2021-013065
Author(s):  
David Wright ◽  
John Gabbay ◽  
Andrée Le May
Keyword(s):  
Quality Improvement ◽  
Case Studies ◽  
Care Quality ◽  
Snowball Sampling ◽  
Healthcare Staff ◽  
Frontline Staff ◽  
Care Quality Commission ◽  
Nuanced Understanding ◽  
Practice Knowledge ◽  
The Right

BackgroundPrevious studies have detailed the technical, learning and soft skills healthcare staff deploy to deliver quality improvement (QI). However, research has mainly focused on management and leadership skills, overlooking the skills frontline staff use to improve care. Our research explored which skills mattered to frontline health practitioners delivering QI projects.Study designWe used a theory-driven approach, informed by communities of practice, knowledge-in-practice-in-context and positive deviance theory. We used case studies to examine skill use in three pseudonymised English hospital Trusts, selected on the basis of Care Quality Commission rating. Seventy-three senior staff orientation interviews led to the selection of two QI projects at each site. Snowball sampling obtained a maximally varied range of 87 staff with whom we held 122 semistructured interviews at different stages of QI delivery, analysed thematically.ResultsSix overarching ‘Socio-Organisational Functional and Facilitative Tasks’ (SOFFTs) were deployed by frontline staff. Several of these had to be enacted to address challenges faced. The SOFFTs included: (1) adopting and promulgating the appropriate organisational environment; (2) managing the QI rollercoaster; (3) getting the problem right; (4) getting the right message to the right people; (5) enabling learning to occur; and (6) contextualising experience. Each task had its own inherent skills.ConclusionOur case studies provide a nuanced understanding of the skills used by healthcare staff. While technical skills are important, the ability to judge when and how to use wider skills was paramount. The provision of QI training and fidelity to the improvement programme may be less of a priority than the deployment of SOFFT skills used to overcome barriers. QI projects will fail if such skills and resources are not accessed.

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