Towards Whole System Improvement

FORUM ◽  
2012 ◽  
Vol 54 (3) ◽  
pp. 411 ◽  
Author(s):  
RON GLATTER
Keyword(s):  
System Improvement

Improvement of horizontal borer control system

2020 ◽  
Vol 2020 (7) ◽  
pp. 41-48
Author(s):  
Dmitriy Petreshin ◽  
Viktor Khandozhko ◽  
Andrey Dubov ◽  
German Dobrovolsky
Keyword(s):  
Control System ◽  
Machine Tool ◽  
Feed Drive ◽  
Feed Drives ◽  
System Improvement

The control system improvement of a machine-tool is considered. The necessity in control system updating is substantiated. There is shown a procedure for horizontal borer updating. A problem on adjustment of modern digital electrical feed drives is presented. A sample of electrical feed drive and NC device adjustment is presented.

LEADERSHIP AND MANAGEMENT OF EDUCATION INSTITUTIONS IN IMPROVING HUMAN RESOURCES IN INDONESIA

2018 ◽  
Vol 1 (3) ◽  
pp. 38-55
Author(s):  
M. Ihsan Dacholfany ◽  
Eko Susanto ◽  
Andi Noviandi
Keyword(s):  
Human Resources ◽  
Evaluation System ◽  
Educational Institutions ◽  
Academic Excellence ◽  
Educational Facilities ◽  
Leadership And Management ◽  
Education Industry ◽  
System Improvement ◽  
The Government

Educational institutions in Indonesia are expected to produce superior human resources and compete to have insight into science and technology. To achieve this expectation, educational institutions should strive and play a role in optimizing and achieving academic excellence, particularly in education, industry relevance, for new knowledge contribution, and for empowerment. Recognizing the importance of the process of improving the quality of human resources, the government, managers of educational institutions, educators and learners in Indonesia are striving to achieve the goals, vision and mission through various activities to build a better quality education through the development of human resources development and improvement of curriculum and evaluation system, improvement of educational facilities, the development and procurement of teaching materials, and training for teachers and education personnel to be more advanced and developed than other countries.

scholarly journals WORK SAFETY SYSTEM IMPROVEMENT IN CONSTRUCTION / DARBŲ SAUGOS SISTEMOS TOBULINIMAS STATYBOJE

2011 ◽  
Vol 3 (2) ◽  
pp. 26-29
Author(s):  
Eglė Klumbytė
Keyword(s):  
Risk Assessment ◽  
Evaluation System ◽  
Occupational Safety ◽  
Safety System ◽  
System Model ◽  
Efficiency Improvement ◽  
Work Safety ◽  
Model Risk ◽  
Construction Companies ◽  
System Improvement

This article gives an overview of the statistics on accidents at work. The paper contains the methods for improvement of the occupational safety system and gives a description of the development and implementation of an integrated evaluation system model. Risk assessment is presented and specific measures for efficiency improvement of occupational safety at construction companies are introduced.

A first step in system improvement: a survey of Early Psychosis Intervention Programmes in Ontario

2014 ◽  
Vol 10 (6) ◽  
pp. 485-493 ◽  
Author(s):  
Janet Durbin ◽  
Avra Selick ◽  
Deborah Hierlihy ◽  
Sarah Moss ◽  
Chiachen Cheng
Keyword(s):  
Early Psychosis ◽  
System Improvement

scholarly journals How to do no harm: empowering local leaders to make care safer in low-resource settings

2021 ◽  
Vol 106 (4) ◽  
pp. 333-337
Author(s):  
Charles A Vincent ◽  
Mwanamvua Mboga ◽  
David Gathara ◽  
Fred Were ◽  
Rene Amalberti ◽  
...  
Keyword(s):  
Low Cost ◽  
Essential Element ◽  
Improve Patient Care ◽  
Companion Paper ◽  
Team Meetings ◽  
Safety Improvement ◽  
Do No Harm ◽  
Drug Doses ◽  
System Improvement ◽  
Local Leaders

In a companion paper, we showed how local hospital leaders could assess systems and identify key safety concerns and targets for system improvement. In the present paper, we consider how these leaders might implement practical, low-cost interventions to improve safety. Our focus is on making immediate safety improvements both to directly improve patient care and as a foundation for advancing care in the longer-term. We describe a ‘portfolio’ approach to safety improvement in four broad categories: prioritising critical processes, such as checking drug doses; strengthening the overall system of care, for example, by introducing multiprofessional handovers; control of known risks, such as only using continuous positive airway pressure when appropriate conditions are met; and enhancing detection and response to hazardous situations, such as introducing brief team meetings to identify and respond to immediate threats and challenges. Local clinical leaders and managers face numerous challenges in delivering safe care but, if given sufficient support, they are nevertheless in a position to bring about major improvements. Skills in improving safety and quality should be recognised as equivalent to any other form of (sub)specialty training and as an essential element of any senior clinical or management role. National professional organisations need to promote appropriate education and provide coaching, mentorship and support to local leaders.

Trying to Improve Care: The Morbidity and Mortality Conference in a Division of Rheumatology

2014 ◽  
Vol 41 (12) ◽  
pp. 2452-2458 ◽  
Author(s):  
Michelle Batthish ◽  
Shirley M.L. Tse ◽  
Brian M. Feldman ◽  
G. Ross Baker ◽  
Ronald M. Laxer
Keyword(s):  
Adverse Events ◽  
Test Procedure ◽  
Morbidity And Mortality ◽  
Error Reporting ◽  
Descriptive Data ◽  
Medication Error Reporting ◽  
Morbidity And Mortality Conference ◽  
System Improvement ◽  
Sick Children ◽  
Mortality Conference

Objective.To describe the frequency and types of reported adverse events and system improvement recommendations in the Morbidity and Mortality Conference (M&MC) within the Division of Rheumatology at The Hospital for Sick Children, Toronto, Ontario, Canada (SickKids).Methods.A 5-year retrospective review of the M&MC within the Division of Rheumatology at SickKids was completed. Descriptive data including the number and types of events reported were collected. Events were categorized using an adaptation of the National Coordinating Council for Medication Error Reporting and Prevention Index. Recommendations were classified according to the Institute for Safe Medication Practices Canada.Results.Between January 2007 and December 2011, 30 regularly scheduled M&MC were held. Eighty-three cases were reviewed. The most common types of reported events were related to “miscommunication” (34.9%), “treatment/test/procedure” (22.9%), “adverse drug reactions” (12.0%), and “medication errors” (8.4%). Category A events (“an event that has the capacity to cause error”) were the most common with 39.8% of the cases, followed by Category C events (“an event occurred that reached the patient, but did not cause harm”) with 28.9%. Eighty-nine recommendations were made. Over half of these were classified as “information” (58.4%), followed by 11 “rules and policies” recommendations (12.4%). Of the 36 action items generated from these recommendations, most are either complete or ongoing.Conclusion.The M&MC within the Division of Rheumatology reviews a variety of events. Increased reporting of adverse events can lead to system improvements, and has the potential to improve and promote safer healthcare.

Sign in / Sign up

Export Citation Format

Share Document