scholarly journals Acreditação hospitalar e o enfrentamento ao covid-19

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Humberto De Moraes Novaes
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Historical Review ◽  
Hospital Accreditation ◽  
The Past ◽  
Current Reality

Esta resenha histórica pretende recordar os desafios para implementar qualidade na assistência nos hospitais brasileiros. Várias iniciativas foram propostas nos últimos 30 anos, mas a realidade atual ainda demonstra a grande necessidade de que muitas ações se têm por fazer. Esperamos que o alerta trazido pelo coronavírus possa estimular as mudanças necessárias para estas transformações.Palavras-chave: Gestão de qualidade em saúde; Acreditação hospitalar; Pandemia pelo novo coronavíruis (2019-nCoV) ABSTRACTThis historical review intends to recall the challenges to implement quality of care in Brazilian hospitals. Several initiatives have been proposed in the past 30 years, but the current reality still demonstrates the great need for many actions to be done. We hope that the alert brought by the coronavirus can stimulate the necessary changes for these transformations.Keywords: Quality Management; Hospital accreditation; New Coronavirus Pandemic (2019-nCoV)

scholarly journals Satisfaction With Health Care by Dual Sensory Impairment Status

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 798-798
Author(s):  
Lama Assi ◽  
Ahmed Shakarchi ◽  
Bonnielin Swenor ◽  
Nicholas Reed
Keyword(s):  
Quality Of Care ◽  
Healthcare Providers ◽  
Health Determinants ◽  
Sensory Impairment ◽  
Medicare Beneficiaries ◽  
The Past ◽  
Patient Provider Communication ◽  
Care Satisfaction ◽  
Dual Sensory Impairment

Abstract Sensory impairment is a barrier to patient-provider communication and access to care, which may impact satisfaction with care. Satisfaction with the quality of care received in the past year was assessed in the 2017 Medicare Current Beneficiary Survey (weighted sample=53,905,182 Medicare beneficiaries). Self-reported sensory impairment was categorized as no sensory impairment, hearing impairment (HI)-only, vision impairment (VI)-only, and dual sensory impairment (DSI) – concurrent HI and VI. In a model adjusted for sociodemographic characteristics and health determinants, having DSI was associated with higher odds of dissatisfaction with the quality of care received (Odds Ratio [OR]=1.53, 95%Confidence Interval [CI]=1.14-2.06) relative to no sensory impairment; however, having HI-only or VI-only were not (OR=1.33, 95%CI=1.94-1.89, and OR=1.32, 95%CI=0.95-1.93, respectively). These findings have implications for healthcare providers as Medicare shifts to value-based reimbursement. Moreover, previous work that singularly focused on HI or VI alone may have failed to recognize the compounded effect of DSI.

The impact of leadership churn on quality management in Australian hospitals

2019 ◽  
Vol 33 (7/8) ◽  
pp. 809-820
Author(s):  
Sandra Leggat ◽  
Cathy Balding
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Quality Indicators ◽  
Health Sector ◽  
Quality System ◽  
Board Members ◽  
Governing Board ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to explore the relationship between frequent turnover (churn) of the chief executive officer (CEO), quality manager and members of the governing board with the management of quality in eight Australian hospitals. Design/methodology/approach A mixed method three-year longitudinal study was conducted using validated quality system scales, quality indicators and focus groups involving over 800 board members, managers and clinical staff. Findings There were unexpected high levels of both governance and management churn over the three years. Churn among CEOs and quality managers was negatively associated with compliance in aspects of the quality system used to plan, monitor and improve quality of care. There was no relationship with the quality of care indicators. Staff identified lack of vision and changing priorities with high levels of churn, which they described as confusing and demotivating. There was no relationship with quality processes or quality indicators detected for churn among governing board members. Practical implications Governing boards must recognise the risks associated with management change and minimise these risks with robust clinical governance processes. Originality/value This research is the first that we are aware of that identifies the impact of frequent leadership turnover in the health sector on quality management.

Strategies for Reducing Medical Costs by Changing Physicians' Behavior: Efficacy and Impact on Quality of Care

1987 ◽  
Vol 3 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Steven A. Schroeder
Keyword(s):  
Quality Of Care ◽  
Medical Costs ◽  
The Past ◽  
Cost Reductions

During the past two decades a great deal has been learned about the role of physicians in generating medical costs and about ways of changing physicians' behavior so as to reduce those costs (8;10;19;30;34). Unfortunately, very little is known about how cost reductions affect the quality of care.

scholarly journals What’s he building? Activating the utopian imagination with Trump

Organization ◽  
2018 ◽  
Vol 25 (5) ◽  
pp. 671-680 ◽  
Author(s):  
Christian De Cock ◽  
Sine N. Just ◽  
Emil Husted
Keyword(s):  
Traumatic Event ◽  
Reality Tv ◽  
Special Series ◽  
The Past ◽  
Dialectical Approach ◽  
The Us ◽  
Set Up ◽  
Current Reality

Can one sell any positive value of Trump’s presidency to an academic audience? The editors of this special series invited polemical essays, but maybe asking readers to consider the merit of Trump is going a little too far? We put forward the argument here that as critical scholars we simply cannot allow ourselves to be swept up in the bien-pensant tide of Trump-trashing, which has almost become as addictive as the current reality-TV quality of the US presidency itself. As Roitman has suggested in a different context, ‘the concept of crisis is crucial to the “how” of thinking otherwise’. Thus, we believe it crucial to seize the crisis of the Trump presidency as an opportunity to activate the utopian imagination, rather than an occasion for moralizing judgements or regressive nostalgia which would effectively mean aligning ourselves with the neo-liberal consensus many of us spent our careers critiquing. We further argue that Fredric Jameson’s notion of the dialectic may refresh our critical conceptual arsenal in these disorienting times. This dialectical approach is meant to alter not only how we see reality, but also what we think we can do with it. It enables us to see the traumatic event of Trump’s election as providing a form and space through which contradictions that have been locked firmly into place in our socioeconomic set-up over the past few decades have become much more malleable, partly because of their increased visibility.

scholarly journals Combined quality function deployment and logical framework analysis to improve quality of emergency care in Malta

2016 ◽  
Vol 29 (2) ◽  
pp. 123-140 ◽  
Author(s):  
Sandra Catherine Buttigieg ◽  
Prasanta Kumar Dey ◽  
Mary Rose Cassar
Keyword(s):  
Quality Improvement ◽  
Quality Of Care ◽  
Quality Management ◽  
Quality Function Deployment ◽  
Patient Flow ◽  
Healthcare Quality ◽  
Improve Quality ◽  
Logical Framework ◽  
Content Type

Purpose – The purpose of this paper is to develop an integrated patient-focused analytical framework to improve quality of care in accident and emergency (A & E) unit of a Maltese hospital. Design/methodology/approach – The study adopts a case study approach. First, a thorough literature review has been undertaken to study the various methods of healthcare quality management. Second, a healthcare quality management framework is developed using combined quality function deployment (QFD) and logical framework approach (LFA). Third, the proposed framework is applied to a Maltese hospital to demonstrate its effectiveness. The proposed framework has six steps, commencing with identifying patients’ requirements and concluding with implementing improvement projects. All the steps have been undertaken with the involvement of the concerned stakeholders in the A & E unit of the hospital. Findings – The major and related problems being faced by the hospital under study were overcrowding at A & E and shortage of beds, respectively. The combined framework ensures better A & E services and patient flow. QFD identifies and analyses the issues and challenges of A & E and LFA helps develop project plans for healthcare quality improvement. The important outcomes of implementing the proposed quality improvement programme are fewer hospital admissions, faster patient flow, expert triage and shorter waiting times at the A & E unit. Increased emergency consultant cover and faster first significant medical encounter were required to start addressing the problems effectively. Overall, the combined QFD and LFA method is effective to address quality of care in A & E unit. Practical/implications – The proposed framework can be easily integrated within any healthcare unit, as well as within entire healthcare systems, due to its flexible and user-friendly approach. It could be part of Six Sigma and other quality initiatives. Originality/value – Although QFD has been extensively deployed in healthcare setup to improve quality of care, very little has been researched on combining QFD and LFA in order to identify issues, prioritise them, derive improvement measures and implement improvement projects. Additionally, there is no research on QFD application in A & E. This paper bridges these gaps. Moreover, very little has been written on the Maltese health care system. Therefore, this study contributes demonstration of quality of emergency care in Malta.

scholarly journals The model final results how the method of complex evaluation of improving quality of care in obstetrics

2016 ◽  
Vol 65 (6) ◽  
pp. 109-115
Author(s):  
Konstantin V Yaroslavsky ◽  
Vladimir O Atlasov ◽  
Vyacheslav M Bolotskykh
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Total Quality Management ◽  
Continuous Improvement ◽  
Integrated Assessment ◽  
Total Quality ◽  
Advantages And Disadvantages ◽  
Complex Evaluation ◽  
Quality Of Medical Care

The article considers the issues of managing quality of medical care in obstetrics, the aim of which is to consider different management models, their advantages and disadvantages. Described the system of total quality management based on the needs of the patient. The presented method models outputs and its use in obstetric institution for integrated assessment activities and ensure continuous improvement and improve the quality of care. The calculation of the performance of the obstetric hospital and dynamic analysis of their effectiveness.

scholarly journals Performance and trend for quality of service in a large HIV/AIDS treatment program in Nigeria

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Ahmad Aliyu ◽  
Samer El-Kamary ◽  
Jessica Brown ◽  
Bruce Agins ◽  
Nicaise Ndembi ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Management ◽  
Patient Outcomes ◽  
Health Facilities ◽  
Rate Of Change ◽  
Resource Limited Settings ◽  
Trend Line ◽  
Resource Limited ◽  
Hiv Aids

Abstract Background As antiretroviral therapy (ART) programs expand access, there is an increase in burden to a healthcare system. These results are reduced provider-patient contact time and poor programmatic and patient outcomes. Quality management offers providers a standardized approach for addressing the appropriateness of care to be applied in resource-limited settings. This study aimed to determine the trend of performance on HIV/AIDS quality management indicators of health facilities providing ART over a period of 5 years. Methods The annual performance scores of quality of care (QoC) indicators of 31 health facilities providing ART was extracted from a database covering a period of 5 years (from October 2008 to September 2012). The data are percentages that indicate scores of each health facility assessed based on compliance to National ART guidelines categorized into several indicator domains. A Chi square statistic for the trend, as well as test for departure from the trend line was determined. The p value associated with each indicator provides the significant level for testing an alternative hypothesis that the rate of change over the period considered for that indicator does not equal to zero. The slope of the regression line also gives the magnitude of the rate of change for each indicator by healthcare level across the review period. Results Generally, performance trends showed improvement across most indicator domains. The highest improvement occurred for “3 month loss to follow-up” and “1 year no-visit”, with scores declining from 37 to 3%, and 42% to 12% respectively. However, there was a sharp decline in performance between 2010 and 2012 in weight monitoring of patients (p < 0.01), adherence assessment to ARVs (p < 0.01) and hematocrit measurements (p = 0.01). The aggregate rate of change β, as obtained from the slope of the trend line is highly significant (p < 0.01) for all the quality of care indicators considered, whether improving or declining. Conclusion Periodic assessment to determine HIV/AIDS quality of care can guide rapid scale-up of services to achieve universal coverage in resource-limited settings. Determining trends to understand patterns is very useful for improving programmatic and patient outcomes.

Integration Between Knowledge Management and Total Quality Management in Jordanian Universities

2018 ◽  
pp. 256-295
Author(s):  
Issa Mahmoud Shehabat ◽  
Mohammad Berrish
Keyword(s):  
Knowledge Management ◽  
Quality Management ◽  
Customer Satisfaction ◽  
Total Quality Management ◽  
Continuous Improvement ◽  
Strong Correlation ◽  
Total Quality ◽  
Management Philosophy ◽  
The Past

Resulting from the development of management theory in the past few years, knowledge management has emerged, which is identifying information of value and how to use it well, as well as understanding cognitive assets of an organization and how to exploit them. Knowledge management is important and necessary for the survival of an organization and its superiority. It can be integrated into the philosophy of total quality management to play a role in the development of the basis of performance of modern organizations. The total quality management philosophy seeks to achieve customer satisfaction through the commitment of the leadership of an organization and its workers by a process of continuous improvement of the quality of performance in various aspects of an organization. This chapter aims to identify the integration between knowledge management and total quality management, when applied to public Jordanian universities as a sample for the study. The chapter found the presence of integrity and a strong correlation between knowledge management and total quality management.

scholarly journals The perceptions of Kwazulu-Natal nursing students about the discipline

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
LR Uys
Keyword(s):  
Quality Of Care ◽  
Nursing Students ◽  
Working Conditions ◽  
Student Nurses ◽  
Descriptive Study ◽  
The Past ◽  
Kwazulu Natal ◽  
Depth Interviews ◽  
Realistic Appraisal

This article reports on a descriptive study aimed at exploring the perceptions of student nurses about the past, present and future of the discipline. In-depth interviews with 12 students from KwaZulu- Natal were transcribed and analysed. Students showed a realistic appraisal of the discipline. They valued the essence of the profession, and were positive about their work and their training. They felt, however that nurses are not treated well by others, that the working conditions are poor and the quality of care often bad. They saw their current role as more autonomous than in the past, and saw the nurse as moving more into the community, becoming more specialised, and more entrepreneurial in future. They saw the challenges of the future in the areas of quality of care, improving training, recognition of the profession, and management, and dealing with the problem of HIV/AIDS.

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