scholarly journals Mind the gap: Improving the performance of the reference laboratory to end-tuberculosis in Armenia

2019 ◽  
Vol 13 (05.1) ◽  
pp. 010S-015S
Author(s):  
Viktorya Cholakyans ◽  
Eduard Kabasakalyan ◽  
Olga Denisiuk ◽  
Kristina Akopyan ◽  
Karapet Davtyan ◽  
...  
Keyword(s):  
Quality Management ◽  
Quality Indicators ◽  
Customer Service ◽  
Management System ◽  
Quality Management System ◽  
Laboratory Data ◽  
Cross Sectional Study ◽  
Reference Laboratory ◽  
Cross Sectional ◽  
Quality Diagnosis

Introduction: A one of the step towards achieving TB related targets is to ensure early and quality diagnosis of TB in national laboratories. WHO recommends that all national reference laboratories in TB burden countries strive to reach accreditation by 2025, based on ISO15189:2012 quality management system standard. To identify gaps, progress and evaluated the evolution in implementation QMS we performed a formal assessment of the national TB reference laboratory of Armenia, as well as estimates the specific quality indicators of NRL activity. Methodology: This is retrospective study cross-sectional study using laboratory data from the National TB Reference Laboratory in Armenia. Quality Management System assessments was conducted twice a year, using TB SLMTA assessment checklist. The sputum rejection and culture rates for quality indicators are calculated and assessed monthly. Results: Compared to the baseline in 2016, there was a quality improvement reflecting the progress from zero to a “one star” in 2018. Areas that reached half of the target score included document and records, management review and responsibilities, evaluation and audits. Sections as “client management and customer service” and “evaluation and audits” stagnated in terms of progress. In terms of NRL performace, all indicators improved except for culture positivity in smear negative tuberculosis. Conclusion: Although a quality management system was introduced in the NRL there is now an urgent need to develop and implement an adapted roadmap for Armenia. This will be vital to hasten the much-needed pace towards accreditation.

Assessing hospital quality management systems: evidence from Iran

2019 ◽  
Vol 32 (1) ◽  
pp. 87-96 ◽  
Author(s):  
Ehsan Zarei ◽  
Soghra Karimi ◽  
Soad Mahfoozpour ◽  
Sima Marzban
Keyword(s):  
Quality Management ◽  
Management System ◽  
Quality Management System ◽  
Pearson Correlation ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Content Type ◽  
The Difference

Purpose A quality management system (QMS) is defined as interacting activities, methods and procedures used to monitor, control and improve service quality. The purpose of this paper is to describe the QMS status using the Quality Management System Index (QMSI) in hospitals affiliated to Shahid Beheshti Medical Sciences University in Tehran, Iran. Design/methodology/approach In this cross-sectional study, 28 hospitals were investigated. A validated 46-item questionnaire was used for data collection. Data were analyzed using descriptive statistics, Pearson correlation, independent student’s t-test and regression analysis. Findings The mean QMSI score was 18.4: 15.3 for public and 20.9 for non-public hospitals (p=0.001). The lowest (1.96) and the highest (2.14) scores related to “Quality policy documents” and “Quality monitoring by the board,” respectively. The difference between public and non-public hospitals was significant in all nine QMSI dimensions (p=0.001). The QMSI score was higher in non-public and small hospitals than in public and large ones (p=0.05). Originality/value Most QMS studies come from developed countries, and there is no systematic information about the mechanisms and processes involved in implementing QMS in developing countries like Iran. This is the first study on Iranian hospital QMS using a newly developed tool (QMSI), and results showed that QMS maturity in these hospitals was relatively good, but the non-public hospitals status (private and charity) was far better than public hospitals.

scholarly journals Do organization-level quality management systems influence department-level quality? A cross-sectional study across 32 large hospitals in Australia

2020 ◽  
Vol 32 (Supplement_1) ◽  
pp. 35-42
Author(s):  
Natalie Taylor ◽  
Robyn Clay-Williams ◽  
Hsuen P Ting ◽  
Gaston Arnolda ◽  
Teresa Winata ◽  
...  
Keyword(s):  
Quality Management ◽  
Management System ◽  
Quality Management System ◽  
Management Strategies ◽  
Hospital Quality ◽  
Management Systems ◽  
Quality Systems ◽  
Cross Sectional ◽  
Quality Management Systems ◽  
Organization Level

Abstract Objective Little is known about the influence that hospital quality systems have on quality at department level, in Australia and elsewhere. This study assessed the relationships between organizational-level quality management systems, and the extent to which hospital-level quality management systems and department-level quality management strategies are related. Design A multi-level, cross-sectional, mixed-method study. Setting and participants As part of the Deepening our Understanding of Quality in Australia (DUQuA) project, we invited all large hospitals in Australia (~200 or more beds) which provided acute myocardial infarction (AMI), hip fracture and stroke care. The quality managers of these hospitals were the respondents for one of seven measures of hospital quality management systems and strategies. Data across the six remaining measures were collected through site visits by external surveyors assessing the participating hospitals. Main outcome measures Relationships were assessed between three organization-level quality management system measures: a self-report measure assessing organization-level quality activities (quality management systems index, QMSI); externally assessed organization-level compliance to procedures used to plan, monitor and improve quality of care (quality management compliance index, QMCI); and externally assessed implementation of quality systems (clinical quality implementation index, CQII). Associations were also assessed between organization-level quality management systems and department-level quality management strategies: how clinical responsibilities are assigned for a particular condition; whether department organization processes are organized to facilitate evidence-based care recommendations; compliance with selected recommendations of international agencies; and whether clinical reviews are performed systematically. Results Of 78 invited hospitals, 32 participated in the study. QMSI was positively associated with QMCI and CQII, but after controlling for QMSI, no relationship was found between QMCI and CQII. There appears to be a cluster of relationships between QMSI and department-level measures, but this was not consistent across all departments. Conclusion This is the first national study undertaken in Australia to assess relationships within and between organization-level and department-level quality management systems. These quality management system tools align with many components of accreditation standards and may be useful for hospitals in continuously monitoring and driving improvement.

scholarly journals Corporate social responsibility and quality management system in the context of blockchain technology

2018 ◽  
Vol 15 (4-1) ◽  
pp. 231-242 ◽  
Author(s):  
Shirley Mo-Ching Yeung
Keyword(s):  
Higher Education ◽  
Corporate Social Responsibility ◽  
Quality Management ◽  
Social Responsibility ◽  
Quality Indicators ◽  
Management System ◽  
Quality Management System ◽  
System Thinking ◽  
Blockchain Technology ◽  
Corporate Social

The purpose of this paper is to integrate quality management system, corporate social responsibility guidelines, United Nations Sustainable Development Goals, blockchain related documents and qualitative interview results from Hong Kong and Slovakia to design a set of social inclusive quality indicators within the context of the higher education sector. Three levels for social inclusive quality indicators in relation to blockchain content distribution technology in HE have been identified: governance with transparency, trust building with the sustainable community in needs fulfilment; industry innovations with risk and security audit mechanism. The contribution of this paper is to raise awareness of educators, industry practitioners and policy makers about the importance of social inclusion in blockchain technology. This study fills the gap through integrating system thinking, humanistic thinking and proactive thinking in the higher education context.

scholarly journals Customer Service Quality Management System

2019 ◽  
Vol 8 (10) ◽  
pp. 2474-2478
Keyword(s):  
Quality Management ◽  
Service Quality ◽  
Customer Service ◽  
Management System ◽  
Quality Management System ◽  
Functional Model ◽  
Technical Information ◽  
Enterprise Management ◽  
Theoretical Approaches ◽  
Service Quality Management

A service enterprise is considered to be a complex set of material and technical, information, labor, financial and human resources, whose diversity involves the search for ways of rational combination and use them to ensure the achievement of the set goals of the enterprise. Service quality management is one of the types of management activities that arose as a result of the labor division and specialization of enterprise management functions. The aim of the study is to identify the possibilities of designing a Service Quality Management System at the enterprises of the restaurant industry meeting the requirements of ISO 9001.The article shows the relevance of solving the problem of modeling the customer service quality management system based on ISO standards in the enterprise of the restaurant business, as well as analyzes various theoretical approaches to understanding the essence of the service quality management system.To achieve the set goal, a structural and functional model of the customer service quality management system was developed, as well as a model of the staff quality management system.

scholarly journals Development of Power Quality Management System with Power Quality Diagnosis Functions

2006 ◽  
Vol 1 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Il-Yop Chung ◽  
Dong-Jun Won ◽  
Seon-Ju Ahn ◽  
Joong-Moon Kim ◽  
Seung-Il Moon ◽  
...  
Keyword(s):  
Quality Management ◽  
Power Quality ◽  
Management System ◽  
Quality Management System ◽  
Quality Diagnosis

scholarly journals Occurrence of Mycoplasma spp. and Ureaplasma spp. in genital specimens

2020 ◽  
Vol 42 ◽  
pp. e50926
Author(s):  
Nathally Claudiane de Souza Santos ◽  
Regiane Bertin de Lima Scodro ◽  
Vanessa Tatiana de Andrade ◽  
Vera Lucia Dias Siqueira ◽  
Katiany Rizziere Caleffi-Ferracioli ◽  
...  
Keyword(s):  
Laboratory Data ◽  
Positive Culture ◽  
Mycoplasma Hominis ◽  
Cross Sectional Study ◽  
Reference Laboratory ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Analysis Of Results ◽  
Ureaplasma Spp ◽  
Mycoplasma Spp

 Mycoplasma spp. and Ureaplasma spp. belong to humans’ genitourinary microbiota and sometimes are associated with infections of the genitourinary tract. The aim of this study was to evaluate the occurrence of Mycoplasma spp. and Ureaplasma spp. in genital specimens from patients of the 15th Regional de Saúde of Paraná State, Brazil, and to correlate the results with clinical and laboratory data. A retrospective cross-sectional study was conducted, based on the analysis of results of vaginal, endocervical, urine and urethral culture for mycoplasmas from patients attended in a reference laboratory, from January 2009 to December 2016. We evaluated 2,475 results of culture for mycoplasmas. A total of 50.8% patients were positive for mycoplasmas. Of these, 76.8% had positive culture exclusively for Ureaplasma spp. and 4.7% for Mycoplasma hominis. Both microorganisms were isolated in the microbiology culture of 18.5% of patients. Among the positive culture, 81.4% had significant concentrations. Bacterial vaginosis was the most common alteration observed in association with mycoplasmas. The high positivity of cultures for mycoplasmas, especially Ureaplasma spp. found in our study, highlight the presence of these microorganisms in many of the genital tract disorders that can be sexually transmitted and, consequently, should not be neglected.

scholarly journals Social determinants of the impact of hospital management boards on quality management: a study of 109 European hospitals using a parsonian approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Holger Pfaff ◽  
Antje Hammer ◽  
Marta Ballester ◽  
Kristina Schubin ◽  
Michael Swora ◽  
...  
Keyword(s):  
Quality Management ◽  
Goal Orientation ◽  
Social Determinants ◽  
Management System ◽  
Goal Attainment ◽  
Quality Management System ◽  
Linear Regression Analysis ◽  
Hospital Management ◽  
Cross Sectional ◽  
The Impact

Abstract Background The consolidated framework for implementation research states that personal leadership matters in quality management implementation. However, it remains to be answered which characteristics of plural leadership in hospital management boards make them impactful. The present study focuses on social determinants of implementation power of hospital boards using Talcott Parsons’ sociological concept of adaptation, goal attainment, integration, and latency (AGIL), focusing on the G (goal attainment) and I (integration) factors of this concept. The study aims to test the hypothesis that hospitals with management boards that are oriented toward the quality goal (G) and socially integrated (I) (GI boards) are better at implementing quality management than hospitals with boards lacking these characteristics (non-GI boards). Methods A cross-sectional mixed-method design was used for data collection in 109 randomly selected hospitals in seven European countries. Data is based on the study “Deepening our understanding of quality improvement in Europe” (DUQUE). We used responses from (a) hospitals’ chief executive officers to measure the variable social integration and the variable quality orientation of the board and (b) responses from quality managers to measure the degree of implementation of the quality management system. We developed the GI index measuring the combination of goal-orientation and integration. A multiple linear regression analysis was performed. Results Hospitals with management boards that are quality oriented and socially integrated (GI boards) had significantly higher scores on the quality management system index than hospitals with boards scoring low on these features, when controlled for several context factors. Conclusions Our findings suggest that the implementation power of hospital management boards is higher if there is a sense of unity and purpose within the boards. Thus, to improve quality management, it could be worthwhile to increase boards’ social capital and to increase time designated for quality management in board meetings.

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