scholarly journals How Does ISO 15189 Laboratory Accreditation Support the Delivery of Healthcare in Ethiopia? A Systematic Review

1970 ◽  
Vol 29 (2) ◽  
Author(s):  
Kasaw Adane ◽  
Mekonnen Girma ◽  
Teshiwal Deress
Keyword(s):  
Quality Improvement ◽  
Quality Management System ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Improve Quality ◽  
Iso 15189 ◽  
Quality Healthcare ◽  
Quality Patient Care ◽  
Quality Improvement Interventions

BACKGROUND: Assessing quality by considering input, process and output level quality variables is important to ensure improved quality services. Designing and execution of an effective quality management system are aimed for the purpose of quality improvement, error reduction and associated risks. Therefore, this review is designed to assess the value of accreditation on the performance of healthcare institutions in ensuring quality improvement interventions. Moreover, this review presents important concepts of accreditation and the aspects of quality.METHODS: Published articles were downloaded using EndNote® application software program from PubMed (NML) database, Web of Sciences (TS) and Google Scholar. From a total of 883 downloaded full-text published materials, only 28 journals and 1 report issued from 2010 to 2017 were used for the development of this review.RESULT: The overall quality of healthcare services in developing countries was error-prone and suffered from limitations. These could be associated with wrong interventions and increased risks. Accreditation schemes have been implemented to provide quality care and ensure safety.CONCLUSION: Evaluation feedback induces interventions aimed at quality improvement and ensures better management systems, good process design, wise resource utilization, meeting patients’ need and increased satisfaction. Hence, stakeholders must be engaged in the provision of improve quality patient care and reduce associated risks. Hence, giving special quality improvement attention helps to improve quality healthcare services.

Health Insurance and Determinants of Perceived Healthcare Service Quality in Jordan

2021 ◽  
Vol 5 (1) ◽  
pp. 1-17
Author(s):  
Wajd R. Hammad ◽  
Rozaleen B. Abedrabbo ◽  
Diala Mazen Khoury ◽  
Nadia J. Sweis
Keyword(s):  
Health Insurance ◽  
Healthcare Workers ◽  
Quality Care ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Specialist Care ◽  
Cross Sectional ◽  
Perception Of Quality

This study demonstrates the determinants that affect the perception of quality of healthcare services in Jordan. A cross-sectional study was conducted in order to determine the perception of quality of healthcare services and relating variables including availability of health insurance and quality of health insurance. This study supports the findings of other studies that health insurance influences the perception of quality of healthcare services provided. However, it is also clear that Jordanians consider the availability of doctors, ability to obtain specialist care, accessibility to health services, and cooperation of healthcare workers as significant determinants when conceptualizing the quality of healthcare and its services. The amount of premium paid had a significant association, which could reflect on valuing the money they pay and expecting high-quality care in return. Being insured increases the likelihood of perceiving higher quality of healthcare.

Improving Follow-Up of Tests Pending at Discharge

2021 ◽  
Vol 11 (12) ◽  
pp. 1363-1369
Author(s):  
Andrew R. Shriner ◽  
Richelle M. Baker ◽  
Andrew Ellis ◽  
Rebecca Dixon ◽  
Michele Saysana
Keyword(s):  
Quality Improvement ◽  
Quality Care ◽  
Retrospective Chart Review ◽  
Primary Outcome Measure ◽  
Quality Improvement Initiative ◽  
Average Percentage ◽  
Ensure Patient Safety ◽  
Discharged Patients ◽  
Quality Improvement Interventions

BACKGROUND AND OBJECTIVES Follow-up on results of inpatient tests pending at discharge (TPAD) must occur to ensure patient safety and high-quality care continue after discharge. We identified a need to improve follow-up of TPAD and began a quality improvement initiative with an aim of reducing the rate of missed follow-up of TPAD to ≤20% within 12 months. METHODS The team used the Plan-Do-Study-Act method of quality improvement and implemented a process using reminder messages in the electronic health record. We collected data via retrospective chart review for the 6 months before the intervention and monthly thereafter. The primary outcome measure was the percentage of patients with missed follow-up of TPAD, defined as no documented follow-up within 72 hours of a result being available. The use of a reminder message was monitored as a process measure. RESULTS We reviewed charts of 764 discharged patients, and 216 (28%) were noted to have TPAD. At baseline, the average percentage of patients with missed follow-up was 80%. The use of reminder messages was quickly adopted. The average percentage of patients with missed follow-up of TPAD after beginning the quality improvement interventions was 35%. CONCLUSIONS We had significant improvement in follow-up after our interventions. Additional work is needed to ensure continued and sustained improvement, focused on reducing variability in performance between providers and investing in technology to allow for automation of the follow-up process.

Telemedicine – How Does it Work in Practice?

2017 ◽  
Vol 41 (S1) ◽  
pp. S147-S148
Author(s):  
J. Kachnic ◽  
M. Wojtuszek ◽  
J. Wutke ◽  
K. Krysta ◽  
M. Krzystanek
Keyword(s):  
Side Effects ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Improve Quality ◽  
Therapy Planning ◽  
Educational Materials ◽  
Therapeutic Tool ◽  
Medical Specialties

IntroductionToday telemedicine is a very popular and rapidly growing area, which allows the treatment, regardless of the distance between the patient and doctor. We present the latest research, conducted amongst polish doctors about the usefulness of telemedicine as a therapeutic tool in different medical specialties.Objectives and aimsThe aim of the study was to examine doctors’ attitude to telemedicine and usefulness of Platform ‘Moneo’ in the therapy of the areas other than psychiatry.MethodsThe first part was the polish telemedical project (grant no. POIG.01.04.00–04–219/12) conducted to assess medical Platform ‘Moneo’. It was based on a questionnaire filled by participants in scale 1 to 5. The second study based on authors’ anonymous questionnaires was distributed amongst 105 psychiatrists from Poland.ResultsEverybody noticed advantages of medical platform. The Platform's functionalities, rated as the best by healthcare directors were: educational materials, appointment and therapy planning. Managers indicated parts, which could be improved in e-prescribing system, the process of collecting information about hospitalizations and operations. Functionalities indicated by doctors as desirable to increase the utility of the platform is e-prescribing system, reporting side effects, planning visits, educational materials. In study addressed to psychiatrists, only 15% of them claimed to have an extensive knowledge on telepsychiatry, but they had confirmed the potential of telemedicine in psychiatry.ConclusionTelemedicine is a useful method, which can improve quality of healthcare services and make an access to it possible for some people. However, lots of improvements in telemedical services are needed to make it an efficient medical tool.

scholarly journals Rationale of perspective directions of standardization of medical care of the population of Ukraine at the turn of 2020

2020 ◽  
Vol 3 (13) ◽  
pp. 4-11
Author(s):  
D.D. Diachuk ◽  
O.L. Zyukov ◽  
O.M. Lishchyshyna
Keyword(s):  
European Union ◽  
Comparative Analysis ◽  
Quality Management System ◽  
Quality Criteria ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
The European Union ◽  
Normative Documents

Abstract. The state of standardization of healthcare services to the population of Ukraine has to be critically analyzed and compared with the basic European recommendations on methodology. Since the standardization of healthcare services usually takes place under complex national conditions and is a component of the quality management system, we aimed to determine whether the methodology for standardizing healthcare services in Ukraine is consistent with the methods used in countries with strong economies. Aim: to determine whether the implementation and development of the methodology for standardizing healthcare services to the population of Ukraine corresponds to the approaches in the European Union, and to substantiate promising directions for improving the standardization of healthcare services to the population of Ukraine at the turn of 2020. Materials and methods. A historical analysis of the normative documents that currently define the methodology of standardization of healthcare services in Ukraine and their comparative analysis with the EU acquis in health care have been carried out. Results and discussion. Since the main responsibility for improving the quality of healthcare services belongs to government institutions, the common documents of the European Union on this issue are recommendative in nature. At the same time, a comparative analysis made it possible to identify the main achievements and gaps in the methodological support of standardization in the healthcare sector in Ukraine, to substantiate the directions for improving the standardization of healthcare services to the population of Ukraine at the turn of 2020. Conclusion. At the beginning of 2020, the methodology for standardizing healthcare services in Ukraine partially corresponds to the approaches typical of the European Union. At the present stage, improving the quality of healthcare services in Ukraine requires strengthening the accountability of government agencies, improving the procedure for implementing and updating health standards in accordance with existing data, establishing a connection between the quality criteria of healthcare services, the drug formulary and the list of available equipment based on a single evidence base and a single conceptual and terminological thesaurus, monitoring the compliance with standards and tariffs for medical (pharmaceutical) services through pilot implementation, monitoring of clinical indicators. The progress in these areas is possible providing that the methodology of evidence-based medicine is followed, with the broad involvement of healthcare professionals and healthcare service receivers.

scholarly journals Patients’ (Clients) Satisfaction with Medical Laboratory Services Contributes to Health and Quality Improvement

2021 ◽  
Author(s):  
Nkereuwem S. Etukudoh ◽  
Uchejeso M. Obeta
Keyword(s):  
Quality Improvement ◽  
Quality Management ◽  
Quality Management System ◽  
Heart Beat ◽  
Iso 9001 ◽  
Medical Laboratory ◽  
Iso 17025 ◽  
Iso 15189 ◽  
Laboratory Services ◽  
Customer Services

Patients’ (clients/customer) services and satisfaction in Medical Laboratory Services and general healthcare is one of the twelve (12) quality essentials of Total Quality Management System (TQMS) emphasized by quality standards as seen in ISO 17025, ISO 15189 and ISO 9001. The patients otherwise referred to as customers or clients to Medical Laboratory and healthcare in general, is the heart-beat and kings to the healthcare system. This chapter looks into the quality aspect of medical laboratory services from the patients’ angle towards thorough satisfaction or dissatisfaction index and otherwise creates room for improvement in the services and healthcare in general. The chapter therefore, identified medical laboratory clients to include patients and patients’ relations, physicians and other healthcare workers, public health and government, communities and interested parties, and medical laboratory profession. There is a need to administer services satisfaction survey developed by Director of Medical Laboratory Services or human resources/quality officers in line with the ISO 15189, ISO 17075 and ISO 9001 to customers/clients from time to time so the outcome can be used to correct services errors and cause quality improvement. It is believed that patients’ satisfaction causes improvement in healthcare, quick recovery of patients and willingness of the patient to return to the healthcare facility in future. Patients’ and customers’ in medical laboratory feedback contributes to quality management and improvement to Medical Laboratory services and healthcare as an ingredient of TQMS.

scholarly journals Experiences and attitudes of registered nurses towards the implementation of quality improvement programmes at a government hospital in Eswatini

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Tinyiko Nkhwashu ◽  
Sophy Mogatlogedi Moloko
Keyword(s):  
Quality Improvement ◽  
Registered Nurses ◽  
Negative Attitude ◽  
Healthcare Services ◽  
Structured Interview ◽  
Government Hospital ◽  
Client Outcome ◽  
Quality Healthcare ◽  
Data Saturation ◽  
Positive Outlook

Quality improvement is becoming the cornerstone of effective and efficient delivery of quality healthcare services in recent times. Among other healthcare workers, nurses are the primary implementers of quality improvement programmes (QIPs). Their knowledge, understanding, attitudes and motivation determine the potential effects of the programmes. This study explored the experiences of registered nurses (RNs) towards the implementation of the QIP at a government hospital in Swaziland. The RNs’ attitudes toward the programme were also explored. Non-probability, purposive sampling was used to select the sample that comprised of eight RNs. Data were collected through in-depth, face-to-face interviews to explore and describe the RNs’ experiences and attitudes regarding the implementation of QIPs. A semi-structured interview guide was used to ask questions until data saturation was reached. Data analysis was conducted following Tesch’s method. Ethical considerations were adhered to. The results revealed both negative and positive experiences of the RNs towards QIPs. A negative attitude towards the programme developed due to the manner in which the programmes were introduced to the RNs and their perception of the programme as work overload. However, there was a positive outlook by the RNs towards the programme after they had undergone training on a QIP. The training improved their knowledge, job satisfaction and client outcome. They developed motivation, interest and commitment despite the challenges they encountered. The programme also enhanced the spirit of teamwork among the RNs and the support staff.

Human Interaction in the Use of Health Information Systems

2016 ◽  
pp. 257-269 ◽  
Author(s):  
Irja N. Shaanika
Keyword(s):  
Developing Countries ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Human Interaction ◽  
Improve Quality ◽  
Single Formula

In developing countries, Health Information Systems (HISs) are increasingly used to enable and support both clinical and administrative processes for healthcare services. The use of the HISs in developing countries' healthcare centres is influenced and impacted by humans' interactions which manifests from culture and traditions. Due to the diverse nature of culture and traditions, it is near impossible to have single formula in addressing the patients' needs. As a result, the aim to improve quality of healthcare through HISs is challenged, and many stakeholders do not seem to understand the problem. The challenge continues to significantly contribute to poor service delivery, as the need for healthcare services increases. This study focused on the interaction between the healthcare professionals and the HISs, to understand how and why the challenges of using the ICT systems exist. This includes examining the implication, and how the challenges impact the recipients of healthcare services.

The need for adequate community interpreting services in healthcare multilingual settings

2012 ◽  
Vol 7 (1) ◽  
pp. 72-95
Author(s):  
Yasmin Hikmet Hannouna
Keyword(s):  
United Arab Emirates ◽  
Ad Hoc ◽  
Quality Care ◽  
Good Health ◽  
Quality Healthcare ◽  
Quality Patient Care ◽  
Telephone Interviews ◽  
Medical Institutions ◽  
Al Ain ◽  
Professional Interpreting

Language is often a barrier to high-quality healthcare. Providing culturally and linguistically appropriate services is part of eliminating health disparities, offering quality care, and minimizing risk exposure. In the city of Al-Ain in the United Arab Emirates, residents argue for appropriate interpreting services in order to have access to quality care and good health outcomes. The focus of this study was on the need for professional interpreting services to facilitate communication between patients with no functional English and English-speaking health professionals. A survey, structured in-person and telephone interviews, and patients’ comments in four hospitals in Al-Ain were conducted and participants were asked to answer twenty open-ended questions on the state of healthcare in their city. The rate of response was 51% (62 returned surveys). The analysis of the data indicates a need for effective language services in Al-Ain healthcare institutions, and perhaps across the country. It was also found that most of the interpreting services are provided by ad hoc interpreters. This serves as a challenge to educational and medical institutions to cooperate and design programs to prepare well-trained professional interpreters so as to ensure quality interpreting services and quality patient care.

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