scholarly journals Comparison of the Level of Adherence to Laboratory Quality Management System between Public and Private Secondary Health Facilities in Southern Nigeria

2020 ◽  
Vol 12 (12) ◽  
pp. 27
Author(s):  
Emma Akpan ◽  
Surajudeen Abiola Abdulrahman ◽  
Nne Pepple

BACKGROUND: To achieve improved health outcomes of HIV positive patients receiving ART services, quality laboratory services must form an essential part of the services provided. The aim of this study was to compare service quality by assessing the level of adherence to quality system essentials (QSEs) in laboratory services delivered by public and private health institutions in Southern Nigeria. METHODS: This was an analytical cross-sectional study conducted among 50 health facilities’ laboratories in 5 Southern States (Akwa Ibom, Anambra, Cross River, Edo and Rivers) of Nigeria. Randomly selected sample of secondary health facilities’ laboratories (ten per state, and a total of 25 public and 25 private health facilities) receiving equal level of support from the same USAID/PEPFAR implementing partner and had been providing ART services to clients for a minimum of one year, were included in the study. Quarterly Internal quality audit was conducted in the ART Laboratory section of the selected health facilities spanning July 2015 to September 2016. 200 audit reports were checked, cleaned, and analyzed using SPSS version 23. We analyzed changes in mean performance scores over time across 6 quality management essentials using Repeated Measures ANOVA. Results were considered significant at P<0.05. RESULTS: The result of the study showed that the private health facilities laboratory achieved a significantly higher improvement in Facility and Safety score over time (p=0.019) compared to public health facilities. Overall, temporal improvements were recorded in all facilities in three out of the six QSEs (document and record, p=0.045; organization and personnel, p=0.020; equipment, p<0.001) and total laboratory quality score (p=0.004). But there was no significant quarterly difference in performances on QSEs between public and private health facilities laboratories. CONCLUSION: Our findings indicate that despite receiving the same level of external support, private hospital laboratories adhere better to the quality standards on Facility and safety than public hospital laboratories in Southern Nigeria.

2021 ◽  
Vol 10 (41) ◽  
pp. 65-73
Author(s):  
Serhii Dieniezhnikov ◽  
Liubov Pshenychna ◽  
Dmitro Kozlov ◽  
Olena Kozlova

The article is devoted to the analysis of modern demands of education quality management in the conditions of higher education institution operation. The methodological basis of the study is the concept of management, based on a system of philosophical and general scientific doctrines about the quality of education and its specifics in higher education, the concept of personality-oriented learning, systems theory, modeling and development. The authors systematized methodological approaches to modeling the quality management system of education in higher education. The study developed a model of quality management, which is presented at the levels of: subsystems of management approaches, theoretical and methodological foundations, the value of the components and factors of education of different nature; defined a system of principles of internal quality management of higher education, aimed at performing a regulatory function at the general scientific, strategic, practice-oriented, technical, specific scientific and factor levels; an algorithm for building an education quality management system in a higher education institution is presented. It is shown that the quality management of education should be carried out at levels that ensure the manufacturability of the process, the possibility of its improvement with further analysis of the results and the adoption of appropriate management decisions.


Author(s):  
Ivars Zālītis ◽  
Jeļena Davidova ◽  
Svetlana Ignatjeva

Under the conditions of a growing competition in the field of educational services and the increasing demands of the labor market for well-educated and highly qualified workforce, the quality of professional efficiency assumes a particular significance. Taking into consideration the present situation concerning the security of the EU borders and problems created by the migration as well as the challenges they pose, the quality management systems and their effectiveness are vital also for educational institutions training specialists for the needs of the departments of the Ministry of the Interior. The research is aimed at establishing the most effective principles for working out the quality management system of vocational training in regard to one of the basic elements of the quality system: the resource of internal quality in an educational institution. The paper reflects and provides the analysis of the research process and outcomes that have been obtained from the interviews conducted among twenty Baltic State experts in the field of professional training of border guards and police employees, and by evaluating the resources and elements of quality management system according to the criterion “Impact on the study process quality”. The obtained research and empirical data provide scientifically valid frame for the actions of education establishments of law enforcement institutions on defining the principles at working out the quality management system. 


2019 ◽  
Vol 2019 (6) ◽  
pp. 60-65
Author(s):  
Юрий Шуршуков ◽  
Yuriy Shurshukov ◽  
Игорь Иванов ◽  
Igor' Ivanov ◽  
Любовь Агафонова ◽  
...  

The article describes the experience of implementing a quality management system in healthcare of the Lipetsk region using the example of the “Lipetsk Regional Clinical Hospital”. The approaches to the organization of internal quality control and safety of medical activities as a basic element of a quality management system are shown. There are presented primary results of the audits. The prospects for the further implementation of the quality management system in the healthcare sector are identified.


2018 ◽  
Vol 4 (9) ◽  
pp. 2023 ◽  
Author(s):  
Muhammad Akram Akhund ◽  
Aftab Hameed Memon ◽  
Hafiz Usama Imad ◽  
Fida Hussain Siddiqui ◽  
Ali Raza Khoso

Motivating public and private construction firms to implement various management systems in their firms is not a simple job. Especially in Pakistan, management system is a new practice, most of the construction firms are not aware about the benefits of management system and what will be achieved after the implementation of management system. The implementation of ISO 9001 Quality Management System (QMS) in the construction industry is a continuing development method, particularly in small construction firms. On the other hand, the awareness level and readiness level of construction industry firms in Pakistan is yet very low as associated to other countries of Asia and Europe where ISO 9001 initiated. The purpose current study is to determine most responsible factors which will motivate the public and private construction firms of Pakistan to adopt the QMS (ISO 9001). A questionnaire survey was conducted and a total of 337 out of 553 questionnaires were received from public and private construction firms of AZBAGIKHPUSI areas. The analysis results depict 3 significant factors, which will motivate construction firms of Pakistan to implement ISO 9001 are (1) to qualify for bidding (2) to improve quality management system of company (3) to reduce wastage. Hence, based on these results and findings, the construction companies require ISO 9001 certification system and registration with Pakistan Engineering Council (PEC) as a constitution passed for the construction firms then to qualify for the bidding.


2021 ◽  
Author(s):  
Nkereuwem S. Etukudoh ◽  
Uchejeso M. Obeta

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.


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