The Case of Brazil

This article analyzes the impacts of the COVID-19 pandemic on the lives of the Amazonian populations of Brazil. Following the social quality approach, it inquires into how COVID-19 intertwined with and reinforced underlying trends and inequalities in different life domains expressed in long-term societal complexities, urban–rural dynamics, and environmental transformations. The article finds that the pandemic, following coloniality of power patterns, has been instrumentalized as a necropolitical tool, and has disproportionately impacted certain peoples and territories based on ethnoracial bias. The collapse of the local health system in the State of Amazonas is a systemic burden, not serendipity. A dialogue is proposed between decolonial and social quality approaches to analyze, unveil, and denounce the interplay between the coloniality of power patterns in non-Western contexts.

The Case of Italy

The present article makes use of aspects of social quality theory and the social quality approach to assess the impact of the Italian government’s efforts to counter the COVID-19 pandemic. The federal government has a critical role in mitigating the effects of the pandemic; however, the scope and efficacy of its interventions depend on the interplay of processes in four main dimensions: (1) sociopolitical and legal; (2) socioeconomic and financial; (3) sociocultural and welfare; and (4) socioenvironmental and ecological. By analyzing relevant processes in these four dimensions, I aim to understand whether the social quality in Italy has increased or decreased due to the pandemic. The fragmentation in the labor market, in healthcare governance, as well as in societal protection have strongly constrained the government interventions, leaving intact and crystallizing existing societal inequalities.

​Assessment of the Sanitary and Hygienic Quality of Raw Milk Marketed in the Urban Area of Mostaganem, Algeria

Background: Fresh raw milk is a highly nutritious but perishable product. Its informal sale without control, is detrimental to the health of the consumer. Therefore, assessing the hygienic and sanitary quality of raw milk is an absolute necessity. Methods: 20 raw milk samples from four regions of Mostaganem City, Algeria, were tested on a microbiological compliance aspect. A serologic analysis was carried out for the indirect detection of brucellosis and a questionnaire was developed to check the hygiene rules applied at the sales store level. Result: The results indicate an average high contamination of 8.109 cfu/ml for aerobic germs at 30°C versus 12.104 cfu/ml for thermotolerant coliforms. The presence of Staphylococcus with positive coagulase and anti-brucella antibodies indicates that these milks are potentially hazardous to human health. Salmonella is absent in all samples. The field investigation shows the proven absence of the most basic hygiene rules for the storageand presentation for sale of raw milk. A quality approach must be put in place at the service of the consumer.

Whatever can go wrong, need not go wrong: Open Quality approach for epidemiology

Quality assurance is one of the most important aspects of an epidemiological study, as its validity is largely determined by data quality. The mounting success of quality management in the industrial sector caused a rapid spread throughout manufacturing industries and beyond. Yet, little has been published so far on quality assurance in epidemiology. In this article we review three models for quality assurance (Juran, Donabedian and ISO 9000) and showcase how these can be brought together in one intuitive, systematic and flexible approach to quality assurance in epidemiology. The resulting Open Quality approach refers back to the three processes identified by Juran (planning, control and verification). During the planning stage, we propose a subdivision of the study process in a set of steps and a definition of quality attributes corresponding to activities in that step as suggested by the ISO approach. We refer to the Donabedian model to determine the level at which the control/monitoring should take place—structure, processes or outcomes. Along with an overview of the Open Quality approach we propose an Open Quality tool to support the definition of quality attributes, failure modes, preventive strategies, verification activities, and corrective actions, which form the backbone of the Open Quality approach.

Quality indicators development and prioritisation for emergency medical call centres: a stakeholder consensus

IntroductionEmergency medical regulation is a risky activity. In France, emergency medical societies have proposed activity and performance indicators, but their lists are non-exhaustive, unstructured and used heterogeneously among emergency medical call centres (Centres de Réception et de Régulation des Appels, CRRA). Our objective was to build by means of regional stakeholder consensus an operational quality dashboard for CRRAs.MethodsWe conducted an observational step in a French CRRA from June to September 2018 and at the same time listed existing activity and quality indicators through a rapid international literature review. We adapted and classified all indicators identified in a structured table. We prioritised them from April to September 2019 by seeking consensus with one regulator physician and one medical regulation assistant from the 13 CRRAs of the largest French region. We used an adapted Delphi method with a prioritisation scale from 1 to 9.ResultsThe rapid review of literature included 33 studies among the 414 identified and, with the first observational step, resulted in a list of 360 quality indicators covering the following areas: material resources, human resources, quality approach, call handling and postcall support. 15 of the 26 members participated in the entire process. Seventy indicators were considered as priorities with strong agreement among participants. We built an operational dashboard of quality indicators deemed high priority and provided 70 descriptive indicator sheets.ConclusionOur study allowed to build an operational quality dashboard for CRRAs as a ready-to-use support for an internal audit, for prioritisation of quality approach actions and for national and international benchmarking.