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Search Results: 1 - 10 of 23459 matches for " quality indicators "
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Evaluation of Laboratory Performance with Quality Indicators in Infectious Disease Hospital, Kano, Nigeria  [PDF]
Feyisayo Ebenezer Jegede, Henry Akwen Mbah, Mansur Aminu, Timothy Nathaniel Yakubu, Kwasi Torpey
Open Journal of Clinical Diagnostics (OJCD) , 2015, DOI: 10.4236/ojcd.2015.51001
Abstract: Background: In January 2010, the implementation of quality management systems toward WHO-AFRO laboratory accreditation commenced in the Antiretroviral Treatment Laboratory of the Infectious Disease Hospital, Kano, Nigeria. Quality improvement projects were instituted in 2011 in line with ISO 15189 requirements for accreditation of medical laboratory. In this study we evaluated the performance of the laboratory through some set of quality indicators (QI). Methodology: This was a retrospective study to evaluate laboratory QIs monitored from January 2011 to December 2013. The QIs were specimen rejection rate (SSR), turnaround time (TAT), proficiency testing performance (PTP) and client satisfaction survey (CSS). Data was collected into an excel file for analysis and percentage performance compared among years. SSR & TAT were evaluated with the Sigma scale. Results: A total of 7920 (2194 in 2011, 2715 in 2012, 3011 in 2013) specimens were received for testing. 22 (0.28%) specimens were rejected and 81 (1.02%) specimens’ results were reported after the acceptable TAT, giving a Sigma level of 4.27 and 3.82 for SSR and TAT respectively. There was steady improvement in PTP: CD4+ from 67% in 2011 to 90% in 2013, hematology from 81% in 2012 to 83% in 2013, blood film reading 79% in 2011 to 83% in 2013 and chemistry from 90% in 2011 to 93% in 2013. HIV serology recorded 100% throughout. CSS increased from 59% in 2012 to 78% in 2013. However, there was no statistically significance difference reported for PTP and CSS over the years (P > 0.05). Conclusion: The study highlights the need to continuously evaluate QIs and calls for more effort to improve on PTP and focuses on understanding and improving on clients concerns.
Colonoscopy quality assessment
Morán Sánchez,S.; Torrella,E.; Esteban Delgado,P.; Ba?os Madrid,R.; García,A.; Ono,A.; Pérez Cuadrado,E.; Parra,P.; Cruzado Quevedo,J.; Pérez Riquelme,F.; Carballo álvarez,F.;
Revista Espa?ola de Enfermedades Digestivas , 2009, DOI: 10.4321/S1130-01082009000200004
Abstract: aim: colonoscopy has become accepted as the most effective method for colon exploration. some application problems have been detected in the setting of normal clinical care due to its wide range of uses in recent years, and therefore there is a need to measure colonoscopy quality. for that purpose valid quality indicators are necessary to be defined. the application process of some quality indicators is presented in this study. the proposed indicators in this study are: quality of bowel preparation, cecal intubation rate, withdrawal time, adenoma detection rate, and adenoma removal rate. material and method: this is a prospective 12-month study where colonoscopies performed in the vi health area of murcia region were evaluated. from february 2006 to february 2007 a total of 609 subjects were eligible for colonoscopy after a positive fecal blood test in the setting of a colorectal cancer screening program. a sample of thirty patients (n: 30) was considered representative to assess the reliability of quality indicators and for a preliminary analysis of results. results: indicators results are: quality of bowel preparation (87%), kappa 0.74 (95% ci: 0.48-0.99); cecal intubation rate (90%) 0.74 (95% ci: 0.49-0.99); adenoma detection and removal rate (96%), kappa: 0.78 (95% ci: 0.53-0.99); withdrawal time: 13.36 min (95% ci: 10.48-16.11). kappa: 0.78 (95% ci: 0.49-0.99). conclusions: quality indicators definition and application in colonoscopy performance is possible. more studies are necessary to define the role of these indicators in the setting of clinical practice.
Kazalniki kakovosti in akreditacija kot orodja za vodenje kakovosti v zdravstvu v Sloveniji
Biserka Sim i , Mircha Poldrugovac , Dorjan Maru i
Bulletin: Economics, Organisation and Informatics in Healthcare , 2011, DOI: 10.2478/v10221-011-0005-4
Abstract: Introduction. Investigating deviations in the expected outcome of activities is recognised as a basic tool for quality improvement. In the healthcare sector such analysis is done mainly through the definition of quality indicators, the determination of standards, and the evaluation of compliance to them through a system of accreditation. In Slovenia, particularly in the last year, a number of activities have been undertaken to further develop this area. Methods. It was necessary to agree on a national set of quality indicators and on a model for accreditation of healthcare institutions in Slovenia. Such an agreement requires the participation of all key stakeholders and it significantly helps in clarifying accountability relationships between the partners in the healthcare system. Results. A set of 72 quality indicators to be monitored at the national level has been set. Recommendations regarding accreditation of healthcare institutions have also been formulated. These recommendations focus on developing incentives for accreditation through internationally recognised institutions. In this context, national and international documents, particularly the Directive on patients' rights in cross-border healthcare need to be taken into account. Conclusion. The common goal of all the partners is ensuring high quality and safe healthcare for the patients.
Evaluación y calidad de los servicios de información: una propuesta teórico-metodológica
Alarcón Echenique,Marlén; Cárdenas Yzquierdo,Loreto; Bellas Vilari?o,Margarita; Santiesteban Gómez,Isabel;
ACIMED , 2007,
Abstract: a group of theoretical and conceptual aspects related to evaluation and quality, is presented, as well as the relation between these two terms. the view and application of these elements in library activities is analyzed. a first theoretical-methodological approach towards the achievement of perfection is carried out.
Estimación de parámetros químicos y biológicos en oxisoles con uso citrícola
Dalurzo,Humberto C; Toledo,Diana M; Vázquez,Sara;
Ciencia del suelo , 2005,
Abstract: knowledge about the impact of agricultural practices on soil quality is very important to plan the use and sustainable management of productive lands. citrus cropping has recently acquired a significant economic importance in misiones, argentina. it is cultivated in different types of soils sensitive to erosion, like oxisoles. the aim of this work was to determine the effect of citrus cropping on some chemical and biological soil quality indicators. the field experiment consisted of 2 treatments: subtropical rainforest (sv) and citrus (ci). in 0-10 cm samples the following parameters were measured: ph, organic carbon (oc), particulate organic matter (pom), total nitrogen (tn), available phosphorus (p), acid phosphatase activity (apa), respiration (res), and potentially mineralizable nitrogen (pmn). the comparisons of the mean treatments were carried out through duncan′s multiple range test (p < 0.05). the average oc content was higher in sv (4.03 %) than in ci (2.35). in spite of n addition to citrus, tn and pmn were higher in sv than in ci. sv showed the highest values (statistically different from ci) in pom and its fractions. nt accounted for 69% of the apa variance and the oc a 61%: apa = 1.775 tn 153.7 (r2 = 0.69). apa = 221 co - 230 (r2 = 0.61). obtained results showed that citrus cultivation decreases oc, tn, apa, pmn, pom and soil respiration, which accelerated soil degradation. these soil attributes should be considered as indicators to assess soil quality.
Salinas P,Hugo; Erazo B,Marcia; Pastén M,Jorge; Preisler R,Jessica; Ide V,Rodolfo; Carmona G,Sergio; Opazo R,Delia; Vásquez O,Marcela; Sougarret S,Ana; Aleuanlli A,Cristina; Carrasco S,Benjamín; Erlij O,Daniel; Sepúlveda R,Paulina;
Revista chilena de obstetricia y ginecología , 2006, DOI: 10.4067/S0717-75262006000200007
Abstract: we present a selection of obstetrical care quality indicators, obtained through a diligent international review of those used by public, private and non-profit organizations that seek to improve medical care practice in the maternity wards. the comparison between these indicators standards and those from the maternity department of the hospital clínico de la universidad de chile in the year 2004 is shown, along with the justification of their selection. we outline the future work by techniques that allow the improvement of indicators, through "improvement odds" and/or "monitoring systems"
University Ranking, an Important Quality-Assurance Tool
Crina R?dulescu
EIRP Proceedings , 2012,
Abstract: “University Rankings” - or “League Tables”, as they are known in the United Kingdom – have in ashort period of time become an important feature in policy-making and practice in higher education. They arenow a global phenomenon serving different purposes for different and varied audiences. Even if they are notnecessarily universally appreciated, there is an increasing understanding that they have become the “third armof the quality-assurance tool, together with accreditation, government regulation and licensing" and they areclearly here to stay. Indisputably university ranking has changed the way higher education institutions andtheir activities are being presented, perceived and assessed at the institutional, local, national and internationallevels.In our research we will try to answer some questions concerning this topic: is university ranking aninflexible tool, which favors traditional universities, with resources and experience?; what types ofperformance indicators, procedure and ethical considerations should be included in a conceptual frameworkor typology for higher education ranking systems?
Measuring patient safety: the Agency for Healthcare Research and Qualityís patient safety indicators
Edward Kelley,Mary Beth Farquhar,Cinzia Marano
Italian Journal of Public Health , 2005, DOI: 10.2427/5962
Abstract: There is a lot of interest in patient safety, but there is still little useable national level information on the actual magnitude of patient safety problems that can be used by providers and policy makers to judge performance. The AHRQ Patient Safety Indicators (PSIs) are a set of measures that can be used with hospital inpatient administrative (discharge) data to provide a perspective on patient safety. They screen for problems that patients experience as a result of exposure to the healthcare system and that are likely amenable to prevention by changes at the system or provider level. There is a growing interest in the possible use of the AHRQ PSIs in international settings. The Organization for Economic Cooperation and Development (OECD) maintains an ongoing project on Health Care Quality Indicators (HCQI) and whose goal is to develop a set of quality indicators that can be used to reliably assess quality of care across countries and raise questions about differences in quality of care internationally. Work is ongoing though a partnership between AHRQ and the Italian National Observatory on Health in the Italian Regions to test the AHRQ QIs with the Italian national hospital discharge data set. Preliminary results indicate that many of the operational issues associated with differences in coding schemes and data set structure are surmountable. With additional refinements on their clinical specificity, increased stability in their definitions over time to permit long-term monitoring and country interest within organizations such as the OECD to build on the existing scientific work of these indicators, their to help answer questions about patient safety worldwide will be significantly enhanced.
Propuesta de indicadores del proceso de ense anza/aprendizaje en la formación profesional en un contexto de gestión de calidad total. [Proposal of indicators of the Teaching/Learning process in vocational education in a context of total quality management]
Miguel A. Andrés
Revista Electrónica de Investigación y Evaluación Educativa , 2005,
Abstract: The author proposes an array of indicators of the teaching-learning process designed for the daily practice of internal evaluation of a professional training center. This allows for an evaluation of the teaching-learning process’ efficiency and the development of the influencing factors. At the same time, formulas are proposed to fit some global indicators that allow for the evaluation of the efficiency of the center’s operation independent of the more outstanding external factors. The proposed indicators seek to obtain differentiated data that allows for the making of decisions in order to continually improve the center’s operation, detecting the factors that act as inhibitors of good results. Se propone una batería de indicadores del proceso de ense anza-aprendizaje dise ados para la práctica cotidiana de la evaluación interna de un centro de formación profesional que permita valorar la eficacia del proceso de E/A y el desarrollo de los factores que influyen en él. Al mismo tiempo, se proponen fórmulas para ajustar algunos indicadores globales que permitan valorar la eficacia del funcionamiento del centro con independencia de los factores externos más relevantes. Los indicadores propuestos pretenden obtener información diferenciada que permita tomar decisiones para mejorar de forma continua el funcionamiento del centro, detectando los factores que actúan como limitantes de los buenos resultados.
International Journal of Engineering Science and Technology , 2011,
Abstract: Although engineering education received much attention in India ever since independence, it is only during last decades, engineering education has expanded remarkably as indicated by rapidly increasing number of engineering institutions, massive increase in the students admissions, increase in number of engineering disciplines. Within this technological context, engineers play an ever more significant role. They develop new manufacturing processes and products; create and manage energy, transportation and communication systems; prevent new and redress old environmental problems; create pioneering health care devices. One of the strengths of engineering education is the broad spectrum of engineering colleges whose development has beenconstrained by a single-prescribed mission. While engineering education has served the nation well, there is broad need of a big change to meet new challenges. Today engineering colleges must not only provide their graduates with intellectual development and superb technical capabilities but following industry lead, colleges must educate their students to work as part of teams, communicate well and understand the economic, social, environmental and international context of their professional activities. Quality in the engineering education is the development of intellectual skills and knowledge that will equip graduates to contribute to society through productive and satisfying engineering careers as innovators, decision makers and leaders in the global economy of this century. A high quality engineer can obviously be created only through high quality engineering. The paper discusses in detail about the nature, scope, quality issues and recommendations for an engineering education.
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