Managing the essential medicines stock at rural healthcare systems in India
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 950-965, October 2018. Purpose The purpose of this paper is to eliminate the medicine stock-out problem by building an optimum medicine stock in rural healthcare centers in India. Design/methodology/approach Data associated with inflow and outflow of a specific medicine (folic acid tablets) arer collected from all consecutive supply chain stages during the survey. While conducting the survey, it is found that several medicines are out of stock owing to uncertain lead time and demand. Integrating with quantity discount and min –max (s, S) in...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Iatrogenic emergency medicine procedure complications and associated trouble-shooting strategies
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 935-949, October 2018. Purpose The purpose of this paper is to provide a consolidated reference for the acute management of selected iatrogenic procedural injuries occurring in the emergency department (ED). Design/methodology/approach A literature search was performed utilizing PubMed, Scopus, Web of Science and Google Scholar for studies through March of 2017 investigating search terms “iatrogenic procedure complications,” “error management” and “procedure complications,” in addition to the search terms reflecting case reports i...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

A strategic and good governance perspective on handling patient complaints
This study’s data comprise patient complaints and the responses from personnel of a specialized medical care organization from the start of 2012 to the end of January 2014. The data were analyzed through qualitative data analysis. Findings The results show many unwanted grievances, but also reveal the procedures employed to improve health care processes. The results are related to patients’ care experiences, provis ion of information, personnel’s professional skills and the approach to patient complaints handling. The integrative result of the analysis was to find consensus between the patients’ expectations and p...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Environmental impact reduction as a new dimension for quality measurement of healthcare services
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 910-922, October 2018. Purpose The purpose of this paper is to provide a detailed accounting of energy and materials consumed during magnetic resonance imaging (MRI). Design/methodology/approach The first and second stages of ISO standard (ISO 14040:2006 and ISO 14044:2006) were followed to develop life cycle inventory (LCI). The LCI data collection took the form of observations, time studies, real-time metered power consumption, review of imaging department scheduling records and review of technical manuals and literature. Findings The carb...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Registered nurses ’ knowledge and care practices regarding patients with dysphagia in Saudi Arabia
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 896-909, October 2018. Purpose The purpose of this paper is to assess the knowledge and practices of nursing staff caring for patients with dysphagia to determine any needs for further education programmes. Design/methodology/approach A self-administered questionnaire with close-ended questions was completed by nurses at a tertiary hospital in Saudi Arabia to measure the depth of their dysphagia knowledge. Findings From 316 potential participants, a sample of 174 nurses completed the questionnaire. The results revealed that the participants ...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Factors associated with participation and completion of a survey-based study
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 888-895, October 2018. Purpose The Healthy Work Place (HWP) study investigated methods to improve clinicians ’ dissatisfaction and burnout. The purpose of this paper is to identify factors that influenced study enrollment and completion and assess effects of initial clinic site enrollment rates on clinician outcomes, including satisfaction, burnout, stress and intent to leave practice. Design/methodolo gy/approach In total, 144 primary care clinicians (general internists, family physicians, nurse practitioners and physician assistants) at 1...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Health care complaint journeys for system comparison
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 878-887, October 2018. Purpose The “patient journey” technique is one that has been used by health care providers to investigate the strengths and weaknesses of their service delivery. The purpose of this paper is to discuss the experience of adapting this approach for use in an atypical context – the comparison of two systems for managing health care complaints and notifications. It highlights a number of relevant considerations and provides suggestions for similar studies. Design/methodology/approach The design and methods of the stud...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Improving hospital food menu quality: an experimental approach
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 1082-1088, October 2018. Purpose The purpose of this paper is to examine whether the negative impressions consumers hold toward institutional food can be remedied by subtle changes in menu descriptions. While an expectancy-disconfirmation explanation would suggest this, a negativity bias explanation would suggest otherwise. Design/methodology/approach The authors test the research question using an experimental 2 × 2 full factorial design, with data collected from 100 university students. Findings The results show that when hospital menus a...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Intravenous fluid delivery time improvement: application of cross-docking system
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 1070-1081, October 2018. Purpose The cost of pharmaceutical supply chain due to drug waste is one of the current major issues in health care. Drug waste associated with intravenous (IV) fluid form of medication is one of the crucial issues for many pharmacies. The purpose of this paper is to apply a cross-docking model to minimize the IV delivery lead time to reduce drug waste by scheduling staff in a local hospital ’s inpatient pharmacy. Design/methodology/approach A mixed integer linear programming model is applied to the IV delivery syst...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Identification of factors influencing the rise of cesarean sections rates in Pakistan, using MCDM
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 1058-1069, October 2018. Purpose The rate of cesarean sections has been rapidly increased in the last few decades in all the developing as well as developed countries. The rate of cesarean sections determined by the World Health Organization has been crossed by many countries, like Brazil, India, China, USA, Australia, etc. Similarly, this rate has also increased in Pakistan. The purpose of this paper is to explore and identify the factors that are responsible for the rising rate of cesarean sections in Pakistan. Design/methodology/approach T...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Effective quality systems: implementation in Australian public hospitals
This study provides a clearer picture of why QSs are not yet achieving the results that boards and executives want to achieve, and that patients require. Originality/value This is the first study to explore the implementation of QSs in hospitals in-depth from the perspective of hospital staff, linking the findings to the implementation of QS component identified in the literature. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Patients ’ satisfaction as a dimension of quality: a survey on outpatients’ care in Dubai
This study is based on an independent survey consisting of self-administered questionnaires, in which patients were asked to rate several aspects of private clinics or government hospitals in Dubai. The questionnaire used has been drawn from the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey, Version 3.0. Responses from 420 patients form a data set that is analysed quantitatively. Findings In total, 420 respondents took part in this survey. The results of the survey show that there is a considerable difference between the expectation levels of patients from government hospitals and pati...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Investigating health information systems-induced errors
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 1014-1029, October 2018. Purpose The purpose of this paper is to present a review of health information system (HIS)-induced errors and its management. This paper concludes that the occurrence of errors is inevitable but it can be minimised with preventive measures. The review of classifications can be used to evaluate medical errors related to HISs using a socio-technical approach. The evaluation could provide an understanding of errors as a learning process in managing medical errors. Design/methodology/approach A literature review was perf...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Effects of job resources factors on nurses job performance (mediating role of work engagement)
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 1000-1013, October 2018. Purpose The purpose of this paper is to examine the mediating role of work engagement (vigor and dedication) between job resources (job characteristics, supervisor and co-worker support, participation in decision making and job security) and job performance (task and contextual) rated by the supervisor. Design/methodology/approach A sample of 364 nurses and their supervisors was used. Structural equation modeling with Amos 17 was used to obtain a model fit with path significance of work engagement as the mediator betw...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research

Development of the Persian patient satisfaction questionnaire
International Journal of Health Care Quality Assurance,Volume 31, Issue 8, Page 988-999, October 2018. Purpose The purpose of this paper is to explore the validity and reliability of the Persian version of the patient satisfaction questionnaire (PVPSQ). The study addressed the communication skills section of the PSQ specifically. Design/methodology/approach This cross-sectional study was conducted in 2015 to determine the validity and reliability of the Persian version of the patient satisfaction questionnaire (PSQ). In total, 538 patients (ten in pilot, 488 in tests, 40 in retest), 14 experts and 198 residents participa...
Source: International Journal of Health Care Quality Assurance - November 12, 2018 Category: Health Management Source Type: research