The privatisation of healthcare system in Bangladesh
This study follows systematic reviews in its undertaking and is based on an extensive review of both published and unpublished documents. Different search engines and databases were used to collect the materials. The study takes into account of vario us research publications, journal articles, government reports, policy and planning documents, relevant press reports/articles, and reports and discussion papers from the World Health Organization, the World Bank and the Asian Development Bank. Findings While Bangladesh’s healthcare sector has u ndergone an increasing trend towards privatisation, this move has limited benef...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Assessing hospital quality management systems: evidence from Iran
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 87-96, February 2019. Purpose A quality management system (QMS) is defined as interacting activities, methods and procedures used to monitor, control and improve service quality. The purpose of this paper is to describe the QMS status using the Quality Management System Index (QMSI) in hospitals affiliated to Shahid Beheshti Medical Sciences University in Tehran, Iran. Design/methodology/approach In this cross-sectional study, 28 hospitals were investigated. A validated 46-item questionnaire was used for data collection. Data were analyzed us...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Better get moving on laboratory quality assurance
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 84-86, February 2019. Purpose With recent advances in laboratory hematology automation, emphasis is now on quality assurance processes as they are indispensable for generating reliable and accurate test results. It is therefore imperative to acquire efficient measures for recognizing laboratory malfunctions and errors to improve patient safety. The paper aims to discuss these issues. Design/methodology/approach Moving algorithm is a quality control process that monitors analyzer performance from historical records through a continuous process...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Obtaining laboratory accreditation – required activities
This study presents a model that improves selecting, developing and validating analytical steps and contributes to producing reliable test and calibration results. These improvements can help laboratory testing and calibration to meet clients ’ needs, satisfy specified requirements and provide reliable results. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Chemotherapy scheduling template development using an optimization approach
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 59-70, February 2019. Purpose The purpose of this paper is to develop a chemotherapy scheduling template that accounts for nurse resource availability and patient treatment needs to alleviate the mid-day patient load and provide quality services for patients. Design/methodology/approach Owing to treatment complexity in chemotherapy administration, nurses are required at the beginning, end and during treatment. When nurses are not available to continue treatment, the service is compromised, and the resource constraint is violated, which leads ...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Oral care – identifying quality improvement areas
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 45-58, February 2019. Purpose The purpose of this paper is to describe and compare nurses ’ and healthcare assistants’ oral care quality perceptions, including perceived reality (PR) and subjective importance (SI), to identify improvement areas in intensive care and short-term care, and to explore potential nursing satisfaction predictors regarding oral care. Design/methodology/app roach Swedish staff, 154 within intensive care and 278 within short-term care responded to a modified quality of care from a patient perspective questionnaire....
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Establishing mercury-free medical facilities: a Malaysian case study
This study helps us to understand mercury management practices and suggests essential steps to establish a mercury-free medical facility. Originality/value This study explored the gaps between recommended and current mercury management practices in a medical facility and contributes to the Minamata Convention on Mercury aspirations. (Source: International Journal of Health Care Quality Assurance)
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Failure demand: a concept evaluation in UK primary care
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 21-33, February 2019. Purpose The purpose of this paper is to assess failure demand as a lean concept that assists in waste analysis during quality improvement activity. The authors assess whether the concept ’s limited use is a missed opportunity to help us understand improvement priorities, given that a UK Government requirement for public service managers to report failure demand has been removed. Design/methodology/approach The authors look at the literature across the public sector and then appl y the failure demand concept to the UKâ€...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Does TeamSTEPPS affect psychological status?
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 11-20, February 2019. Purpose The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program is known to improve team and clinical performance, but the relationship to psychological stress has not been clarified. The purpose of this paper is to evaluate team performance, clinical performance and psychological stress simultaneously in a simulation-based training combined with or without the TeamSTEPPS program. Design/methodology/approach This randomized, controlled, prospective pilot study was performed to reveal ...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Service quality and urolithiasis patient adherence
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 2-10, February 2019. Purpose Adherence to preventive recommendations improves clinical outcomes and is compulsory for long-term prevention in urolithiasis patients. Service quality can affect patients ’ adherence to treatment and care. The purpose of this paper is to compare perceived service quality, using the SERVQUAL model, between urolithiasis patients who were nonadherent to their follow-up visits and those who were adherent, in a stone prevention clinic, Tehran, Iran. Design/methodology /approach This was a cross-sectional study on pa...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Improving patient satisfaction: the virtual breakthrough series collaborative
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 296-306, February 2019. Purpose The purpose of this paper is to improve the Siloam Hospitals ’ (SHs) patient satisfaction index (PSI) and overcome Indonesia’s geographical barriers. Design/methodology/approach The topic was selected for reasons guided by the Institute of Healthcare Improvement virtual breakthrough series collaborative (VBSC). Subject matter experts came from existing global quality development in collaboration with sales and marketing, and talent management agencies/departments. Patient satisfaction (PS) was measured usin...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Competencies required for healthcare improvement positions
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 281-295, February 2019. Purpose The purpose of this paper is to examine the competencies that US healthcare organizations require for quality and performance improvement positions. Design/methodology/approach A US healthcare improvement job posting content analysis was conducted using the HQ Essentials competency framework. Findings The HQ essentials competencies most desired for improvement positions include project management, training, data analysis and applied performance improvement methods. Competency requirements varied somewhat by jo...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Organisational culture: the hidden operand in clinical laboratories
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 273-280, February 2019. Purpose The purpose of this paper is to present organisational cultural determinants that can influence total quality management (TQM) in clinical laboratories. Design/methodology/approach This is a viewpoint paper using evidence provided by a literature research about cultural patterns using Competing Values Framework to explain the relationship between organisational culture and TQM. Findings Cultural aspects likely to enhance creativity and innovation are considered as incentives in promoting cultural transformatio...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Bedside vital parameters that indicate early deterioration
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 262-272, February 2019. Purpose The purpose of this paper is to determine associations between initially recorded deviations in individual bedside vital parameters that contribute to total Modified Early Warning Score (MEWS) levels 2 or 3 and further clinical deterioration (MEWS level=4). Design/methodology/approach This was a prospective study in which 27,504 vital parameter values, corresponding to a total MEWS level ⩾2, belonging to 1,315 adult medical and surgical inpatient patients admitted to a 90-bed study setting at a university hos...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research

Relationship between patient costs and patient pathways
International Journal of Health Care Quality Assurance,Volume 32, Issue 1, Page 246-261, February 2019. Purpose The purpose of this paper is to identify actual (as-is) patient pathway variation among breast cancer patients and to investigate the relationship between pathways and the cost incurred by patients. Design/methodology/approach Both quantitative and qualitative methods were employed to analyze data from four Swedish hospital groups. Quantitative methods include event-log data mining and statistical analyses on the related patient cost from the Swedish breast cancer quality registry and case-costing system. Quali...
Source: International Journal of Health Care Quality Assurance - March 11, 2019 Category: Health Management Source Type: research