A survey of total quality management in Iran

Rad, A M Mosadegh

doi:10.1108/13660750510611189

Cited by 85 publications

(34 citation statements)

References 86 publications

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“…This result is consistent with previous studies (Desai, 2010;Karaszewski, 2004;Rad, 2005), which found lack of training as a QMS obstacle in some hospitals. This finding indicates that perhaps low-performing hospitals in Jordan, which are mainly public hospitals are not providing enough in-service training programmes to their staff due to declining government spending on health (Jordanian Department of Statistics (JDOS), 2010; Jordanian High Health Council, 2012).…”

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 93%

“…This result is consistent with other studies conducted in different countries (Hudelson et al, 2008;Pongpirul et al, 2006;Rad, 2005). Inadequacy of staff was ranked as a major obstacle to QMS in hospitals based on health care professionals' views (Pongpirul et al, 2006).…”

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 91%

“…These findings are similar to those of other studies in the United States (Messner, 1998), Switzerland (Hudelson et al, 2008), Thailand (Pongpirul et al, 2006), Iran (Rad, 2005), Indonesia (Amar & Zain, 2002), and Taiwan (Lin & Jang, 2008). These researchers found that some or all of these factors (lack of rewards for hospital staff, inadequate authority delegation, and lack of staff) were major obstacles.…”

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 88%

“…Other studies (Pongpirul et al, 2006;Rad, 2005) have found similar results. This finding in relation to low-performing hospitals in Jordan supports the fact that public hospotals suffer from limited resources due to declining government funding (Jordanian Department of Statistics (JDOS), 2010; Jordanian High Health Council, 2012).…”

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 80%

“…The questionnaire was based on the Quality Management Systems Obstacles Scale (QMSOS) which was built based on a comprehensive literature review of QMS and several survey instruments. The questionnaire is consisted of a list of the most common 23 concepts derived from various studies (Desai, 2010;Dixon-Woods et al, 2012;Hudelson et al, 2008;Lin & Jang, 2008;Pongpirul et al, 2006;Rad, 2005). This questionnaire is divided into two sections-A and B.…”

Section: Instruments Of the Studymentioning

confidence: 99%

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Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

A’aqoulah¹,

Kuyini²,

Ajlouni³

et al. 2016

IJBM

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Implementing a quality management system (QMS) is important for hospitals to deliver high-quality services. Hospitals in Jordan vary greatly in terms of the quality of their services. This study aimed to explore QMS obstacles in low-and high-performing hospitals in Jordan. The study employed a Mixed Method-Sequential Exploratory design. A questionnaire was used to explore the QMS obstacles. The study population was drawn from six public and private hospitals considered low-and high-performing. A total of 908 participants who worked in the six hospitals completed the questionnaire. The questionnaire contained 23 items and was rated using 5-points Likert Scale. The data was analysed using quantitative tools as Descriptive statistics, General Liner Model (Univariate analysis) to determine the major QMS obstacles in low-and high-performing hospitals and to explore the relationship between participants' background variables. The study found that low-performing hospitals faced six major obstacles: lack of rewards for hospital staff, inadequate material resources, lack of training programmes in sufficient staff motivation, insufficient budget for a QMS, and inadequate authority delegation. Whereas, the high-performing hospitals faced three major obstacles: lack of rewards for hospital staff, inadequate authority delegation, and shortage of staff. The results showed that there were significant differences between low-and high-performance hospitals in terms of the QMS obstacles. The study also provides recommendations for improving the implementation of QMS in Jordanian hospitals.

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Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 93%

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 91%

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 88%

Section: Major Qms Obstacles In High-and Low-performing Hospitalssupporting

confidence: 80%

Section: Instruments Of the Studymentioning

confidence: 99%

See 3 more Smart Citations

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

A’aqoulah¹,

Kuyini²,

Ajlouni³

et al. 2016

IJBM

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Administrative challenges of clinical governance in military and university hospitals of Kerman/Iran

Mirzaei

Hekmat

Oroomiei

et al. 2019

Health Planning & Management

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Summary Background Over the recent years, clinical governance model has been applied to improve the quality of university and private hospitals in Iran. In addition to university hospitals, military hospitals have an effective role in the preservation and promotion of public health. The challenges of clinical governance implementation have not been investigated in such settings. Hence, the present study objective is to identify the administrative challenges of clinical governance in military and university hospitals of Kerman/Iran Methods This qualitative study was carried out through phenomenology in 2017. A sample of managers and experts in the implementation and execution of clinical governance was purposefully selected from three university hospitals and three military hospitals in Kerman, Iran. A total of 39 managers and experts were interviewed, and data were gathered via semistructured interviews with open questions. For data analysis, conventional content analysis method was employed. Results In this study, five main codes and 17 subcodes were obtained. Main codes were structural challenges, educational challenges, limitations, evaluation, and human resource challenges. Conclusions Clinical governance is being implemented hastily with no appropriate structural, financial, and training facilities, ensuing a waste of resources, more difficult work for staff and a negative view of personnel.

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Statistical process control for the analysis of quality control in urodynamics: A potential new approach for quality review of urodynamics

Zeng

Shen

et al. 2022

Neurourology and Urodynamics

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Purpose To analyze quality control in urodynamic studies, using a proportion control chart (p‐chart) for statistical process control. Materials and Methods This single‐center study was conducted at the Urodynamic Center of West China Hospital, Sichuan University. We randomly selected 15 samples from each month in 2020, and 180 urodynamic traces were finally enrolled. We used the p‐chart of statistical process control for analysis. We calculated the proportion of the incidence of a selected set of artefacts in the monthly urodynamic study process, including non‐standard zero setting, no cough test, incomplete records of all measurements by urodynamicists, catheter displacement, and baseline drift. Through the specific calculation formula of statistical process control, we obtained the values of the center line, lower control limit, and upper control limit. Results All data points of each artefact were within zone A. However, one outlier was found in the p‐chart of all artefacts in October, which might have been caused by inexperienced operators. Conclusions Statistical process control may play an important role in the process control of urodynamic studies and guide us in identifying the cause of poor quality in process management.

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A survey of total quality management in Iran

Cited by 85 publications

References 86 publications

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

Staff Perceptions of Obstacles to Quality Management Systems in Low- and High- Performing Hospitals in Jordan

Administrative challenges of clinical governance in military and university hospitals of Kerman/Iran

Statistical process control for the analysis of quality control in urodynamics: A potential new approach for quality review of urodynamics

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