An approach for identifying and selecting improvement projects

Kovach, Jamison V.; Ingle, Dhanashri

doi:10.1080/14783363.2017.1419055

Cited by 8 publications

(5 citation statements)

References 20 publications

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“…Regarding the general characteristics of the NKHICU, Matrix (1) shows that the greatest number of beds were present in the surgical ICUs and Professor Sherif Mokhtar ICU Trash-free floors The doctor responds satisfactorily to patient…”

Section: General Characteristics Of the Nkhicumentioning

confidence: 99%

“…Moreover, as with any other organization, healthcare facilities cannot survive if they cannot maintain quality services for patients and families. Organizations spend extensive resources in a never-ending quest for improvement [1]. This underpins the importance of identifying the feedback of the patients and their families, which is then translated into quality improvement projects [2,3].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient and Family Satisfaction with Intensive Care in a Mega University Hospital: An exploratory study

AbuZina,

Toman,

Kamel

et al. 2024

APJHM

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Background: Being admitted to the ICU is stressful for both patients and families, in addition to being very costly. Therefore, the ICU was chosen for conducting the study in this university hospital, the New Kasr Al-Ainy Hospital (NKHICU). This was the first such study. Objective: Identify NKHICU patient and family satisfaction to prioritize opportunities for quality improvement. Methods: This was health-system research, exploratory design. Work began by providing training for selected NKHICU administrative staff to help with data collection activities. Next, a well-prepared checklist was used to observe some quality dimensions. Finally, satisfaction was identified using two ICU-designed interview questionnaires for patients and family members who matched the eligibility criteria. Quantitative and qualitative findings were analyzed independently and combined in the discussion. The mean % satisfaction scores of the participants were calculated. The reliability of questionnaires was measured using Cronbach's Alpha. Results: The observation revealed 'excellent' results, except for some inconvenient conditions in the family waiting areas. The highest mean % score of patient and family satisfaction was for the neat appearance of NKHICU staff (96.4%, and 97.1%, respectively) and the continuous availability of nurses to respond to patient needs (94.7%, and 94.3%, respectively). The least mean % score of patient and family satisfaction was for the shortage of required drugs/supplies (51.5%, and 40.7%, respectively). The top suggestions raised by the participants were increasing the availability of medications/supplies and reduction in hospital bills. Conclusion: The provision of adequate drugs/supplies, reduction in bills, and addressing patients' and families' concerns will improve their satisfaction with services.

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Section: General Characteristics Of the Nkhicumentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient and Family Satisfaction with Intensive Care in a Mega University Hospital: An exploratory study

AbuZina,

Toman,

Kamel

et al. 2024

APJHM

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“…Projects should be prioritized for maximizing the combined outcomes of the selected projects by balancing organizational capacities [109]. Techniques recommended for prioritization in the literature are goal programming ( [61,62]), the process failure modes and effect analysis (PFMEA) [70], the Likert based criteria weightage method [31], the Monte-Carlo simulation-based data envelopment analysis method (DEA) [80], simulation-based models [81], and a resource-constrained DEA [15]. Qualitative methods are also recommended, such as the Delphi method or a decision tree method ( [71,82]), a fuzzy quality function deployment (QFD), and the DEA [66], a harmony search algorithm [95].…”

Section: Prioritization and Balancingmentioning

confidence: 99%

Perspectives on the Capabilities for the Selection of Strategic Projects

2020

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Strategic projects are large scale, complex, and require significant investments and resources. These projects aim at gaining long-term social and economic benefits. Therefore, organizations focusing on strategic projects should use a consistent approach that suits their strategy, capability, and long-term expectations. Based on the four research questions and content analysis of the literature, generic processes used for the strategic project selection in tandem with the managerial capabilities are identified in this paper. The generic processes and managerial capabilities are used to develop a generic framework for strategic project selection. The framework is used for literature analysis in the paper. The review shows that both qualitative and quantitative methods are used for strategic project selection. Some possible research directions have also been proposed at the end of the review. The paper provides value to both researchers and practitioners in terms of tools available and a guidance on project selection through a structured process framework.

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“…Consequently, one of the issues that must be addressed is to align the overall improvement initiatives with the diversity of problems found and acknowledged locally (Edwards et al. , 2020; Kovach and Ingle, 2020). Furthermore, decision makers of public administrations often struggle to create value for society, as whatever decision they make becomes the wrong decision from some actor's perspective (Geuijen et al.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, it is important to coordinate these actors and understand what mechanisms make the operations run smoothly, where the balancing act of top-down versus bottom-up improvements are even more difficult than they are in a single organization (Bryson et al, 2021;Edwards et al, 2020;Mintzberg, 1993). Consequently, one of the issues that must be addressed is to align the overall improvement initiatives with the diversity of problems found and acknowledged locally (Edwards et al, 2020;Kovach and Ingle, 2020). Furthermore, decision makers of public administrations often struggle to create value for society, as whatever decision they make becomes the wrong decision from some actor's perspective (Geuijen et al, 2017;Prebble, 2021).…”

Section: Introductionmentioning

confidence: 99%

How to facilitate improvements in public service systems: propositions for action

Gyllenhammar

Hammersberg

2022

IJQRM

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PurposeThe purpose of this article is to increase the understanding of how improvements can be facilitated in a public service containing multiple actors in terms of identifying, aligning and prerequisites for the improvements.Design/methodology/approachThe research utilizes an interactive research approach where data were gathered though a conference, workshop and a survey. The study alternately combines quality management methods such as affinity and interrelationship diagrams with computer aided text mining and latent semantic analysis.FindingsThe research shows that practitioners must consider interconnectedness between improvements and benefits that are crossing organizational levels of the public service system as well as professional borders. In public service systems, the complex reality can be better understood when improvements and benefits are classified into different organizational layers and an interconnectedness and sequence of improvement areas are acknowledged.Research limitations/implicationsThe research is set in the Swedish public service of the tax-paid sick leave insurance. Future research would benefit by investigating similar cases in other nations and other services.Practical implicationsThe used methodology can be applied by practitioners to enhance a unified understanding of the system required to improve. The study also guides practitioners for how to support, relive hinders and prioritize improvements.Originality/valueThe research fills a gap of understanding of improvements in public services with multiple actors. As this area is difficult to improve, a novel combination of qualitative and quantitative methods paved the way for deeper and more unified understanding of the system.

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An approach for identifying and selecting improvement projects

Cited by 8 publications

References 20 publications

Patient and Family Satisfaction with Intensive Care in a Mega University Hospital: An exploratory study

Patient and Family Satisfaction with Intensive Care in a Mega University Hospital: An exploratory study

Perspectives on the Capabilities for the Selection of Strategic Projects

How to facilitate improvements in public service systems: propositions for action

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