Improving Postoperative Neonatal Nutritional Practices in an Intensive Care Unit Using the PDSA Cycle

Newcombe, Jennifer; Fry-Bowers, Eileen K.

doi:10.1016/j.pedhc.2018.03.004

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Scholars have employed various methods to measure the level of quality in these departments. Some of the methods used for this purpose are 6δ (Bonilla et al, 2008;Frankel et al, 2005;Rosier et al, 2020;Taner et al, 2012), Value Stream Mapping (VSM) (Camg€ oz-Akda g et al, 2018;Improta et al, 2018;Laberge et al, 2013;van der Sluijs et al, 2019;Swancutt et al, 2017;Towbin et al, 2017), Plan-Do-Study-Act (PDSA) (Breckner et al, 2018;Gjolaj et al, 2016;Lipshutz et al, 2008;Newcombe and Fry-Bowers, 2018), and ISA (Aeyels et al, 2018;Lee, 2016;Shieh, 2010;Shieh et al, 2019;Wu and Hsieh, 2012). One of the major methods that have been repeatedly applied to assess the level of excellence in healthcare subdivisions is QFD (Abdelsamad et al, 2018;Gremyr and Raharjo, 2013;Joshi and Bhargava, 2019;Luschi et al, 2016;Rahimi et al, 2013).…”

Section: Literature Reviewmentioning

confidence: 99%

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An application of quality function deployment and SERVQUAL approaches to enhance the service quality in radiology centres

Gavahi

Hosseini²,

Moheimani³

2022

BIJ

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PurposeMeeting the patients' requirements as customers of the health care sector is crucially important as a social responsibility. According to the resource constraints, only an efficient utilisation of health services can provide that purpose. This study aims to develop a quantitative assessment framework for radiology centres as a vital section in healthcare to translate the patients' requirements into service quality specifications. This would help to achieve quality improvement by emphasising the voice of customers.Design/methodology/approachA literature review is conducted to specify the service quality criteria and the patients' requirements related to healthcare and hospitals. Based on the experts' opinions, these criteria and requirements are later customised for the radiology centres. Moreover, the requirements are categorised into five dimensions of SERVQUAL. The interrelations between service elements are also determined through expert group consensus using Pearson correlation. Afterwards, by applying the QFD method, the relations between the requirements and criteria are explored. Additionally, a customer satisfaction survey is executed in Tehran public hospitals to prioritise these requirements and provide an importance-satisfaction analysis.FindingsBased on the result of the case study, service elements are prioritised for improvement, and practical suggestions are provided using the Delphi technique for quality improvement. In addition, a cause-and-effect diagram is presented to highlight the improvement area and provide enhancement suggestions.Originality/valueThis study is the first empirical attempt to benefit from the VOC in evaluating and enhancing the quality of service delivered to radiology patients. In doing so, the study applies a hybrid approach of QFD and SERVQUAL as well as other tools to highlight the improvement area and provide enhancement suggestions. The findings can be readily used by the practitioners.

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Section: Literature Reviewmentioning

confidence: 99%

“…, 2016; Lipshutz et al. , 2008; Newcombe and Fry-Bowers, 2018), and ISA (Aeyels et al. , 2018; Lee, 2016; Shieh, 2010; Shieh et al.…”

Section: Literature Reviewmentioning

confidence: 99%

An application of quality function deployment and SERVQUAL approaches to enhance the service quality in radiology centres

Gavahi

Hosseini²,

Moheimani³

2022

BIJ

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“…Using QI models in health care creates a systematic approach to problem solving, help providers to improve the process, facilitate teamwork, and create a clear plan to communicate at any time and also offer a set of tools, a powerful way to thinking about how to transform clinical operations to achieve better results for patients and healthcare teams and a framework for healthcare professionals to follow in implementing process improvement changes (15,16). Given the economic climate both nationally and internationally, QI models in surgery constitute an emerging practice that should be considered at all levels of healthcare organizations, as they contribute to the financial viability and sustainability of the healthcare systems for future generations (17).…”

Section: Introductionmentioning

confidence: 99%

Quality improvement in hospitals' surgery-related processes: A systematic review

Beyranvand

Aryankhesal

Hashjin

2019

Med. J. Islam. Republ. Iran

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There is a growing global movement toward quality and safety in healthcare and quality improvement (QI) in general surgery. The identification of theoretical frameworks is the cornerstone of any QI program. →What this article adds: This is the first systematic review that aims to identify and evaluate QI models in surgery and provide an overview in this area. The results of this study can be used by health managers, researchers, and all those who are interested in quality improvement in hospitals.

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“…The method originates from within the industry from Walter Shewhart and Edward Deming’s articulation of iterative processes which is characterised by four consecutive phases: (i) Plan: identifying and analysing the problem; (ii) Do: developing and testing a potential solution; (iii) Check: measuring how effective the test solution was and analysing whether it could be improved in any way and (iv) Act: implementing the improved solution fully. In healthcare, different applications of PDCA methodology demonstrated improvements in the safety of critically ill patients transportations, in modifying practitioner’s prescribing behaviour, in operating room management, in reducing perianal infection rate of haematological malignancies, in post‐operative neonatal nutritional practices, etc…”

Section: Introductionmentioning

confidence: 99%

“…implementing the improved solution fully. In healthcare, different applications of PDCA methodology demonstrated improvements in the safety of critically ill patients transportations, 27 in modifying practitioner's prescribing behaviour, 28,29 in operating room management, 30,31 in reducing perianal infection rate of haematological malignancies, 32 in post-operative neonatal nutritional practices, 33…”

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confidence: 99%

The “Plan” phase of a Deming cycle: Measurement of quality and outcome of root canal treatments in a university hospital

Cousson

Decerle

Munoz-Sanchez

et al. 2018

Eur J Dental Education

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Professional practice evaluation allows practitioners to improve quality of care, firstly by raising questions about improving professional practice through an evidence-based approach, secondly by looking at differences between what is actually applied and the standards of practice, and finally by implementing improvement actions to reduce these differences. Quality improvement initiatives have been shown to improve outcomes, effectiveness of care in many institutions and in various domains such as paediatric anaesthesia, 1 diabetes care, 2 feeding assistance care practices 3 or post-acute stroke services. 4 Dentistry is increasingly challenged by private and public institutions to demonstrate quality of care measurement activities. 5 Every dental service, private or public, may be concerned by an evaluation of this kind. A systematic review of cross-sectional studies including 300 861 root-treated teeth indicated that on average each person had about two root canal treatments. 6Endodontic procedures are technically difficult, time-consuming and expensive when realised according to the current standard.The percentage of root canal treatments (RCTs) satisfying the criteria for good quality would vary between 13% to 40%, 7,8 and it was reported that the presence of a periapical radiolucency is related to the treatment quality. 19,21,22 Root canal treatments failures increased the risk for edentulousness or expensive prosthetic rehabilitations. AbstractIntroduction: In many countries, dental students are taught in private or university hospitals where they treat patients under the supervision of teachers. Assessing the quality of root canal treatments (RCT) would provide information about the quality of care patients receive when treated by students. Methods:This study describes the six-step "Plan" phase of a Plan-Do-Check-Act (PDCA) cycle that identifies and analyses clinical practices in endodontics in a university dental hospital service. Results:Step 3 reported that the proportion of RCTs of adequate quality reached 57.1% and this proportion was significantly decreased when specific indicators for treatment difficulties were present. The proportion of successful RCTs after one year was 65.6%, and its variation was influenced by the preoperative periapical status rather than the quality of RCTs. The consensual meeting in Step 6 proposed to introduce three new procedures for the further Do, Check and Act phases of the PDCA cycle. Conclusion:This study encourages systematic evaluation of RCTs and provides the first step of the methodology that can be reproduced in private and hospital practices where students are asked to treat patients. K E Y W O R D SDeming cycle, endodontics, methodology, Plan phase, professional practices evaluation, quality assessment e2 | COUSSON et al.

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Improving Postoperative Neonatal Nutritional Practices in an Intensive Care Unit Using the PDSA Cycle

Cited by 6 publications

References 8 publications

An application of quality function deployment and SERVQUAL approaches to enhance the service quality in radiology centres

An application of quality function deployment and SERVQUAL approaches to enhance the service quality in radiology centres

Quality improvement in hospitals' surgery-related processes: A systematic review

The “Plan” phase of a Deming cycle: Measurement of quality and outcome of root canal treatments in a university hospital

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