Quality control methods at a hospital

Canel, Cem; Mahar, Steve; Rosen, Drew; Taylor, John Κ.

doi:10.1108/09526861011010686

Cited by 9 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Health care costs continue to increase and stewardship of blood must be considered, because of the high costs of RBC transfusion and RBC shortages that have been observed in multiple jurisdictions . In multiple areas of health care, quality improvement strategies have been used successfully to improve resource use and deliver quality to the end user . This has been applied to single‐unit transfusion strategies, reflected in the recent articles and abstracts described in our review assessing the effect of promotion of single‐unit transfusion strategies or other patient blood management related interventions generally demonstrating benefit.…”

Section: Discussionmentioning

confidence: 99%

Systematic reviews of guidelines and studies for single versus multiple unit transfusion strategies

et al. 2018

View full text Add to dashboard Cite

BACKGROUND Recent recommendations indicate that one red blood cell (RBC) unit should be transfused at a time, with reassessment after each transfusion, which may be extrapolated from literature supporting restrictive transfusion triggers rather than specific evidence. Therefore, two systematic reviews were performed to identify the following: 1) RBC transfusion guidelines and review articles to determine if single‐ or multiple‐unit transfusion strategies are recommended and 2) studies comparing strategies for evidence of benefit. STUDY DESIGN AND METHODS MEDLINE, EMBASE, CINAHL, Web of Science, National Guideline Clearinghouse, and Trip Database were searched (inception to June 2017). For the first review, the proportion of articles with single/multiple‐unit recommendations was assessed and stratified by article type. For the second review, the primary outcome was RBC use. Secondary outcomes included proportion of transfusion episodes using a single‐unit strategy, length of stay, and mortality. RESULTS The first review identified 145 articles for analysis, with 51 transfusion guidelines. Only 14 guidelines (27%) made a recommendation, with most (93%) recommending single‐unit transfusions. The second review identified seven cohort studies comparing preimplementation and postimplementation of a policy encouraging single‐unit transfusion strategies. Meta‐analysis could not be performed for outcomes given inconsistencies in reporting. RBC use decreased by approximately 10 to 41% across studies. CONCLUSION Transfusion guidelines lack recommendations to transfuse to a single‐unit strategy. Mostly retrospective cohort studies (six of seven) are inconsistent in outcome reporting but suggest improved RBC use. Further high‐quality studies could identify the benefits of a single‐unit transfusion strategy, determine the applicability to different clinical settings, and inform future practice guidelines.

show abstract

Section: Discussionmentioning

confidence: 99%

Systematic reviews of guidelines and studies for single versus multiple unit transfusion strategies

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Amongst these applications are: monitoring the level of radiation received by the patients under treatment (Waterhouse, Smith, Assareh, & Mengersen, 2010), decreasing in-hospital mortality intensive care unit (Koetsier, de Keizer, de Jonge, Cook, & Peek, 2012), signalling the outbreak of post eye surgery infectious (Chiam & Feyi-Waboso, 2009), control charts for healthcare surveillance (Jiang, Shu, Zhao, & Tsui, 2013;Joner, Woodall, Reynolds, & Fricker, 2008), monitoring rare health events such as needle stick injury (Fatahi, Noorossana, Dokouhaki, & Moghaddam, 2012), reducing patient turnaround time (Kao, 2012), controlling out-ofhospital cardiac arrest patient mortality (Chen, Chung, Hu, Fan, & Yang, 2011), medical 2 O. Rasouli and M.H. Zarei records assembly process (Canel, Mahar, Rosen, & Taylor, 2010), and applications in nursing practices (Polit & Chaboyer, 2012). Woodall (2006) reviewed different applications of control charts in healthcare based on the type of charts deployed.…”

Section: Introductionmentioning

confidence: 99%

Monitoring and reducing patient dissatisfaction: a case study of an Iranian public hospital

Rasouli

Zarei

2015

Total Quality Management & Business Excellence

View full text Add to dashboard Cite

Patients' dissatisfaction with hospital services is a major indicator for the assessment of healthcare quality. This paper proposes an innovative framework to measure and decrease patient dissatisfaction with hospital services. First, a validated and verified SERVQUAL-based questionnaire is proposed to be distributed among patients. Then, according to the collected data, the level of dissatisfaction is monitored by deploying a p-chart and a Demerit chart. Finally, in order to identify long-term improvement opportunities, an improvement index and Pareto chart have been exploited. The usefulness of the proposed framework is illustrated by the application on a case study in a public hospital of Iran. The results revealed that both the Demerit chart and p-chart are quite competent in monitoring patients' dissatisfaction and alarming out-of-control situations. In the studied hospital, food service was found to be the critical challenge that required both immediate and long-term improvements. Nurses' criteria should receive immediate improvement while longterm efforts should be devoted to hospital environment and facilities.

show abstract

“…Therefore, the discussion regarding the implementation of quality control to support health services has also begun to be discussed. [4] conducted a study on the implementation of quality control in hospitals and found that quality control can improve hospitals' service processes. [5] applied process capability analysis and simulation to enhance process flow in hospitals.…”

Section: Introductionmentioning

confidence: 99%

Control Chart in the Service Industry: A Case Study in a University Health Clinic

Runtuk

2020

International Journal of Science, Technology & Management

View full text Add to dashboard Cite

This study analyzes the service quality of a University health clinic in Bekasi, WestJava, Indonesia. A control chart and capability analysis will be employed to analyzethe services' quality, especially registration processing time and the drug defect permonth. This study uses the CUSUM and EWMA control charts for detecting thesmall shifts in the processing time. The findings revealed that the current processesare in control and capable of meeting the current service level. There is only onepoint outside the upper limit. But it can be ignored/deleted since the assignablecause causes that event. This study gives direction for the Clinic to improve theservice quality.

show abstract

Quality control methods at a hospital

Cited by 9 publications

References 12 publications

Systematic reviews of guidelines and studies for single versus multiple unit transfusion strategies

Systematic reviews of guidelines and studies for single versus multiple unit transfusion strategies

Monitoring and reducing patient dissatisfaction: a case study of an Iranian public hospital

Control Chart in the Service Industry: A Case Study in a University Health Clinic

Contact Info

Product

Resources

About