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1

Boström, Jonas. "Knowledge for Improving Healthcare Service Quality : Combining Three Perspectives." Licentiate thesis, Mittuniversitetet, Institutionen för kvalitets- och maskinteknik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-40073.

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The Swedish public sector in general, and healthcare specifically, is struggling with large deficits: 19 of 21 regions have large negative results in 2019. The demands made by the citizens and their elected politicians that healthcare should offer effective, accessible, good and equal care are difficult to meet. However, when it comes to emergency care, Swedish healthcare scores high on international rankings. The difficulties and challenges today lie in ensuring good and equal care for the large groups of people with multiple illnesses, and patients who need long-term care from different healthcare providers. A complicated system has become even more complex. Organizational research has shown conflicts between different ways of working to improve and change the organization and the methods that support the daily work of providing healthcare services. Furthermore, quality research shows that there are knowledge gaps to be filled when it comes to understanding how complex problems should be handled and what kind of knowledge could contribute. This also applies to the tensions and conflicts that can arise when knowledge from patients, other professions and fields of knowledge must be integrated with the knowledge that the professions (physicians, nursing) possess. Several public organizations have in recent years also adopted methods, tools and approaches from the design field. Especially user involvement (human-centric), collaboration and visualization. Design research often highlights the methods which are favorable for handling complexity. The overall purpose of this thesis was therefore to gain a deeper understanding of how the quality development work in healthcare is expressed and how it is affected when different perspectives of knowledge are integrated - with a focus on improvement knowledge, professional knowledge and design thinking. Since the purpose of the licentiate thesis was to gain a deeper understanding of what happens when new knowledge to develop quality in healthcare emerges, the method is based on a qualitative approach. Three research questions were formulated and led to three studies. The first study, a literature review, showed that there is limited research in the area but that there are indications that user involvement in development work affects employees' attitudes and values. In study number two, a case study was set up using design methods and involving users. The results showed tensions between the improvement work and the daily clinical operations. This tension could primarily be attributed to the conflict between faster and slowerxviprocesses (doing and thinking), when moving between different practicing skills (design, improvement and professional). The last study aimed to understand more about the management's view of this, relatively new knowledge (design) in healthcare, in relation to the traditional way to work with improvement and change. The result stresses that there are potential conflicts between the different fields of knowledge. But the interviews were also interpreted as showing the synergy effects that can arise when different practitioners meet, and the results also show that different ways of thinking can challenge the traditional ways of handling improvement and change in the development of healthcare. The thesis result overall strengthens the research that shows that design can add another dimension to traditional improvement work in healthcare. However, there is also frustration about something which is perceived as more abstract and reflective and which can sometimes be slower than what the solutions-oriented professions, who work under great time pressure and with scarce resources, are used to. Furthermore, the thesis highlights the problem that also has been described in previous research and which signals the (in)ability to both share new knowledge and to absorb it.
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Elsaeiby, Aber. "Healthcare Operations Management: Models for Improving Productivity, Scheduling and Quality." University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1449421673.

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Song, Won K. "Mobile Technology Deployment Strategies for Improving the Quality of Healthcare." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7431.

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Ineffective deployment of mobile technology jeopardizes healthcare quality, cost control, and access, resulting in healthcare organizations losing customers and revenue. A multiple case study was conducted to explore the strategies that chief information officers (CIOs) used for the effective deployment of mobile technology in healthcare organizations. The study population consisted of 3 healthcare CIOs and 2 healthcare information technology consultants who have experience in deploying mobile technology in a healthcare organization in the United States. The conceptual framework that grounded the study was Wallace and Iyer's health information technology value hierarchy. Data were collected using semistructured interviews and document reviews, followed by within-case and cross-case analyses for triangulation and data saturation. Key themes that emerged from data analysis included the application of disruptive technology in healthcare, ownership and management of mobile health equipment, and cybersecurity. The healthcare CIOs and consultants emphasized their concern about the lack of cybersecurity in mobile technology. CIOs were reluctant to deploy the bring-your-own-device strategy in their organizations. The implications of this study for positive social change include the potential for healthcare CIOs to emphasize the business practice of supporting healthcare providers in using secure mobile equipment deployment strategies to provide enhanced care, safety, peace of mind, convenience, and ease of access to patients while controlling costs.
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Vassen, Ansuya. "Determining and improving the level of service quality at International Healthcare Distributors." Thesis, Port Elizabeth Technikon, 2002. http://hdl.handle.net/10948/82.

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The levels of service quality at International Healthcare Distributors (IHD) have been determined. Service quality in organisations require a strong emphasis on customer service and service delivery processes. The main area of this study focuses on the need for appropriate levels and criteria of service quality that will satisfy customers of pharmaceutical distributors. Various determinants affecting service quality levels have been discussed. The nature of service quality has been outlined and customer expectation standards have been determined. Customer satisfaction versus service quality has been discussed and the consumers’ perceptions towards service quality have been identified. Obstacles to attaining service quality have been described and potential causes of service quality shortfalls have been defined. Various surveys were studied to determine the implementation of service quality dimensions in a variety of disciplines. A sample was taken from the IHD customer base and a questionnaire was designed and distributed to the customers. The questionnaire examined five dimensions, tangibility, reliability, responsiveness, assurance and empathy. There was a hundred percent response rate. The results indicated that the tangibility dimension was highest in terms of customer agreement and reliability the lowest. The results of the questionnaire have proven that two of the hypotheses are negative and one positive. Concluding remarks and recommendations were highlighted and it is evident that IHD needs to improve its level of service quality in order to meet their customer requirements.
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Tchatchoua, Jean Calvin. "Strategies for Improving Healthcare Efficiency While Reducing Costs." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5136.

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In comparison to the European healthcare system, the U.S. healthcare system has lower quality care, higher costs, and covers a smaller percentage of the population. Despite the high costs, the U.S. healthcare system remains dysfunctional. The purpose of this exploratory single case study was to identify the strategies that some healthcare managers in a hospital setting in the midwestern region of the United States use to improve efficiency while decreasing healthcare costs. Complex adaptive systems theory was used to frame this study that included face-to-face interviews with 6 highly experienced healthcare managers. Data were collected from audio recorded interviews and publicly available documents, and the audio recordings were transcribed and analyzed using deductive and open coding techniques to identify themes regarding strategies used by managers to find effective ways for improvement. Three strategies emerged as themes, including improving the accuracy of information and reports, implementing precise and accurate information, and improving quality. The findings of this study may directly benefit healthcare managers and compel positive social change by facilitating successful strategies to improve efficiency and reduce costs. The successful strategies identified in the study might provide a new direction to healthcare managers attempting to adopt new methods. The findings may also contribute to social change by providing solutions that may improve overall organizational performance in a hospital setting.
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Leicester, Howard James. "Improving data quality in English healthcare : from case studies to an applied framework." Thesis, City University London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.407556.

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7

Muntlin, Åsa. "Identifying and Improving Quality of Care at an Emergency Department : Patient and healthcare professional perspectives." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-110260.

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Background: Patients in the emergency department are not always satisfied with the care received and the nursing care in the emergency department is sometimes described as instrumental and non-holistic. Structured quality improvement work and evidence-based practice are needed. Aim: The overall aim was to emphasize general patients in the emergency department to enhance the knowledge on how they perceive the quality of care and how the care could be improved through collaboration with the healthcare professionals. Methods: Four studies, with quantitative and qualitative designs, were conducted in a Swedish emergency department. Two hundred patients answered a questionnaire, after which 22 healthcare professionals comprising five focus groups were interviewed, and finally 200 patients were included in an intervention study. Results: The following five areas for improvement were identified: “information, respect and empathy”, “pain relief”, “nutrition”, “waiting time” and “general atmosphere”. Of these areas, the healthcare professionals prioritized “information, respect and empathy”, “waiting time” and “pain relief” to be highlighted in the quality improvement work. Although goals and suggestions for changes were stated, barriers to quality improvement at different levels in the health care were detected. The results of the intervention study showed that structured nursing assessment of the patients’ abdominal status and nurse-initiated intravenous opioid analgesic could increase frequency of analgesic and reduce time to analgesic in the emergency department. Patients perceived lower pain intensity and improved quality of care in pain management. Conclusions: An uncomplicated nursing intervention, related to pain management, based on the results from a patient questionnaire and interviews with healthcare professionals, can improve the care process and pain management in the emergency department, as well as patients’ perceptions of the quality of care in pain management. To succeed with continuous quality improvement work, barriers to change should be addressed.
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Taylor-Hyde, Dr Mary Ellen. "Human Resource Strategies for Improving Organizational Performance to Reduce Medical Errors." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3580.

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Preventable medical errors are the third leading cause of death in the United States. Healthcare leaders must consistently promote the delivery of quality and safe care of patients to reduce unnecessary errors and prevent harm. The purpose of this case study was to explore human resource strategies for improving organizational performance to reduce medical errors. The study included face-to-face interviews with 5 healthcare clinical managers who work within a multifaceted health system in the Midwestern region of the United States. Complex adaptive systems theory was used to frame this study. Interview notes, publicly available documents, and audio recordings were transcribed and analyzed to identify themes regarding strategies used by managers to find effective ways for improvement. Four themes emerged: addressing seminal/never events, ongoing training programs, communication/collaboration, and promoting a culture of safety and quality. Results may directly benefit healthcare managers by facilitating successful strategies to reduce preventable medical errors through education, feedback, innovation, and leadership. Implications for social change for healthcare managers include continued training, building a culture of safety, and using collaborative and communicative efforts while making contributions to the best practices within healthcare organizations to reduce the likelihood of medical errors.
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9

Gardner, John Wallace. "Improving Hospital Quality and Patient Safety - An Examination of Organizational Culture and Information Systems." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1348805699.

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10

Theunissen, Dirkie Petra. "Improving service quality and operations at a South African private healthcare clinic through the implimentation of lean principles." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1020654.

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Although open to debate, it is something of an undisputed fact and has been since the days of Florence Nightingale, that hospital management is frustrated with recurring problems - many of them due to broken processes. Hospitals are places of phenomenal healing and heroic care. However, as with any human-led endeavour, there are problems. (Grunden (2009)) A first time use of the word ‘lean’ generally begs some explaination as it is not a commonly used word. The simplest way to explain the word is by way of the introduction of the concept known as ‘lean management’. Lean management is a methodology which allows hospitals to advance the quality of patient care by reducing errors and waiting times. Lean is a system of reinforcement of hospital business for the long term thereby reducing costs and risk. Kanban (2009) states that lean is a toolset; a management system and a viewpoint that can change the way hospitals are structured and managed. Lean helps managers to comprehend and identify broken systems and to improve these in small parts, while employees aid in finding solutions for broken systems. This proposal analyses the effect lean tools have had within Arwyp Medical Centre in Kempton Park, South Africa.
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Theunissen, Dirkie Petra Stephanie. "Improving service quality and operations at a South African private healthcare clinic through the implimentation of lean principles." Thesis, Nelson Mandela Metropolitan University, 2011. http://hdl.handle.net/10948/d1019943.

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Although open to debate, it is something of an undisputed fact and has been since the days of Florence Nightingale, that hospital management is frustrated with recurring problems - many of them due to broken processes. Hospitals are places of phenomenal healing and heroic care. However, as with any human-led endeavour, there are problems. (Grunden (2009)). A first time use of the word ‘lean’ generally begs some explaination as it is not a commonly used word. The simplest way to explain the word is by way of the introduction of the concept known as ‘lean management’. Lean management is a methodology which allows hospitals to advance the quality of patient care by reducing errors and waiting times. Lean is a system of reinforcement of hospital business for the long term thereby reducing costs and risk. Kanban (2009) states that lean is a toolset; a management system and a viewpoint that can change the way hospitals are structured and managed. Lean helps managers to comprehend and identify broken systems and to improve these in small parts, while employees aid in finding solutions for broken systems. This proposal analyses the effect lean tools have had within Arwyp Medical Centre in Kempton Park, South Africa.
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12

Vichare, Anushree M. "Affordability, Utilization and Satisfaction with Care: A Policy Context for Improving Health Care Experiences." VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4978.

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Disparate healthcare experiences continue to pose a challenge; vulnerable populations such as low-income and racial and ethnic minorities may not be able to afford or utilize care when needed or receive quality care. The sources of disparities are complex and multi-factorial, which include health care system-level factors such as insurance and health care workforce. It is relatively less known to what extent these contribute to disparities related to a patient’s overall health care experience across three important domains – affordability, utilization and satisfaction with care. This dissertation has three objectives. First, to assess how insurance benefit design affects health care utilization among poorest adults. Second, examine the role of insurance in addressing racial and ethnic disparities in access to preventive care. Finally, examine the role of health care providers in differences related to satisfaction with care among low-income patients. To answer questions posed in this dissertation, two different types of datasets are used: a unique hospital administrative data from a coverage program for low-income adults and 2008-2014 Medical Expenditure Panel Survey (MEPS). To examine the role of insurance and health care providers in disparities related to different outcomes of patient experience, several models are estimated; including mixed effects linear probability and negative binomial regressions, decomposition and multivariate linear probability models. Several efforts are being made to address inequalities through coverage expansions, removal of financial barriers for preventive services and incentivizing health care providers to improve patient satisfaction. The findings suggest that differences in utilization and satisfaction with care continue to persist among low-income and racial and ethnic minorities. However, policy levers and system-level reforms including value-based insurance designs that may curb healthcare costs without shifting the cost burden to poorer adults, continued reforms to expand coverage and improve access to a usual of care, and policy interventions that extend beyond improving workforce diversity and enhance provider skills to elicit patient communication preferences may foster positive patient experiences and ameliorate existing disparities. Improving patient experiences of care will thus require policy efforts with a comprehensive multi-level strategy that targets broad sectors – including payers, health care providers and society at large.
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Young, Michael Ryan. "Mobile Mindfulness: Improving Professional Quality of Life for Critical Care Advanced Practice Providers." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1616705080965129.

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14

Merriel, Abigail Caroline. "Improving the working lives of maternity healthcare workers to enable delivery of higher quality care for women : a feasibility study of a multiprofessional participatory intervention." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7561/.

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Over 275,000 women died of pregnancy related causes in 2015. Most occur in resource-poor settings and are preventable. This study aimed to improve the working lives of maternity healthcare workers in Malawi to enable delivery of higher quality care, using Appreciative Inquiry (AI); a positive-focused, participatory action cycle. Following a systematic review and narrative synthesis of AI, an ethnographic study and Interpretative Phenomenological perspective were utilised to understand working lives. Before the intervention was implemented, working lives were assessed through validated questionnaires for staff and patient satisfaction surveys. AI has been used in healthcare, but little empirical evidence for its effectiveness exists. Staff wanted to do a good job, but were confined by a lack of resources, knowledge and support. The longitudinal survey of staff showed significant improvements in general wellbeing and home-work interface, and patient satisfaction improved. AI also improved staff relationships and made work easier and happier. Qualitative work suggested this was because staff were working better together, underpinned by everyone meeting together. From these findings a theory of change was developed. AI showed great promise. However, further research, in the form of a large-scale trial, is needed to empirically demonstrate the effectiveness of AI in healthcare.
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Dashti, David. "Improving Quality Assurance of Radiology Equipment Using Process Modelling and Multi-actor System Analysis." Thesis, KTH, Skolan för kemi, bioteknologi och hälsa (CBH), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-302563.

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With the introduction of RIS and PACS technologies in clinical radiology, the field has become increasingly technology dependent. The quality assurance in radiology have however yet to catch on. With many quality assurance programs mainly focusing on the clinical side of radiology whilst little attention is paid to the technical aspects. This thesis serves to change that, by investigating quality assurance of radiology equipment in the workflow of hospital physicists and biomedical engineers at Södersjukhuset emergency hospital. To improve said workflows, process modelling and multi-actor system analysis was utilized in combination with the on-site inventory system Medusa. In order to model the workflows, the process modelling technique flowchart was used. To add additional information into the flowcharts, multi-actor system analysis was employed. This was done for the workflow of both scheduled and unscheduled maintenance of radiology equipment. Initially resulting in a pair of pre-study models which modelled the after the existing workflows. From said pair of pre-study models, both redundancies and main objectives for improvement were deduced. This in combination with an extensive semistructured literature review, led to a list of requirements. Two pairs of improved models were then created with the list of requirements in mind. All the models were then evaluated, including the pair of pre-study models, in workshops held with hospital physicists, biomedical engineers and respective leadership staff. These workshops contained both an open discussion and a questionnaire, asking the participants to rate the alignment of the models with the different requirements in the list. Based on the results from the workshops, one of the proposed pairs of improved models were then chosen as the final solution of an improved workflow. A workflow in which redundancies were reduced, traceability capabilities added in form of digital storage, and alignment with legislative demands from SSM assured. A step in the digitalization of Södersjukhuset. Utilizing digital technology to improve quality assurance in the workflow of radiology equipment.<br>I samband med introduktionen av RIS och PACS teknologi i klinisk radiologi, så har fältet blivit mer teknikdrivet. Kvalitetledning av radiologisk utrustning har däremot inte förändrats. Då de flesta kvalitetslednings program har primärt fokus på den kliniska sidan av radiologi och förbiser de tekniska aspekterna. Detta examensarbete försöker bemöta detta, genom att utreda kvalitetsledningen av radiologisk utrustning hos arbetsflödena av sjukhusfysiker och medicintekniska ingenjörer på Södersjukhuset. För att förbättra arbetsflödena, så användes processmodellering och analys av multi-aktörsystem i kombination med det lokala inventariesystemet Medusa. För att skapa en modell av arbetsflödet så användes processmodelleringstekniken flowchart. För att lägga till ytterligare information i flödena så utfördes en multi-aktörsystem analys. Detta utfördes för både förebyggande- och avhjälpande underhåll av radiologisk utrustning. Vilket resulterade i ett par av förstudiemodeller som modellerade det nuvarande arbetsflödet. Baserat på detta par av förstudiemodeller, så kunde både överflödigheter och huvudsakliga förbättringsmål härledas. Detta i kombination med en semistrukturerad litteraturundersökning, ledde till en lista med krav på modellerna. Sedan så skapades två par av modeller som förslag till förbättrat arbetsflöde, baserat på listan med krav. För att utvärdera alla modeller, inklusive förstudiemodellerna, så hölls workshops med sjukhusfysiker, medicintekniska ingenjörer och respektive chefspersonal. Dessa workshops innehöll både en öppen diskussion och ett formulär, som bad deltagarna att utvärdera de olika paren av modeller gentemot de olika kraven som hade formulerats i listan. Baserat på resultaten från dessa workshops, så valdes en av de två förslagna paren av modeller för förbättrat arbetsflöde, som en slutgiltig lösning. Ett arbetsflöde där överflödigheter har motarbetats, spårbarhet förbättrats med hjälp av digital lagring, och sammanstämning med regulatoriska krav från SSM har säkerställts. Ett steg i digitaliseringen av Södersjukhuset, genom att utnyttja digital teknik för att förbättra kvalitetledningen av radiologisk utrustning.
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Yanyan, Wang. "Improving the healthcare service quality in Chinese Public Class-A Hospitals: from frontline healthcare professional's perspectives." Master's thesis, 2018. http://hdl.handle.net/10071/17940.

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In a highly competitive market, healthcare service improvement is important to satisfy people’s increasing need for care and to maintain the sustainability of hospitals' competitive advantages. Although Public Class-A hospitals are the top hospitals in China, existing problems exert negative influences on service quality. This research aims to contribute to the improvement of Chinese Public Class-A hospitals by investigating the perspectives of healthcare professionals regarding service improvement. Using a qualitative approach, 16 professionals working for several Public Class-A hospitals were interviewed and expressed their views on the existing service quality, the factors influencing this service and made suggestions about how to improve it. The results of content analysis revealed that professionals view Chinese Public Class-A hospitals as having good medical ability, advanced equipment and reliable curative effect. The price of treatment is considered high but acceptable. According to professionals, the main problems were poor service attitude, lack of emotional support, communication problems, long waiting times, environmental problems, and administrative problems. The identified barriers to high-quality service delivery include professional pressure and burnout, patient factors, remuneration and promotion perspectives. Overall, more people-centered services were suggested, meaning that healthcare professionals should improve their service consciousness and humane care, while the whole society should give humane care to healthcare professionals as well. Other suggestions involved enhancing the hierarchical medical system, strengthening doctor-patient communication, optimizing the treatment processes, improving hospital environment and publicity, and dispensing health education. In short, addressing these themes can contribute to improve the service of Chinese Public Class-A hospitals.<br>Num mercado altamente competitivo, a melhoria da qualidade dos serviços de saúde é importante para satisfazer as crescentes necessidades de cuidados da população e para a sustentabilidade das vantagens competitivas dos hospitais. Os hospitais públicos de Classe-A ocupam os lugares cimeiros na China, e os problemas neles existentes influenciam negativamente a qualidade do serviço que prestam. Este estudo tem por objetivo contribuir para a melhoria destes hospitais investigando as perspetivas dos profissionais sobre a melhoria do serviço. Com base numa abordagem qualitativa, 16 profissionais que trabalham em diversos hospitais públicos de Classe-A foram entrevistados e expressaram os seus pontos de vista sobre o nível de qualidade de serviço existente, os fatores que afetam este serviço e as sugestões para o melhorar. Os resultados da análise de conteúdo revelam que os profissionais vêm os hospitais chineses de Classe-A como tendo elevada capacidade médica, equipamento avançado e uma reposta curativa eficaz. O preço dos serviços é considerado relativamente elevado, mas aceitável. Segundo os profissionais, os principais problemas existentes nestes hospitais referem-se à existência de fraca atitude de serviço, falta de suporte emocional, problemas de comunicação, longas listas de espera, problemas ambientais e problemas administrativos. As barreiras à prestação de cuidados de maior qualidade identificadas pelos profissionais reportam-se à pressão e ao burnout dos profissionais, a fatores relacionados com os doentes, à remuneração e às perspetivas de promoção. Em geral, os profissionais sugerem um serviço mais centrado nas pessoas, ou seja, os profissionais deverão acentuar a prestação de cuidados mais conscienciosos e humanos, enquanto a sociedade deverá cuidar de forma também mais humana dos profissionais de saúde. Outras sugestões focam-se na melhoria do sistema hierárquico de saúde, no fortalecimento da comunicação ente o médico e o doente, na optimização dos processos terapêuticos, na melhoria do ambiente hospitalar e na prática de educação em saúde. Em suma, lidar com estes temas pode contribuir para a melhoria do serviço prestado pelos hospitais chineses de Classe-A.
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McIntosh, Bryan, and A. Holland. "Improving delivery-the need for empowered HCAs." 2012. http://hdl.handle.net/10454/6512.

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The recently commissioned review of international healthcare systems by the Centre for Workforce Intelligence has a profound significance for healthcare management and the delivery of nursing and medicine within the UK (Cookson, 2012). This review will analyse and compare contrasting international healthcare systems of different providers across the UK—identifying the key factors affecting the delivery of healthcare. This commission must be viewed in relation to the ‘Nicholson Challenge’ (Hawkes, 2012), which requires savings of £21 billion to fund increased demand over the next four years. These efficiency savings are required to be found through better ways of working within current NHS law and regulation (Department of Health (DoH), 2010a; DoH, 2010b; Hawkes, 2012). The main agenda will be staff substitution —substitution of a higher graded practitioner by a lower graded practitioner. However, the greater opportunity is for healthcare assistants (HCAs) to become more professionally empowered.
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Bokhari, Rasha M. "Improving Patient Safety as a Function of Organizational Ethics in the Delivery of Healthcare in Saudi Arabia." 2016. http://digital.library.duq.edu/u?/etd,197197.

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In the Kingdom of Saudi Arabia, there has not been a systematic effort to evaluate the problems of medical error and patient safety as critical issues in healthcare organizational ethics. This dissertation aims to pursue the impact of the original IOM report on this crucial topic by adopting what have been done in the American healthcare system in order to gain insight for the Saudi Arabian healthcare system. This dissertation examines the functions of continuous quality improvement in the healthcare environment of Saudi Arabia through the lens of the organization’s moral agency. This dissertation identifies several areas in Saudi healthcare organizations that are in need of improvement. As a result, this paper makes several recommendations that systematically address patient safety and medical error so that the system can be free from adverse events and medical errors. This dissertation argues that Saudi healthcare organizations have an ethical responsibility to continuously improve the system of healthcare in order to enhance patients’ safety and to reduce medical errors. This dissertation also recommends that Saudi health organizations foster a culture of safety as part of their ethical responsibility toward the customers they serve. Therefore, Saudi healthcare organizations should have an active, anonymous, and confidential reporting system; an open communication and collaboration between healthcare professionals; and create a non-punitive system. In addition, this dissertation argues in favor of patients’ involvement in the treatment process, and for having an ethics committee in Saudi healthcare organizations.<br>McAnulty College and Graduate School of Liberal Arts;<br>Health Care Ethics<br>PhD;<br>Dissertation;
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Villax, Eduardo Bobone. "Improving cost efficiency in healthcare supply chain organizations to increase quality : assessment of the creation of a Group Purchasing Organization in the Portuguese Healthcare System." Master's thesis, 2018. http://hdl.handle.net/10400.14/25611.

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One of the biggest challenges that the healthcare industry faces today is the accentuated growth of operating costs. Fighting this growth cannot be done without taking into account the quality of services provided in healthcare units. Improving cost efficiency through the implementation of more efficient and effective purchasing strategies is one way to reduce costs. The first objective of this dissertation was to understand the link between supply chain cost efficiency and quality in healthcare organizations taking the Portuguese Healthcare System as an example. The second objective was to assess the potential of increasing quality through cost reduction that the creation of a Group Purchasing Organization could have in the Portuguese Healthcare System. An analysis of the evolution of costs between 2011 and 2017 was made with secondary data from financial and operational reports made available by the Portuguese Healthcare System. It was found that positive variations in cost efficiency can generate positive variations in quality and therefore new purchasing strategies should be addressed to strengthen this linkage. Regarding the implementation of a Group Purchasing Organization, an analysis of the current purchasing model and its capacity to save financial resources was undertaken. It was concluded that the creation of a Group Purchasing Organization could increase quality due to its potential to save money and therefore boost cost efficiency.<br>Um dos maiores desafios que o setor da saúde enfrenta atualmente é o crescimento acentuado dos custos operacionais. Tentar inverter esse crescimento não pode ser feito sem ter em conta a qualidade dos serviços prestados nas unidades de saúde. Melhorar a eficiência de custos através da implementação de estratégias de compras mais eficientes e eficazes é uma das formas de reduzir custos. O primeiro objetivo desta dissertação foi compreender a relação entre eficiência de custos na cadeia de abastecimento e qualidade nas organizações de saúde, tendo como exemplo o Serviço Nacional de Saúde Português. O segundo objetivo foi avaliar o potencial de aumento da qualidade através da redução de custos que a criação de uma Organização de Compras de Grupo (ou central de compras) poderia ter no Serviço Nacional de Saúde Português. Uma análise da evolução dos custos entre 2011 e 2017 foi feita com dados secundários de relatórios financeiros e operacionais disponibilizados pelo Serviço Nacional de Saúde Português. Verificou-se que variações positivas na eficiência de custos podem gerar variações positivas na qualidade e, portanto, novas estratégias de compra devem ser abordadas para fortalecer essa ligação. Em relação à implementação de uma Organização de Compras de Grupo, foi realizada uma análise do atual modelo de compras e sua capacidade de poupar recursos financeiros. Concluiu-se que a criação de uma Organização de Compras de Grupo poderia aumentar a qualidade devido ao seu potencial para poupar dinheiro e, portanto, aumentar a eficiência de custos.
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CHANG, KUO-CHENG, and 章國正. "A Study of Design and Application of Rehabilitation Scheduling System for Improving Healthcare Quality Management:The Recent Experience of a Regional Teaching Hospital in Taiwan." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/zsmc2p.

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碩士<br>亞洲大學<br>經營管理學系碩士在職專班<br>105<br>The purpose of this study was (1) to develop a medical scheduling system for scheduling and transferring the patients of the rehabilitation department, and (2) to use the Quality Control Circle (QCC) to compare and analyze the data from the scheduling system, and (3) using the TAM2 to design a questionnaire to discuss the factors of staffs’ accepting levels of the medical scheduling system. METHOD: 3 steps1. First step (system building): Using Microsoft office Access 2010 to develop the medical scheduling system, and the scheduling system is divided into 2 parts: (1) scheduling system for IN-patient and (2) scheduling system for OPD.2. Second step (QCC application): Exporting the data from the system to form a excel films and analysis the data to analyze the degree of infecting the healthcare quality management.3. Third step (Questionnaire): Using the technology acceptance model 2 (TAM2) to design a questionnaire for the staffs who works in the teaching hospital of the central area of Taiwan to discuss the factors of their accepting levels of the medical scheduling system. Result: Improving the QCC’s value from 55.20% to 85.95%,and the result of Questionnaire reveals that no obvious differences in demographic characters and in SN and PEOU. Conclusion: The system actually helps to improve the healthcare quality management.
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Chin, Shu-Hua, and 金淑華. "Applying Healthcare Failure Mode and Effects Analysis in Improving Port-A Infection Care Quality for Cancer Patients – A Case Study of A Regional Teaching Hospital in Pingtung,Taiwan." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/kgnene.

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碩士<br>國立屏東科技大學<br>高階經營管理碩士在職專班<br>104<br>For over 32 years cancer has been the leading cause of death in Taiwan. It is the main cause of death in adults over 25 years old, with the losses difficult to estimate. Medication errors are the first adverse medical event. Chemotherapy cancer patient treatment has high risk. Hospitals routinely rely on the Port-A-Cath for anti-cancer drug injection. Port-A-related bloodstream infections affect patient outcomes and increase mortality.Patients are also at risk forcatheter -related bloodstream infection, which extends the length of their hospital stay, increases health care costs, and reduces patient prognosis.The high mortality rate also causespatient distress. A regional HFMEA import Pingtung teaching hospital is investigated in this study for cancer patient chemotherapy flow Five steps are used in the process to identify failure modes and those most in need of improvement.Countermeasures and improvement programs are developed to reduce the risk in medical procedures. A chemical process systemwas prepared to use chemical treatment to perform response operation technical preparation. This study also showed that HFMEA can systematically identify potential problems in the process,improveteam building consensus,improvemolduse and audit staff knowledge and ability to reduce errors to enhance patient safety and quality of health care.
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(9816977), Brian Mayahle. "The implementation of Lean thinking in reducing waste, streamlining clinical processes, improving clinical access, efficiency and consumer outcomes in Queensland regional, rural and remote mental health services." Thesis, 2018. https://figshare.com/articles/thesis/The_implementation_of_Lean_thinking_in_reducing_waste_streamlining_clinical_processes_improving_clinical_access_efficiency_and_consumer_outcomes_in_Queensland_regional_rural_and_remote_mental_health_services/13445453.

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Mental health has become a high priority for many countries, including Australia, due to the increasing number of mental health consumers presenting for treatment. The increase in service demand is not being matched with availability of resources world-wide. In line with the current health blue print document that emphasises the need for efficiencies, mental health service managers are under pressure to streamline processes so that consumers will continue to receive the same quality of care despite reduction in funding. A plethora of research demonstrates that business principles are being employed successfully in healthcare organisations; for example, in emergency departments, to improve quality of care, safety of consumers, efficiency in consumer flows, and admission and discharge processes. However, there is a noticeable paucity of research studies conducted in mental health with regards to applying contemporary business principles to reduce waste. This study follows Creswell’s convergent mixed methods design to explore the Lean-inspired improvement efforts in regional, rural and remote Central Queensland mental health services. Several Lean thinking tools were used to ascertain applicability in mental health services in relation to effectiveness in reducing waste and improving mental health consumer outcomes.<p></p>
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