Quality management system for health care and its effectiveness

Abstract

The complexity and importance of teamwork in health care demand drastic improvement in the existing methodology of quality assurance. There is a need to develop a quality management system (QMS) for the healthcare sector. The purpose of this paper is to propose and to verify the effectiveness of the qualitycentred management system for healthcare (QMS-H) model in providing safe and reliable health care at the organisational level. This paper presents the QMS-H model derived through an analogy with the QMS model applied in the manufacturing industry and modified according to the features of the healthcare sector, and we discuss the form it should assume and the necessary type of body of knowledge (BOK). We are trying to implement the model in several hospitals in a QMS-H research group, and we are also trying to verify the effectiveness of the model in the research group. At present, the basic foundations of QMS-H have been laid, and many hospitals have now obtained the ISO 9001 certification. Some hospitals have launched policy management and improvement at the organisational level. Since some management indices have been improved, the effectiveness of the model has been suggested.

Operational process improvement in medical TQM: a case study of human error in using devices

“…Third, error improvement in industry aims to decrease human error; the focus is therefore on reducing human operations and increasing automation of the production process. However, major operations in medical care require human judgement and execution under pressing conditions; large-scale automation is thus difficult to implement (Munechika et al, 2014). Finally, workloads are high for medical personnel; so considering the characteristics of human behaviour is the key to success in medical operational process design (Jin, Munechika, Sano, & Kaneko, 2013).…”

“…Reports of medical errors have been frequent in recent years, and improving the quality of medical care has become an important social issue (Munechika, Sano, Jin, & Kajihara, 2014;Williams, Szekendi, & Thomas, 2014). The application of quality management methods to medical care has emerged only recently.…”

The effect of workload on nurses' non‐observance errors in medication administration processes: A cross‐sectional study

“…Types of non‐observance errors and workload are also determined, and the effect of workload on such behaviours is clarified. Medication administration processes are studied because they account for a high proportion of all medical errors, are often complicated, and directly impact patients (Munechika, Sano, Jin, & Kajihara, ; Sano et al, ). These processes share characteristics such as large numbers of multiple types of drugs, varying doses, administration time, and administration route.…”

Possibility of using control cards in the improvement of medical services quality

“…The syst of the processes should provide for the knowledge of their performance and the emergence of the sources of deviations from the norm (Greiner, Li, Kawachi, Hunt, & Ahluwalia, 2004;Munechika, Sano, Jin, & Kajihara, 2014) This article is an attempt to proving the argument that it is possible to use control charts for variables and discrete) in health care establishment. It is a collection of examples of the cards (mean and spread) and SPC tools, including control charts can be used to measure the degree of conformity of supplied materials, services, processes and products of the previously agreed specifications (e.g.…”

“…The systematic study of the processes should provide for the knowledge of their performance and the emergence of the sources of deviations (Greiner, Li, Kawachi, Hunt, & Ahluwalia, 2004;Munechika, Sano, Jin, & Kajihara, 2014).…”