Aleksandar Višnjić, Vladica Veličković and Slađana Jović
: A Practical Approach to Enhancing Organizational Performance (2 nd Edition). Jossey Bass, San Francisco, 2009.
Deming WE. The New Economics for Industry, Government, and Education. Cambridge, MA: The MIT Press; 2000.
Jam Mainz Defining and classifying clinical indicators for qualityimprovement. International Journal for Quality in Health Care 2003; 15(6): 523-30.
Zeynep Tosuner, Zühal Gücin, Tuğçe Kiran, Nur Büyükpinarbaşili, Seval Turna, Olcay Taşkiran and Dilek Sema Arici
Objective: A major target of quality assurance is the minimization of error rates in order to enhance patient safety. Six Sigma is a method targeting zero error (3.4 errors per million events) used in industry. The five main principles of Six Sigma are defining, measuring, analysis, improvement and control. Using this methodology, the causes of errors can be examined and process improvement strategies can be identified. The aim of our study was to evaluate the utility of Six Sigma methodology in error reduction in our pathology laboratory.
Material and Method: The errors encountered between April 2014 and April 2015 were recorded by the pathology personnel. Error follow-up forms were examined by the quality control supervisor, administrative supervisor and the head of the department. Using Six Sigma methodology, the rate of errors was measured monthly and the distribution of errors at the preanalytic, analytic and postanalytical phases was analysed. Improvement strategies were reclaimed in the monthly intradepartmental meetings and the control of the units with high error rates was provided.
Results: Fifty-six (52.4%) of 107 recorded errors in total were at the pre-analytic phase. Forty-five errors (42%) were recorded as analytical and 6 errors (5.6%) as post-analytical. Two of the 45 errors were major irrevocable errors. The error rate was 6.8 per million in the first half of the year and 1.3 per million in the second half, decreasing by 79.77%.
Conclusion: The Six Sigma trial in our pathology laboratory provided the reduction of the error rates mainly in the pre-analytic and analytic phases.
Owing to ongoing changes in the working world and the resulting changing requirements of university graduates, requirements for teachers are continuously changing. Although this is currently being taken into account at universities, there is a need to take action in the area of fieldwork education.
The aim was to create a skill profile for fieldwork educators in occupational therapy, thus providing a basis for fieldwork educators, universities, professional associations, and employers. This reflects on existing measures and generates new measures to facilitate quality improvement in the area of fieldwork education.
Requirements were evaluated in two focus groups with a total of 14 practical training experts. Data were analysed within the scope of a qualitative content analysis and summarized in one profile.
A total of 18 professional, methodical, social, and personal requirements were identified. Fieldwork educators are able to organise, take responsibility, have expertise, and prepare contents adapted to the needs of individual students. They guide, supervise, give feedback to students in a formative way, thereby assessing and supporting their personal development. Moreover, as communicators, they have a stable personality, are open for further development, flexible, and reflective.
In order to meet these requirements, fieldwork educators must be fully committed. Moreover, the professional association needs to create a role model and provide task-specific cross-university training. It also requires the support of universities who are called upon to increase networking and communication with all parties involved and the support of the employers who need to provide additional time resources.
Health Systems and Policies; 2008: 2.
4. Pencheon D, Guest C, Melzer D, Muir Gray JA. Oxford Handbook of Public Health Practice. Second edition. Oxford: Oxford University Press, 2006.
5. Ayanian JZ and Markel H. Donabedian’s Lasting Framework for Health Care Quality. N Engl J Med. 2016; 21: 375(3): 205-207. DOI: 10.1056/NEJMp1605101
6. Mainz J. Defining and classifying clinical indicators for qualityimprovement. Int J Qual Health Care. 2003; 15(6): 523-530.
7. Al-Abri R and Al-Balushi A. Patient Satisfaction Survey as a Tool Towards Quality
Matthias Hoben, Charlotte Berendonk, Ines Buscher, Tina Quasdorf, Christine Riesner, Doris Wilborn and Johann Behrens
Grimshaw, J. M., Eccles, M. P., Thomas, R., MacLennan, G., Ramsay, C., Fraser, C. & Vale, L. (2006). Toward evidence-based qualityimprovement: Evidence (and its limitations) of the effectiveness of guideline dissemination and implementation strategies 1966-1998. J Gen Intern Med, 21(Suppl. 2), S14-S20.
Grimshaw, J. M., Thomas, R. E., MacLennan, G., Fraser, C., Ramsay, C. R., Vale, L., Whitty, P., Eccles, M. P., Matowe, L., Shirran, L., Wensing, M., Dijkstra, R. & Donaldson, C. (2004). Effectiveness and efficiency of guideline dissemination and implementation
Paola Origlia Ikhilor, Tabea Brändle, Salome Pulver and Elisabeth Kurth
Kinderklinik Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 108 5–6 278 – 282 10.1016/j.zefq.2013.11.005
Lion, K. C., Ebel, B. E., Rafton, S., Zhou, C., Hencz, P., & Mangione-Smith, R. (2015). Evaluation of a qualityimprovement intervention to increase use of telephonic interpretation. Pediatrics, 135(3), e709-716. doi:10.1542/peds.2014-2024 10.1542/peds.2014-2024 25713276
Lion K. C. Ebel B. E. Rafton S. Zhou C. Hencz P. & Mangione-Smith R. 2015 Evaluation of a qualityimprovement intervention to increase use of
Antoinette Conca, Doaa Ebrahim, Sandra Noack, Angela Gabele, Helen Weber, Mehrnaz Prins, Anja Keller, Mariann Hari, Angela Engel, Katharina Regez, Ursula Schild, Philipp Schuetz, Beat Müller, Sebastian Haubitz, Alexander Kutz, Andreas Huber, Lukas Faessler and Petra Schäfer-Keller
discharge to post-acute care.
As the intervention was implemented at ward level as a qualityimprovement project, the EKBB Ethical Committee (‘Ethikkommission beider Basel’) approved the study and waived the need for informed consent (EKBB, 1.12.2014).
Data was analysed by the not-blinded principal investigator (AC). Patient characteristics were analysed descriptively using frequencies, percentages, median, mean and standard deviation depending on the data type and variation. The differences in time to SW notification
Christine Anna Lieselotte Loytved, Gabriele Hasenberg, Karin Brendel, Cornelia Bothe-Moser, Ruth Eggenschwiler, Denise Eigenmann, Petra Graf, Kristin Hammer, Regula Hauser, Katrin Oberndörfer, Anja Pfister-Stoppa, Elisabeth Spiegel-Hefel and Andrea Stiefel
Nursing Studies 48 12 1495 1504
Glacken, M., & Chaney, D. (2004). Perceived barriers and facilitators to implementing research findings in the Irish practice setting. Journal of Clinical Nursing, 13(6), 731-740. 15317513 10.1111/j.1365-2702.2004.00941.x Glacken M. Chaney D. 2004 Perceived barriers and facilitators to implementing research findings in the Irish practice setting Journal of Clinical Nursing 13 6 731 740
Gupta, R. T., Sexton, J. B., Milne, J., & Frush, D. P. (2015). Practice and qualityimprovement: Successful implementation of
Introduction: Phantom limb pain (PLP) occurs in approximately 75% of patients who undergo limb amputation. In identifying the etiopathogenic mechanisms, multidisciplinary approaches are increasingly important in explaining the causality based on neurological and psychological factors. PLP has many negative effects on the amputee's physical and mental integrity, which is why a variety of treatments have been conceived, whose effectiveness is rather limited.
Objective: The purpose of this study is to evaluate the effectiveness of an immersive virtual reality (IVR) intervention program using the mirror therapy principles in decreasing PLP.
Method: Twenty participants suffering from PLP were randomly assigned to one of the two intervention groups: IVR and kinesiotherapy, respectively. Pre- and post-intervention measurements were performed both on pain level and on several psychological variables: depression and anxiety symptoms, pain catastrophizing, quality of life, body representation and coping strategies.
Results: Preliminary data show a significant pain relief in patients in the IVR group compared to those in the kinesiotherapy group. Besides, significant improvement was found in the case of the patients in the IVR group, in terms of life quality improvement, reducing irrational pain catastrophizing-related thoughts and positive coping strategies (positive refocusing and reappraisal). There were no differences identified between the two groups in terms of anxiety and depression symptoms. Despite expectations, patients in the IVR group experienced a significant increase in one negative coping strategy: rumination.
Conclusions: The results obtained are advocating the use of IVI intervention as a method phantom limb pain alleviation, with positive consequences on patients' life quality.