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Measures for Improving the Quality of Health Care

: 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 quality improvement. International Journal for Quality in Health Care 2003; 15(6): 523-30.

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A Six Sigma Trial For Reduction of Error Rates in Pathology Laboratory


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.

Open access
Getting ready for fieldwork education! – Creation of a skill profile for fieldwork educators in occupational therapy / Fit für die Praktikumsanleitung? – Erstellung eines Anforderungsprofils für ergotherapeutische Praxislehrende


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.

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The Effect of Sociodemographic Factors on the Patient Satisfaction with Health Care System

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 quality improvement. 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

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Scoping review of nursing-related dissemination and implementation research in German-speaking countries: Mapping the field / Scoping Review zum Stand der pflegebezogenen Disseminations- und Implementierungsforschung in deutschsprachigen Ländern: eine Bestandsaufnahme

. Grimshaw, J. M., Eccles, M. P., Thomas, R., MacLennan, G., Ramsay, C., Fraser, C. & Vale, L. (2006). Toward evidence-based quality improvement: 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

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Turkish Journal of Pathology
The Journal of Federation of Turkish Pathology Societies 
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Telephone Interpreting in Home Postpartum Care of Allophone Migrant Women by Midwives / Telefondolmetschen in der geburtshilflichen Nachbetreuung von fremdsprachigen Migrantinnen durch Hebammen zu Hause

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 quality improvement 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 quality improvement intervention to increase use of

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Screening by Social Workers in Medical Patients with Risk of Post-Acute Care Needs: A Stepped Wedge Cluster Randomized Trial / Evaluation eines Screenings durch Sozialarbeiter bei medizinischen Patienten mit einem Risiko für post-akuten Nachsorgebedarf: eine stepped wedge clusterrandomisierte Studie

discharge to post-acute care. Ethical considerations As the intervention was implemented at ward level as a quality improvement project, the EKBB Ethical Committee (‘Ethikkommission beider Basel’) approved the study and waived the need for informed consent (EKBB, 1.12.2014). Data Analysis 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

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Implementation in nursing and midwifery. A scoping review / Implementationsprojekte in der Pflege und Hebammenarbeit. Scoping review

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 quality improvement: Successful implementation of

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Immersive VR in Phantom Limb Pain Therapy of Amputee Patients Due to Critical Limb Ischemia


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.

Open access