Continuous Improvement Process Research Articles

Academic program enhancement supporting the success of undergraduate nursing students and graduates

Nursing program administrators, faculty, academic success coaches, and remediation specialists have implemented many interventions in support of baccalaureate nursing students' retention and graduates' NCLEX-RN® first-time pass rates. A private university's undergraduate nursing program's team incorporated additional evidence-based interventions aimed improving students' achievement of benchmarks following a 3-year decline in NCLEX-RN pass rates. Interventions expanded the prelicensure academic program's activities using a continuous quality improvement approach. A simulation center was constructed and a director was hired. A consultant also facilitated faculty engagement in curricular revisions. A new position, coordinator tutor/remediation specialist, was filled and the academic success coach launched interventions that complemented an initial and subsequent strategies for success initiative. New interventions were trialed and evaluated and became integral to students' and graduates' success. The academic success coach's commitment to students' achievements promoted their engagement in interventions. Pass rates increased and were sustained. Examples of interventions, supported by evidence, are presented in tables for review. A logic model depicts components of the program plan and its interventions as augmented by prospective strategies and remediation interventions. Continuous quality improvement processes will continue. Students and graduates have commented positively on the benefits of the assorted, success-promoting interventions.

Using Appreciative Inquiry to Understand Workload Reasonability

This article describes an organizational continuous process improvement project using Appreciative Inquiry to evaluate staff members’ perception of their unreasonable workload, as indicated in the Federal Employee Viewpoint Survey. The goal for approaching the management-directed study was to use AI to frame the conversation around the lifegiving forces aspects AI brings to the organization rather than a traditional continuous process improvement approach in which we would investigate a problem, identify issues, and propose solutions to correct it.

HEALTH CARE MEDIBOT IN MEDICAL FIELD USING MACHINE LEARNING

Health is considered an important part of human health, including physical, mental and social health, and plays an important role in our lives. Hospitals are the most common way for patients to receive physical examinations ,diagnosis , treatment recommendations. However, it Is very difficult to take every minor health problem to a doctor and get approval from the doctor. The idea is to use artificial intelligence to create a “medical chatbot” that can diagnose disease and provide useful information about the disease before going to the doctor. Chatbots are computers that use natural language to interact with users. The main goal of the project is to create a Medibot that can assist doctors and patients with tasks such as symptom assessment, diagnostic support, treatment recommendations and publication of medical information. Medibot will use machine learning algorithms that learn from big data of medical conversations to understand users' questions and ideas and respond accordingly. medical software or existing platforms and perform rigorous testing to ensure accuracy and reliability. A continuous evaluation and improvement process will be used to improve Medibot's performance over time. Through this project, the team is focusing on the development of AI driven solutions in healthcare while solving real-world problems faced by doctors and patients. Deploying Medibot has the potential to improve clinical processes, improve access to medical information, and ultimately improve patient care outcomes Key Words:: Medibot, Rasa framework, Health, Artificial intelligence, Natural language processing, Queries, Deployment of ML algorithms, intent, entity

Practitioner research as a pathway to educational leadership

ABSTRACT ‘Educational Leadership’ is embedded in [country] early childhood policy. What the role is, who should do it and why educators are hesitant about becoming leaders however, remains ambiguous. According to the national curriculum framework and teacher standards, more research about the work of educators is needed. The reported research aimed to investigate whether long-term, enquiry-based professional learning, utilizing practitioner research, could lead to quality improvement. Practitioner Research engaged educators in investigating and improving practice in a continuous process of quality improvement. Research topics were pedagogical in nature, designed to be enabling of ‘educational leadership’ for quality improvement. Action Research was used by practitioner researchers to investigate ways to improve pedagogical quality. University researchers also used meta-research to investigate the action research processes. Focus groups and mentor statements revealed unexpectedly that the Educational Leader role was pivotal in the relationship between professional learning, practitioner research and quality. Strengthened Educational Leader identities emerged as participants gained research skills and evidence for designing and implementing pedagogical change. Knowledge building facilitated strengthened engagement of educator teams. This was transformational, informing the case for change and further exploration of practitioner research as a workforce strategy for quality improvement and staff retention.

Unlocking the potential: a study on the role of operational excellence in Oman’s energy sector

PurposeOperational excellence (OpEx) is a proven philosophy focusing on continuous improvement in processes and systems for superior performance and efficiency. It plays a crucial role in the energy sector, acting as a catalyst for safety, customer satisfaction, sustainability and competitiveness. This research aims to assess OpEx methodologies in Oman’s energy sector, examining methods, approaches, motivations and sustainability.Design/methodology/approachThis study applies qualitative analysis methodology, involving interviews with 18 industry experts, from the energy sector in a sizeable energy country.FindingsThe analysis revealed a growing demand, particularly, in the oil and gas industry, driven by emerging business needs. Qualitative data analysis has identified 10 themes such as implemented methodologies, motivation drivers, deployment approaches, sustainability factors, benefits and challenges. Additionally, new themes emerged, including influencers to start OpEx, resource requirements, enablers for successful OpEx and systems.Research limitations/implicationsThis research was limited to Oman and the findings drawn from Omani energy companies may have limited applicability to energy companies in other regions. Therefore, if these findings were to be used, the validation of the findings in relation to other countries should be conducted, to ensure the validity of the context and outcome.Practical implicationsThese findings contribute to understanding OpEx dynamics in the Omani energy sector, offering valuable insights for effective utilisation and organisational goal achievement. Furthermore, the study offers valuable insights on how to effectively employ OpEx initiatives in the energy sector to achieve their goals and create value. It addresses the lack of knowledge, offers a framework for successful OpEx implementation, bridges the theory-practice gap and provides insights for optimal utilisation.Originality/valueTo the best of the authors’ knowledge, this is the first empirical study on assessing OpEx methodologies in the energy sector, and therefore it serves as a foundation for many future studies. The study provides a theoretical foundation for the OpEx methodologies in terms of organisational readiness for successful OpEx implementation.

Untangling the perception of value in value-based healthcare – an interview study

PurposeValue-based health care (VBHC) argues that health-care needs to re-focus to maximise value creation, defining value as the quota when dividing the outcomes important for the patient, by the cost for health care to deliver such outcomes. This study aims to explore the perception of value among different stakeholders involved in the process of implementing VBHC at a Swedish hospital to support leaders to be more efficient and effective when developing health care.Design/methodology/approachParticipants comprised 19 clinicians and non-clinicians involved in the implementation of VBHC. Semi-structured interviews were conducted and content analysis was performed.FindingsThe clinicians described value as a dynamic concept, dependent on the patient and the clinical setting, stating that improving outcomes was more important than containing costs. The value for non-clinicians appeared more driven by the interplay between the outcome and the cost. Non-clinicians related VBHC to a strategic framework for governance or for monitoring different continuous improvement processes, while clinicians appreciated VBHC, as they perceived its introduction as an opportunity to focus more on outcomes for patients and less on cost containment.Originality/valueThere is variation in how clinicians and non-clinicians perceive the key concept of value when implementing VBHC. Clinicians focus on increasing treatment efficacy and improving medical outcomes but have a limited focus on cost and what patients consider most valuable. If the concept of value is defined primarily by clinicians’ own assumptions, there is a clear risk that the foundational premise of VBHC, to understand what outcomes patients value in their specific situation in relation to the cost to produce such outcome, will fail. Health-care leaders need to ensure that patients and the non-clinicians’ perception of value, is integrated with the clinical perception, if VBHC is to deliver on its promise.

Membangun Fondasi Complementary Agenda Untuk Transformasi Digital Bisnis

Digital innovation is fundamentally changing the business landscape, driving advances in products, processes and business models. It involves complex interactions between technological and social aspects, creating ambiguity between process and product. It is important to understand how digital innovation impacts business process management. This study uses a literature approach to explore the concepts of digital innovation and business process management. The research was conducted by analyzing related literature from various academic and professional sources, including scientific journals, books and industry publications. Digital innovation not only creates technological progress, but also changes social processes and organizational structures. This phenomenon can be seen in platforms such as Uber or DevOps, which show a close connection between product and process. Digital innovation also enables continuous evolution and improvement of products and processes over time. Business process management is becoming increasingly important in facing the challenges and opportunities brought by digital innovation. Agile and adaptive process management strategies are needed to cope with rapid changes in the digital business environment. From the literature analysis, it appears that integration between digital innovation and business process management is very important. To optimize the benefits of digital innovation, organizations need to adopt an agile and adaptive approach in their process management. This involves continuous adaptation to technological and social changes as well as increased collaboration between various functions within the organization. Suggestions for future research are to conduct more in-depth empirical studies to understand the concrete impact of digital innovation on business process management, as well as to develop a practical framework for applying process management principles in the context of digital innovation.

High positive predictive value 22q11.2 microdeletion screening by prenatal cell-free DNA testing that incorporates fetal fraction amplification.

22q11.2 deletion syndrome (DS) is a serious condition with a range of features. The small microdeletion causing 22q11.2DS makes it technically challenging to detect using standard prenatal cfDNA screening. Here, we assess 22q11.2 microdeletion clinical performance by a prenatal cfDNA screen that incorporates fetal fraction (FF) amplification. The study cohort consisted of patients who received Prequel (Myriad Genetics, Inc.), a prenatal cfDNA screening that incorporates FF amplification, and met additional eligibility criteria. Pregnancy outcomes were obtained via a routine process for continuous quality improvement. Samples with diagnostic testing results were used to calculate positive predictive value (PPV). 379,428 patients met study eligibility criteria, 76 of whom were screen-positive for a de novo 22q11.2 microdeletion. 22 (29.7%) had diagnostic testing results available, and all 22 cases were confirmed as true positives, for a PPV of 100% (95% CI 84.6%-100%). This performance was based on cases that ranged broadly across FF (5.9%-41.1%, mean 23.0%), body mass index (22.3-44.8, mean 29.9), and gestational age at testing (10.0w-34.6w, median 12.7w). Ultrasound findings in screen-positive pregnancies were consistent with those known to be associated with 22q11.2DS. 22q11.2 microdeletion screening that incorporates FF amplification demonstrated high PPV across both general and high-risk population cohorts.

Decoding the persistence of delayed hospital discharge: An in-depth scoping review and insights from two decades.

This article addresses the persistent challenge of Delayed Hospital Discharge (DHD) and aims to provide a comprehensive overview, synthesis, and actionable, sustainable plan based on the synthesis of the systematic review articles spanning the past 24 years. Our research aims to comprehensively examine DHD, identifying its primary causes and emphasizing the significance of effective communication and management in healthcare settings. We conducted the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) method for synthesizing findings from 23 review papers published over the last two decades, encompassing over 700 studies. In addition, we employed a practical and comprehensive framework to tackle DHD. Rooted in Linderman's model, our approach focused on continuous process improvement (CPI), which highlights senior management commitment, technical/administrative support, and social/transitional care. Our proposed CPI method comprised several stages: planning, implementation, data analysis, and adaptation, all contributing to continuous improvement in healthcare delivery. This method provided valuable insights and recommendations for addressing DHD challenges. Our DHD analysis revealed crucial insights across multiple dimensions. Firstly, examining causes and interventions uncovered issues such as limited discharge destinations, signaling unsustainable solutions, and inefficient care coordination. The second aspect explored the patient and caregiver experience, emphasizing challenges linked to staff uncertainty and negative physical environments, with notable attention to the underexplored area of caregiver experience. The third theme explored organizational and individual factors, including cognitive impairment and socioeconomic influences. The findings emphasized the importance of incorporating patients' data, recognizing its complexity and current avoidance. Finally, the role of transitional and social care and financial strategies was scrutinized, emphasizing the need for multicomponent, context-specific interventions to address DHD effectively. This study addresses gaps in the literature, challenges prevailing solutions, and offers practical pathways for reducing DHD, contributing significantly to healthcare quality and patient outcomes. The synthesis introduces the vital CPI stage, enhancing Linderman's work and providing a pragmatic framework to eradicate delayed discharge. Future efforts will address practitioner consultations to enhance perspectives and further enrich the study. Our scoping review synthesizes and analyzes existing systematic review articles and emphasizes offering practical, actionable solutions. While our approach does not directly engage patients, it strategically focuses on extracting insights from the literature to create a CPI framework. This unique aspect is intentionally designed to yield tangible benefits for patients, service users, caregivers, and the public. Our actionable recommendations aim to improve hospital discharge processes for better healthcare outcomes and experiences. This detailed analysis goes beyond theoretical considerations and provides a practical guide to improve healthcare practices and policies.

175 Benchmarking MICHR’s Clinical and Translational Science production as a continuous quality improvement initiative.

OBJECTIVES/GOALS: In line with NCATS funding requirements, the Michigan Institute for Clinical and Health Research (MICHR) established a continuous quality improvement (CQI) process and used the process to guide the implementation of a benchmarking project to evaluate and set goals for MICHR’s production of Clinical and Translational Science manuscripts. METHODS/STUDY POPULATION: We aimed to increase the number of Clinical and Translational Science papers MICHR produces and to set a reasonable goal for improvement. Benchmarking was used to obtain a baseline and inform the identification of a reasonable goal for improvement. 11 Peer institutions were identified with similar funding levels. 1,225 Publications from 2022 for all 12 CTSAs were obtained from NIH Reporter. All publications were reviewed by title to identify probable CTS content. Two staff reviewers confirmed a total of 108 CTS publications across all CTSAs, and coded each paper to characterize the theoretical approach, method (quantitative and/or qualitative), analytic method and topic. All publications that were selected for benchmarking were also tracked and compared using Altmetrics for Institutions and Overton platforms. RESULTS/ANTICIPATED RESULTS: A total of 108 CTS publications were produced by 12 benchmarked CTSAs in 2022; of those, 70% (77) regarded research infrastructure, 37% (41) regarded research methods, and 15% (16) regarded clinical care. Over half, 53% (58), of the benchmarked papers are empirical research papers; of those, 67% (39) used quantitative methods, 28% (16) used qualitative methods, and 5% (3) used mixed methods. A clear majority of the benchmarked papers, 70% (76), provided only descriptive analyses, 18% (19) provided inferential analyses, and 12% (13) provided predictive analyses. We identified an opportunity to produce more manuscripts with descriptive analyses of research infrastructure. In the long-term, we saw an opportunity to produce predictive analyses of translational initiatives designed to impact clinical care. DISCUSSION/SIGNIFICANCE: The benchmarking results helped MICHR identify goals for its production of Clinical and Translational Science to fill gaps in the field. Expanding the scope of this benchmarking project might achieve greater interrater reliability using larger representative sets of publications drawn from institutions across the CTSA Consortium.

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre

IntroductionEffective communication in the operating room (OR) is crucial. Addressing a colleague by their name is respectful, humanising, entrusting and associated with improved clinical outcomes. We aimed to enhance team...

180 Building an evaluation platform to capture the impact of Frontiers CTSI activities

OBJECTIVES/GOALS: In 2021, Frontiers CTSI revamped its evaluation infrastructure to be comprehensive, efficient, and transparent in demonstrating outputs and outcomes. We sought to build a platform to standardize measures across program areas, integrate continuous improvement processes into operations, and reduce the data entry burden for investigators. METHODS/STUDY POPULATION: To identify useful metrics, we facilitated each Core’s creation of a logic model, in which they identified all planned activities, expected outputs, and anticipated outcomes for the 5-year cycle and beyond. We identified appropriate metrics based on the logic models and aligned metrics across programs against extant administrative data. We then built a data collection and evaluation platform within REDCap to capture user requests, staff completion of requests, and, ultimately, request outcomes. We built a similar system to track events, attendance, and outcomes. Aligning with other hubs, we also transitioned to a membership model. Membership serves as the backbone of the evaluation platform and allows us to tailor communication, capture demographic information, and reduce the data entry burden for members. RESULTS/ANTICIPATED RESULTS: The Frontiers Evaluation Platform consists of 9 redcap projects with distinct functions and uses throughout the Institute. Point-of-service collection forms include the Consultation Request Event Tracking. Annual Forms include a Study Outcome, Impact, and Member Assessment Survey. Set timepoint collections include K & T application, Mock Study Section, and Pilot grant application submission, review, and outcomes. Flight Tracker is used to collect scientific outcomes and integrated with the platform. Using SQL, the membership module has been integrated into all forms to check and collect membership before service access and provide relevant member data to navigators. All relevant data is then synched into a dashboard for program leadership and management to track outputs and outcomes in real-time. DISCUSSION/SIGNIFICANCE: Since the launch of the evaluation platform in Fall 2022, Frontiers has increased its workflow efficiency and streamlined continuous improvement communication. The platform can serve as a template for other hubs to build efficient processes to create comprehensive and transparent evaluation plans.

Improvement and analysis of aircraft maintenance flow process using lean manufacturing, PDCA, PICA, and VSM for sustainable operation system

The aircraft maintenance process plays a crucial role in ensuring the safety and reliability of air travel. However, this process often encounters inefficiencies and waste, reducing productivity. This study aims to analyze the flow of the aircraft maintenance process and identify areas for improvement using Lean Manufacturing, Plan-Do-Check-Act (PDCA), Problem Identification and Corrective Action (PICA), and Value Stream Mapping (VSM) methods within a sustainability system. This study demonstrates how non-value-adding (NVA) and necessary but non-value-adding activities (NNVA) contribute to maintenance process delays, waste generation, and decreased process efficiency. It also underscores the impact of waste on process performance and proposes potential time savings through focused improvements. The result revealed that inventory wastage was the most prevalent issue, accounting for 9 out of 26 activities, followed by waiting for wastage with seven activities and defects with 5 activities. These wasteful activities are primarily concentrated in phases 3, 4, and 5, encompassing inspection, repair, and installation phases. Consequently, there is a pressing need to enhance efficiency in all phases, particularly phases 3, 4, and 5, by targeting non-value-added activities. Implementing these improvements can reduce the total process time from 18,229 minutes to 15,170.2 minutes, offering a detailed roadmap for enhancing the aircraft maintenance process. Thus, this study is an alternative consideration for the aircraft maintenance industry to ensure a continuous improvement process in facing the challenges of global industry innovation as the category of Sustainable Development Goals (SDGs).

WIME Systematic Innovation Method based on 6WHI and Total Factor Matrix Analysis

The involved object of systematic innovation and management is neither a single goal nor a single meth-od. Firstly, the research object is a systematic and organic whole composed of multiple node elements with a certain degree of correlation. Secondly, the research method is multi-dimensional, comprehensive, all round and highly efficient. Innovation should break through the existing thinking framework, change the existing structure, add new components, give new energy and produce new functions. The 5W1H is a questioning approach and a problem-solving method that answers all the basic elements within a problem which are what, who, when, where, why, and how. It aims to view ideas from various perspectives and gain an in-depth understanding of a specific situation. On the basis of 5W1H analysis method, this paper puts forward the 6WHI systematic innovation management method, which increases the query words weather and if of the innovation expansion solution, increases the number of questions from 6 to 8, and expands innovative forward-looking and innovative solutions diversity, with smoother pronunciation, more exciting storm. Furthermore, a systematic innovation method based on 6WHI and total factor analysis is established, and a more general and normative model WIME method is presented. This method can be utilized as a continuous process-improvement technique in an organization. Taking the 17 letters of “if question patents” as the prefix, they are just 17 common key elements in system management and innovation. For each element mentioned above, 8 questions and answers of 6WHI are given to realize systematic management and innovation. The above two types of work are arranged according to the matrix format, and then the weighted evaluation method is introduced to evaluate the above management and innovation work, so as to give a general and standardized systematic management and innovation (WIME) method.

Innovative approaches in higher education in Ukraine: Trends and prospects

Innovative approaches in higher education in Ukraine are crucial to address changing global education dynamics, technological advancements, and evolving workforce needs. The primary aim is to assess the significance of innovation in shaping the educational experience and teaching methodologies. The research employs a mixed-methods approach, combining surveys and in-depth interviews with educators across various disciplines. The collected data from 125 participants provide insights into their perspectives on the importance of innovation. The results indicate a growing interest in innovative methods among educators and students, highlighting a desire for continuous improvement in the learning process. Сhallenges related to the implementation of innovative approaches are identified, including technological barriers, limited resources, and resistance from within the academic community. In conclusion, while innovation remains a crucial component for advancing higher education in Ukraine, strategic planning and targeted support are essential for successful implementation. The study underscores the need for enhanced international collaboration, a focus on overcoming identified challenges, and the development of a comprehensive support system for educators. These findings contribute to the ongoing discourse on the evolution of higher education in Ukraine and offer insights for policymakers, administrators, and educators seeking to foster a dynamic and effective learning environment.

The future of accounting in Ukraine: trends and forecasts in the conditions of rapid digital transformation

The paper is devoted to the study of trends and forecasts of the development of accounting in Ukraine in the conditions of rapid digital transformation. Scientific and empirical methods (collection and comparison of information), as well as complex analytical methods (synthesis and generalization) were used during the research. The informational basis of the paper is the scientific works of both domestic and foreign scientists who studied accounting issues in the conditions of rapid digital transformation. The paper noted that accounting in Ukraine today is undergoing major changes in connection with the introduction of digital technologies, which is a necessary and key stage for ensuring the effective functioning of the organization. It was noted that digitization of accounting and its integration into the company's information system is not only a necessity, but also a strategic step in modern business. This process is aimed at optimizing financial processes, ensuring fast and accurate data processing. An integrated information system allows not only to store information, but also to analyze it, providing the company's management with valuable insights for making strategic decisions. This approach turns accounting into a powerful tool that contributes to the growth and success of the enterprise in conditions of constant competition. It is also stated that in the future accounting in Ukraine will continue to evolve rapidly under the influence of digital transformation and the latest technologies. The paper examines key trends and forecasts for the future of accounting in Ukraine in conditions of rapid digital transformation: process automation, "cloud" technologies, data analysis and forecasting, blockchain, cyber security. The conclusion states that the future of accounting in Ukraine is inextricably linked to the digital transformation taking place in modern business. Successful adaptation to the trends considered in the study will require not only technological readiness, but also cultural and organizational changes aimed at continuous improvement of processes and personnel skills.

A Samsung production system-based approach to improve manufacturing process management in Vietnamese firms

Today, more and more Vietnamese firms consider continuous improvement as the best way to increase their manufacturing capability. This paper aims to illustrate the effectiveness of manufacturing processes management from the Samsung production system (SPS) approach when it was implemented to improve capability of existing production process in Vietnamese firms. The paper is a combination of descriptive and field research to demonstrate how SPS principles are appropriate for five real industry cases in particular and all Vietnamese manufacturing companies in general. In five cases, the usage of SPS-based tools has turned out to be fruitful. They solved problems of continuous improvement management in Vietnamese firms and created significant achievements in quality improvement and productivity increase. The paper investigates the core value of Samsung’s continuous process improvement. The way that Samsung has used to improve quality and profitability simultanously can be adapted by manufacturing companies.

Strategic Approaches for the Health Science Educator: Understanding Strategic Planning, Strategic Thinking, and Continuous Process Improvement and Their Impact.

With continued demand for health science institutions to find solutions to deliver on heightened student expectations despite smaller budgets and fewer resources, the utilization of organizational improvement techniques is pervasive. Academic health care leaders are seeking effective modalities to overcome obstacles, modernize, and become more efficient. Three of the commonly used approaches for improvement are strategic planning, strategic thinking, and continuous process improvement (CPI), and these concepts have been used in a variety of forms throughout industry, higher education, and health care. However, their definitions are often not well understood, and their processes are misconstrued in practice. With the increased expectation of health care institutions with undergraduate, graduate, and continuing education to consider strategic processes in organizational improvement, it is important for leadership to understand the differences in these three approaches. In this article, we explain the concepts of strategic planning, strategic thinking, and CPI through an overview of their history, definitions, and the benefits and pitfalls as observed by researchers. Furthermore, we reduce the noise in the existing literature into three concise definitions for each approach. And finally, for those seeking where to begin, we explain one tool in each category recommended for the novice strategist: the Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis for strategic planning, the Goals, Objectives, Strategies, and Tactics (GOST) framework for strategic thinking, and the Pareto Chart for CPI.

Formulating tasks, interpretation, and planning the implementation of research results using artificial intelligence in medicine.

Strategic issues of artificial intelligence use in medicine are considered. Summarizing, as of today, AI supports doctors but does not replace them. It is emphasized that AI in healthcare typically solves important, but rather limited in scope, tasks. Difficulties in further implementation of AI are analyzed. The aim of the study was to address the analytical generalization of AI capabilities in healthcare, analyze the problems of using the Universum of medical-biological knowledge as a global unified resource, and conceptually justify the need to structure medical-biological knowledge, introducing fundamentally new forms of knowledge transfer in healthcare. Conclusions made: 1. The goal of AI implementation should be to find a delicate, mutually beneficial balance between its effective use and the judgments of trained doctors. This is extremely important, as artificial intelligence, which may practically fully replace the labour of doctors in the near future, today is an issue that might otherwise hinder obtaining benefits from it. 2. AI will become an integral part of future medicine. Therefore, it is important to teach the new generation of medical interns the concepts and principles of AI application, to function effectively in the workplace. It is extremely important to develop skills such as empathy in AI. 3. A systematic approach to the continuous improvement of diagnostic and treatment processes and systems for patients, first and foremost, requires bridging the gap between accumulated medical knowledge and the logic and results of AI use.

The impact of accreditation on continuous quality improvement process in undergraduate medical education programs: A scoping review

Background Accreditation in medical education has existed for more than 100 years, yet the impact of accreditation remains inconclusive. Some studies have shown the effects of accreditation on student outcomes and educational processes at medical schools. However, evidence showing the impact of accreditation on continuous quality improvement of undergraduate medical education programs is still in its infancy. This scoping review explores the impact of accreditation on continuous quality improvement (CQI). Methods This scoping review followed the methodology of the Preferred Reporting Items of Systematic Reviews and the Meta-Analysis extension for scoping reviews (PRISMA-ScR) checklist outlined by Arksey and O'Malley (2005). Databases, including PubMed, Medline, ERIC, CINHAL, and Google Scholar, were searched to find articles from 2000 to 2022 related to the accreditation of undergraduate medical education programs and continuous quality improvement. Results A total of 35 full-text articles were reviewed, and ten articles met our inclusion criteria. The quality assurance approach is based on meeting the standards of accreditation. The quality improvement approach is based on striving for excellence. Literature suggests a requirement to move from student outcomes to CQI measures. CQI requires everyone in the organization to take responsibility and accountability, considering quality as the result of every single step or process and leaders supporting improvements in data collection and data analysis for quality improvement. Conclusions The literature on accreditation and CQI are limited in number. More research studies are required to enhance undergraduate medical education accreditation practices' value to medical students, educators, academic leaders, programs, and the public. It was recommended that medical schools embrace the culture and vision perpetuated by the CQI process.