Effect Of Continuous Quality Improvement Research Articles

Total Quality Management Practices and Performance of East African Breweries Limited, Kenya

Total quality management (TQM) is a continuous process that seeks to point out and eradicate managerial gaps in organizations. It also aligns organizational management, enhances good customer service and empowers the training of employees. TQM uses strategies, data and communication channels to bring together the required quality principles into the organization’s activities and culture. This study examined the relationship between Total Quality Management practices and organizational performance at East African Breweries Limited (EABL) Kenya. The study sought to establish the effect of customer focus on the performance of EABL in Kenya. The research examined the effect of continuous quality improvement on the performance of EABL in Kenya. The study also assessed the effect of strategic approaches on the performance of EABL in Kenya. Contigency thory,Service quality theory, Sigma six quality improvement theoryand system theory of management were reviewed concerning the four variables involved in this study to analyze the gaps that lead to further research. The population target was 60 EABL managers in the departments directly related to TQM practices. Since the population was moderate, there was no sampling. Instead, census method was used and therefore the entire population was included in this study. The study used an explanatory research design where questionnaires were used as a data collection instrument. Descriptive statistics was used to analyze data in tables and charts according to the research objectives. Quantitative statistic processes were also used to derive correlation and regression analysis to establish the extent and nature of the relationship between the independent variables and dependent variables. Construct validity showed a description of whether support is given by case studies concerning the interpretation of variables in the study. The findings of the study indicated a positive significance by benefiting East Africa Breweries Limited in understanding to what extent the total quality management practices impact the performance of the company. The findings demonstrate that East African Breweries Limited (EABL) exhibits a strong commitment to Total Quality Management practices and a customer-centric approach to quality, resulting in enhanced effectiveness, customer retention, and market advantage. EABL's focus on customer satisfaction, loyalty, and market performance highlights the strategic significance of TQM in the company's success and competitiveness. The study concludes that implementing TQM practices can lead to improved business outcomes, emphasizing the importance of effective TQM in achieving better organizational results and market success.

Effect of modified gastrointestinal decompression under abdominal CT in patients with intestinal obstruction.

We aimed to evaluate the effect of continuous quality improvement on modified gastrointestinal decompression under abdominal computed tomography (CT) in patients with intestinal obstruction. The CT images of 74 patients with intestinal obstruction who underwent gastrointestinal decompression in our hospital from 1 January 2018 to 31 December 2019 were analysed retrospectively (Control group). Factors influencing unsatisfactory decompression effects were analysed, and corresponding improvement measures were formulated and implemented. A total of 77 patients from 1 January 2020 to 31 March 2022 were enrolled prospectively (Study group). The position of the nasogastric tube end, the amount of gastric drainage within 24h and the degree of abdominal distension relief were compared before and after the improvement. After implementation of continuous quality improvement, the proportion of the end of the nasogastric tube reaching the antrum, the amount of gastric fluid drainage within 24h and the degree of abdominal distension relief were better than those before improvement (p<0.001, respectively). The execution rate and accuracy rate of CT interpretations by nurses reached 100% and 82%, respectively. Modified gastrointestinal decompression based on abdominal CT scans can increase the success of gastrointestinal decompression and effectively reduce the discomfort of patients.

Influences of Total Quality Management on Innovation Performance and Organizational Learning

Throughout history, businesses have struggled to maintain and improve organisational performance in an effort to maintain a competitive advantage. The important elements of the quality management system must be confirmed by the senior management of the organization to increase and enhance performance. The purpose of this article is to identify the most significant quality factors as predictors of innovation performance in Oman. It focuses on top management support, employee involvement, customer focus, and continuous improvement. The study’s empirical data, which came from a self-administered survey, served as its foundation. The Ministry of Public Authority for Special Economic Zones and Free Zones and the Ministry of Commerce, Industry, and Investment Promotion, which identify 260 enterprises, provided the information. Data gathering involved the use of convenient sampling. Moreover, SMART-PLS was used to analyse the data. The study found that top management, consumer support, and employee involvement have a favourable impact on organisational learning and innovation performance. The study did discover a negligible effect of continuous quality improvement on organisational learning and innovation performance. The study suggests that future research be conducted to investigate the factors that can have a positive impact on organisational performance and innovation through continuous quality improvement.

Exploration of the Clinical Effect of Continuous Quality Improvement of General Surgical Pipeline Nursing on Patients with Surgical Catheter

Exploration of the Clinical Effect of Continuous Quality Improvement of General Surgical Pipeline Nursing on Patients with Surgical Catheter

To Explore the Effect of Continuous Quality Improvement on Satisfaction Rate of Nursing Care in Hepatobiliary Surgery

To Explore the Effect of Continuous Quality Improvement on Satisfaction Rate of Nursing Care in Hepatobiliary Surgery

Application Effect of Continuous Quality Improvement in Dermatology Nursing Management

Application Effect of Continuous Quality Improvement in Dermatology Nursing Management

Analysis of the effect of continuous quality improvement in the management of nosocomial infection control in Intensive Care Unit.

Analysis of the effect of continuous quality improvement in the management of nosocomial infection control in Intensive Care Unit.

Discussion on the Application Effect of Continuous Quality Improvement in Neurosurgery Nursing Quality Management

Discussion on the Application Effect of Continuous Quality Improvement in Neurosurgery Nursing Quality Management

Collaboration and knowledge generation in an 18-year quality improvement research programme in Australian Indigenous primary healthcare: a coauthorship network analysis

ObjectivesThough multidisciplinary research networks support the practice and effectiveness of continuous quality improvement (CQI) programmes, their characteristics and development are poorly understood. In this study, we examine publication outputs from...

Application Effect of Continuous Quality Improvement in Standardized Nursing Care of Intravenous Indwelling Needle

Application Effect of Continuous Quality Improvement in Standardized Nursing Care of Intravenous Indwelling Needle

The impact of continuous quality improvement on coverage of antenatal HIV care tests in rural South Africa: Results of a stepped-wedge cluster-randomised controlled implementation trial.

Evidence for the effectiveness of continuous quality improvement (CQI) in resource-poor settings is very limited. We aimed to establish the effects of CQI on quality of antenatal HIV care in primary care clinics in rural South Africa. We conducted a stepped-wedge cluster-randomised controlled trial (RCT) comparing CQI to usual standard of antenatal care (ANC) in 7 nurse-led, public-sector primary care clinics-combined into 6 clusters-over 8 steps and 19 months. Clusters randomly switched from comparator to intervention on pre-specified dates until all had rolled over to the CQI intervention. Investigators and clusters were blinded to randomisation until 2 weeks prior to each step. The intervention was delivered by trained CQI mentors and included standard CQI tools (process maps, fishbone diagrams, run charts, Plan-Do-Study-Act [PDSA] cycles, and action learning sessions). CQI mentors worked with health workers, including nurses and HIV lay counsellors. The mentors used the standard CQI tools flexibly, tailored to local clinic needs. Health workers were the direct recipients of the intervention, whereas the ultimate beneficiaries were pregnant women attending ANC. Our 2 registered primary endpoints were viral load (VL) monitoring (which is critical for elimination of mother-to-child transmission of HIV [eMTCT] and the health of pregnant women living with HIV) and repeat HIV testing (which is necessary to identify and treat women who seroconvert during pregnancy). All pregnant women who attended their first antenatal visit at one of the 7 study clinics and were ≥18 years old at delivery were eligible for endpoint assessment. We performed intention-to-treat (ITT) analyses using modified Poisson generalised linear mixed effects models. We estimated effect sizes with time-step fixed effects and clinic random effects (Model 1). In separate models, we added a nested random clinic-time step interaction term (Model 2) or individual random effects (Model 3). Between 15 July 2015 and 30 January 2017, 2,160 participants with 13,212 ANC visits (intervention n = 6,877, control n = 6,335) were eligible for ITT analysis. No adverse events were reported. Median age at first booking was 25 years (interquartile range [IQR] 21 to 30), and median parity was 1 (IQR 0 to 2). HIV prevalence was 47% (95% CI 42% to 53%). In Model 1, CQI significantly increased VL monitoring (relative risk [RR] 1.38, 95% CI 1.21 to 1.57, p < 0.001) but did not improve repeat HIV testing (RR 1.00, 95% CI 0.88 to 1.13, p = 0.958). These results remained essentially the same in both Model 2 and Model 3. Limitations of our study include that we did not establish impact beyond the duration of the relatively short study period of 19 months, and that transition steps may have been too short to achieve the full potential impact of the CQI intervention. We found that CQI can be effective at increasing quality of primary care in rural Africa. Policy makers should consider CQI as a routine intervention to boost quality of primary care in rural African communities. Implementation research should accompany future CQI use to elucidate mechanisms of action and to identify factors supporting long-term success. This trial is registered at ClinicalTrials.gov under registration number NCT02626351.

Study on the Effect of Continuous Quality Improvement on the Nursing Quality of Outpatient Blood Drawing

Study on the Effect of Continuous Quality Improvement on the Nursing Quality of Outpatient Blood Drawing

Application of Continuous Quality Improvement in Manual Cleaning of Fine Hollow Device

Objectives: The study aims to explore the effect of continuous quality improvement on manual cleaning quality of fine hollow device in hospital central sterile supply department. In terms of methods, it mainly optimize the manual cleaning process of fine hollow device as follow: Seperated cleaning basket is employed with 3% hydrogen proxide solition to clean the blood stains and organic matters in fine hollow device. And then, 90°C pure water is used to soak the fine hollow device to dissolve and clean the solidly attached bone wax in the inner side of absorption tube. And the study primarily compares the difference between the data about optimizing the manual cleaning process of fine hollow device through continuous quality improvement, the blood (stain), tissue residue, foreign body residue, bone wax from August to September in 2019, and those from October to November in 2019. Results: The quality of fine hollow device manual cleaning in reference group are improved significantly, with outstanding differences in control group (X²=59.36, P=0.000), indicating the effectiveness of the continuous improvement measures. Conclusion: The continuous quality improvement was applied to the manual cleaning of fine hollow device, and the cleaning effect was satisfactory. The removal rate of blood (stain), tissue, foreign body and bone wax of fine hollow device was improved.

Continuous Quality Improvement of Radiation Safety Management for Treatment of Differentiated Thyroid Carcinoma with Iodine-131

Purpose: To explore the effect of continuous quality improvement (CQI) of radiation safety management for patients administerediodine-131 after thyroid cancer surgery. Methods: A total of 103 patients with differentiated thyroid carcinoma were randomly divided into control and experimental groups containing 51 and 52 patients, respectively. In the control group, the drug was administered according to the operating procedure for iodine-131 treatment of thyroid carcinoma. In the experimental group, CQI was adopted to manage the radiation safety of care in addition to the conventional iodine-131 thyroid cancer treatment procedures. We also improved radiation safety protection measures prior to drug administration, developed a flow chart of drug administration for patients, established a patient preview of the drug administration process, and enhanced health education and psychological intervention for the patient. Results: The environmental radiation around the drug delivery window was reduced (P< 0.05), total duration of exposure to the radiation was shortened (P< 0.05), drug drop rate was decreased to 0%, and patient satisfaction was improved in the experimental group compared to the control group. Conclusions: Application of CQI for management of radiation safety when treating thyroid cancer withiodine-131 can improve patient treatment, quality of care, and satisfaction and reduce radiation pollution in the surrounding environment and radiation injury to staff.

Continuous Quality Improvement in Preoperative Preparation Management of Patients Undergoing Interventional Surgery

<i>Objective</i>: To explore the application effect of continuous quality improvement in preoperative preparation management of patients undergoing interventional surgery. <i>Methods</i>: Set up a continuous quality improvement (CQI) group consisting of the head nurse of the interventional operation room, the nurse, the interventional physician, and the head nurse of the interventional ward. A total of 3099 patients undergoing elective interventional surgery from January to December 2017 were selected as the control group, and 4,048 patients undergoing elective interventional surgery from January to December 2018 as improved group, which preoperative preparation was carried out after the implementation of continuous quality improvement measures. The current problems existing in the preoperative preparation were analyzed retrospectively, formulation and implementation of improvement measures. The qualified rate of preoperative preparation before and after CQI was statistically obtained. In addition, a third-party satisfaction survey was conducted and 200 valid questionnaires were collected to obtain the satisfaction of the two groups of patients. <i>Results</i>: The pass rate of preoperative preparation was increased from 58.02% to 87.18%, and patient satisfaction was also improved in improved group, with statistically significant difference between the two groups (<i>P</i> < 0.05). <i>Conclusion</i>: The application of CQI in preoperative preparation management can improve the pass rate of preoperative preparation, optimize the quality of preoperative nursing, and also improve patient satisfaction.

Effects of continuous quality control on reducing incidence of ventilator-associated pneumonia in intensive care unit

Objective To observe the effects of continuous quality improvement on the incidence rate of ventilator-associated pneumonia (VAP) in intensive care unit (ICU) . Methods Totally 158 patients using ventilators in ICU of Hangzhou Red Cross Hospital between January and June 2016 were selected as the control group using convenient sampling, and another 165 patients using ventilators between January and June 2017 were selected as the observation group. Patients in the control group received conventional nursing care, while patients in the observation group received Plan-Do-Check-Act (PDCA) Cycle Management with the quality of standardized nursing process, standardized upper respiratory tract management and hand hygiene continuously improved. Incidence rate of ventilator-associated pneumonia (VAP) , rate of pass in oral nursing care and hand hygiene compliance in medical and nursing workers were compared between the two groups before and after improvement. SPSS 17.0 was used for statistical analysis. Results The incidence rate of VAP during the first half of 2017 totaled 5.07‰, a decrease of 6.42‰ compared with the first half of 2016. There was statistically significant difference in the incidence rate of VAP between the two groups (P<0.01) ; the rate of pass in oral nursing care after improvement (93.17%) was statistically higher than that before improvement (57.31%) (P<0.01) ; and the hand hygiene compliance after improvement (93.67%) was statistically higher than that before improvement (67.33%) (P<0.01) . Conclusions Continuous quality improvement can reduce the incidence rate of VAP in ICU, which is operable and worth promoting in clinical practice. Key words: Intensive care unit; Continuous quality improvement; Ventilator-associated pneumonia; Incidence rate

The Influence of Strategic Foresight on Hospital Financial Performance: Mediating Effect of Continuous Quality Improvement

The aim of this study is to explore the mediation influence of continuous quality improvement between the strategic foresight and the financial performance of the hospital. with the intention of applying it to a specific medical service in the hospital. Through indicators that can be formed as a tool for assessment, monitoring, and control. The increasing pressure on health organizations in Iraq has led to a continuous increase in spending, an increase in population expectations and the need to get the most out of the invested resources, which require continuous quality improvement. These conditions require effective strategic tools such as strategic foresight tools that have proved as successful on a large scale. This study was applied in the health sector in Iraq. The questionnaire was adopted as a main instrument for the study. It was found that the adoption of strategic foresight and continuous improvement were necessary to improve hospital financial performance.

The MONARCH intervention to enhance the quality of antenatal and postnatal primary health services in rural South Africa: protocol for a stepped-wedge cluster-randomised controlled trial

BackgroundGaps in maternal and child health services can slow progress towards achieving the Sustainable Development Goals. The Management and Optimization of Nutrition, Antenatal, Reproductive, Child Health & HIV Care (MONARCH) study will evaluate a Continuous Quality Improvement (CQI) intervention targeted at improving antenatal and postnatal health service outcomes in rural South Africa where HIV prevalence among pregnant women is extremely high. Specifically, it will establish the effectiveness of CQI on viral load (VL) testing in pregnant women who are HIV-positive and repeat HIV testing in pregnant women who are HIV-negative.MethodsThis is a stepped-wedge cluster-randomised controlled trial (RCT) of 7 nurse-led primary healthcare clinics to establish the effect of CQI on selected routine antenatal and postnatal services. Each clinic was a cluster, with the exception of the two smallest clinics, which jointly formed one cluster. The intervention was applied at the cluster level, where staff received training on CQI methodology and additional mentoring as required. In the control exposure state, the clusters received the South African Department of Health standard of care. After a baseline data collection period of 2 months, the first cluster crossed over from control to intervention exposure state; subsequently, one additional cluster crossed over every 2 months. The six clusters were divided into 3 groups by patient volume (low, medium and high). We randomised the six clusters to the sequences of crossing over, such that both the first three and the last three sequences included one cluster with low, one with medium, and one with high patient volume.The primary outcome measures were (i) viral load testing among pregnant women who were HIV-positive, and (ii) repeat HIV testing among pregnant women who were HIV-negative. Consenting women ≥18 years attending antenatal and postnatal care during the data collection period completed outcome measures at delivery, and postpartum at three to 6 days, and 6 weeks. Data collection started on 15 July 2015. The total study duration, including pre- and post-exposure phases, was 19 months. Data will be analyzed by intention-to-treat based on first booked clinic of study participants.DiscussionThe results of the MONARCH trial will establish the effectiveness of CQI in improving antenatal and postnatal clinic processes in primary care in sub-Saharan Africa. More generally, the results will contribute to our knowledge on quality improvement interventions in resource-poor settings.Trial registrationThis trial was registered on 10 December 2015: www.clinicaltrials.gov, identifier NCT02626351.

The application effect of continuous quality improvement in the management of the communication of central sterile supply department and clinical department

Objective To explore the effect of continuous quality improvement (CQI) in the communication management between central sterile supply department (CSSD)and clinical departments. Methods The communication management mechanism between CSSD and clinical departments should be established, and CQI measures should be carried out to strengthen the quality supervision and enhance communication between CSSD and clinical departments.The quality score, service efficiency and satisfaction of the clinical department to CSSD were compared before the implementation of CQI ( from January 2015 to December 2015 ) and after the implementation (from January 2016 to December 2016). Results After the implementation of the CQI, the recovery and cleaning, the quality of the packaging, the quality of sterilization and the quality of the sterile articles distribution were significantly higher than before the implementation(P<0.05). After the implementation of CQI, the job satisfaction of the clinical department to CSSD was 95.45%, which was significantly higher than that before the implementation of the 79.09% (P<0.05). The degree of knowledge mastery of the room and CSSD staff was 90.91% and 100.00% respectively, which was significantly higher than that before the implementation of 74.55% and 80.95%(P<0.05). The delivery time of the CSSD routine and the clinical needed items was significantly shorter than before the implementation (P<0.05). Conclusions The implementation of CQI measures in the communication management of the hospital CSSD and clinical department can effectively improve the work quality and service efficiency, and improve the job satisfaction of the medical staff in each department to the CSSD. Key words: Central sterile supply department; Communication; Continuous quality improvement; Degree of satisfaction

Effect of continuous quality improvement in reducing intravenous catheter-related bloodstream infection in patients with hemodialysis

Objective To explore the effect of continuous quality improvement in reducing intravenous catheter-related bloodstream infection(CRBSI) in patients with hemodialysis. Methods 90 patients with hemodialysis were selected as the research subjects.The hospital began to implement continuous quality improvement in May 2016, 45 hemodialysis patients from May 2015 to May 2016 were selected as the control group, and 45 hemodialysis patients from June 2016 to February 2017 were selected as the study group.The incidence of CRBSI, length of hospital stay, etc were compared between the two groups. Results The incidence rate of CRBSI in the study group was 2.22%, which was obviously lower than 17.78% in the control group(χ2=5.921, P<0.05). The complaints and death events, duration of CRBSI, treatment costs and length of stay of the study group were better than those of the control group[0.00% vs.6.67%, 0.00% vs.8.89%, (5.96±0.52)d vs.(16.35±0.24)d, (26.98±1.85)d vs.(43.62±2.58)d, (0.85±0.03)million yuan vs.(2.53±0.01)million yuan, χ2=3.857, 3.987, t=5.821, 5.821, 5.741, all P<0.05]. Conclusion The application of continuous quality improvement can reduce the incidence of venous CRBSI in hemodialysis patients, shorten the length of hospital stay and the indwelling time, reduce the mortality rate, and it has higher application value. Key words: Hemodiafiltration; Catheterization, peripheral; Infection; Nursing care