Implementation Of Quality System Research Articles

Role of the quality assurance person in the production of recovered plasma for fractionation

The collection of plasma for clinical use and fractionation is a logistically and technically complex process as to the need for ensuring product quality, safety, and efficacy. Many blood establishments (BEs) have introduced Good Manufacturing Practice (GMP) based quality system to maintain high quality and safety of plasma. However, the implementations of comprehensive quality system need some skillful professionals to work on the quality assurance (QA) issues. QA person has a critical role in quality system development, implementation, maintaining and improvement. They can be described as a supervisor or coordinator through using process approach tools and risk-based thinking for all QA activities. Although the scope of the duties covered by QA person is dictated by the size of establishments, they share some basic responsibilities including documentation management, equipment qualification, process validation, change control, plasma batch release, deviations management, recall procedure, audit management, and process improvement. This article briefly discusses the role and skills of QA person in BEs and shares our experience of some QA activities in supplying recovered plasma for fractionation.

Sistemas de calidad como estrategia de ventaja competitiva en la agroindustria alimentaria

Debido a la gran relevancia de los sistemas de calidad en la actual coyuntura internacional de los mercados, la presente investigación realiza una discusión acerca de la implementación de los sistemas de calidad como instrumentos de ventaja competitiva en la agroindustria alimentaria, a fin de establecer un marco de reflexión para el análisis de casos de estudio. Para ello, se realiza una revisión y análisis de la literatura sobre las repercusiones de su uso, su relación con el mercado y sus implicaciones en el sector agroalimentario. A partir de lo anterior se concluye que los sistemas de calidad son una estrategia clave para lograr una mayor ventaja competitiva, siendo estos un requisito imprescindible dentro de la agroindustria alimentaria.

The association between quality system development stage and the implementation of process-level patient safety themes in Dutch hospitals: an observational study

Quality systems are believed to be positively related to quality and safety in healthcare. However, there is no convincing evidence for this relationship in the literature. This study aims to examine the association between the development stage of hospital quality systems and the implementation of patient safety themes at the process level. This study combines data from a national survey on the development stage of quality systems in Dutch hospitals with results from an evaluation study of the Dutch Hospital Patient Safety Program. Data on the development stage of quality systems were collected in Dutch hospitals in 2011. A total of 73 quality coordinators completed a questionnaire (response rate 77%) covering five quality system domains: policy and strategy, human resource management, patient involvement, practice guidelines, and systematic quality improvement. Data were included on the implementation of five patient safety themes from the Dutch Hospital Safety Program. Process indicators for each theme were measured every four to six weeks, resulting in ten measurements in each hospital. Data were analyzed using multilevel analysis. The mean score for hospital quality system development was 2.30 (range 1 to 3). The mean scores for the various quality system domains ranged from 1.56 (Patient Involvement) to 2.66 (Human Resources Management). The mean percentages for the implementation of the patient safety themes ranged from 12% for the ‘Pain’ process indicator to 73% for execution of the ‘Time-Out Procedure’. The intraclass correlation coefficients of the intercept-only model ranged between 11.6 and 51.6, which indicates large differences between hospitals in the implementation of the patient safety themes. Positive associations between quality system development stage and implementation of patient safety themes were found for four of the five patient safety themes, although they were not statistically significant. This study found no association between the development stage of a hospital quality system and the implementation of patient level safety themes at the process level. This rejects the hypothesis that quality improvement is caused by a positive relationship between structure (the quality system) and processes (the safety program implementation), which in their turn mold the quality of care at the patient level.

Transformation and Quality of Social Services in Slovakia: Implications of Social Role Valorisation Concept

The topic of the quality of social services has been officially institutionalised in Slovakia since 2009 as part of the historically first separate act on social services, as well as a part of the general efforts focused on the transformation of social services. Although the quality system is primarily a policy concept, numerous parallels with the concept of the social role valorisation can be observed. The aim of the study is to present selected aspects of recent developments in the implementation of the new quality system in Slovakia based on the research conducted in 2016. These questions were addressed: According to the providers, is more profound transformation of social services in Slovakia necessary? If yes, what should the transformation relate to? What is the providers’ opinion on the importance of the quality system as part of transformation of social services? What changes do the providers expect in their organisations with regards to the implementation of the quality system? As the research findings shown, the absolute majority of respondents (social service providers) considered the transformation of social services for necessary, while adoption of measures at several levels is necessary. Expectations of transformation changes at systemic level (e.g. financing of social services, stabile legislation, equal status of public and non-public providers), at organisational level, as well as the level of professional performance of social services were identified. The emphasis was put particularly on the need for systemic changes in social services, with considerably lower representation of expected changes at the organisational as well as professional levels. Respondents expressed high confidence in the quality of their own services, not being aware of any major reserves. In the discussion, the author appreciates the concept of the social role valorisation for interpreting and explanations of the obtained, sometimes contradictory, research results.

ВИМІРЮВАННЯ ТА ПОКАЗНИКИ ЯКОСТІ В ТЕХНІЧНИХ ЗАКЛАДАХ

Quality in education become an important issue. Indicators and measurements to quality in education provide crucial support to determine several aspects in educational centres. Lack of quality knowledge and culture, lack in working process and evaluation are the main barriers to improvement in the technical educational institutions. Moreover, more deep studies and researches are highly in demand. Due to urgent need to quality application in technical educational institutions; these institutions are not appropriate to the vision of quality as a result of absence of strategic planning, clear mechanism for leadership functional selection. Furthermore there is lack in management structure itself. The aim of this study is to investigate the current position of technical educational institutions within greater Tripoli area from May to November/ 2017, in terms of the quality indicators, and measurements as well as implementation of quality system in these institutions. The study is based on collecting and analysing data provided by the department of technical and vocational education. This work has been carried out to establish and implement a quality system in technical educational institutions. The work required an investigation of the area of research for such institutions to identify main aspects of enhancing quality departments in technical education regarding to approved measurements and indicators. This work also is a corner stone for future planning to implement the quality system in technical education institutions.

A practical quality management system implementation framework for small-sized companies

An effective quality management system is critical for having a smooth and efficient supply chain system. Establishing and maintaining quality systems is more challenging for smaller companies compared to larger organisations. This paper presents a cost effective and do-it-yourself approach to design and implement a quality management system for smaller organisations. It proposes a quality system implementation framework for small-medium sized companies to enable their transition from a no-quality system to having a more effective quality system. The study also proposes an effective continuous improvement and system maintenance plan after implementing the quality system. The proposed framework is validated using a case study of a small door manufacturing company. The findings of this study reveal several setbacks during quality management implementation and suggest means to overcome them. Benefits and results achieved by implementation of proposed framework will be useful for quality practitioners, quality managers, consultants, and engineers, especially in small companies.

Quality system implementation in the National Metrology Institute of Montenegro

Accreditation of calibration laboratories is a means for achieving competence recognition and assuring customers that their calibration services are accurate and reliable. Moreover, it is a powerful tool for a National Metrology Institute (NMI), enabling the formal acceptance of its measurement results. It could be especially useful when calibration activities are performed in well-developed laboratories, which have participated successfully in interlaboratory comparisons but have been awaiting the publication of Calibration and Measurement Capabilities in the BIPM Key comparison database. This paper describes establishment and implementation of a quality management system in the NMI of Montenegro called Bureau of Metrology (MBM) that complies with ISO/IEC 17025. We have presented the results of the first audit evaluation, corrective actions, preparation of quality management documentation, measurement traceability, as well as advantages of being accredited. Our experience of implementing ISO/IEC 17025 for the accreditation of national calibration laboratories established within the MBM shows that strategic planning, establishment of long-term objectives, as well as the commitment to fulfilling standard requirements are the basis for acceptable calibration results. International acceptance of confidence and reliability of calibration services and measurement results provided by the MBM laboratories represents a useful marketing tool for promoting the image of the institution.

РОЛЬ ТА МІСЦЕ ДП «НАУКАНАФТОГАЗ» У РОЗБУДОВІ НАФТОГАЗОВОГО КОМПЛЕКСУ УКРАЇНИ ТА МІЖНАРОДНОМУ СПІВРОБІТНИЦТВІ

Subsidiary enterprise «Research Institute of Oil and Gas Industry» (SE Naukanaftogaz) was established in 2003.Today SE is a modern Institute, whose activity covers basic directions of oil and gas industry, as well as wide range of scientific, technical and engineering works and services.Main types of scientific and technical investigations in geology, geophysics, seismics, exploration and development of hydrocarbon fields, unconventional hydrocarbons, oil and gas transportation, underground gas storage, energy saving, economics are carried out in compliance with the implemented quality system according to DSTU ISO 9001: 2009 (ISO 9001: 2008, IDT) «Quality Management Systems. Requirements».The team of highly experienced scientists of oil and gas industry is formed in the Institute.The Institute is equipped with modern licensed software and hardware products of leading companies (Schlumberger, Computer Modelling Group, SGG etc.) and using its own know-how methods and applications and experience.One of the most powerful modern scientific base in Ukraine, which includes the highly productive computing cluster for the processing of large amounts of geological, geophysical, seismic, geological and production information (Storage-20 Tb) was created in the Institute.The base of geophysical and geological information of oil and gas recourses, which includes about 300 licensed areas, 440 oil and gas fields of Ukraine and 3900 wells was formed in the Institute.10 oil and gas fields in Ukraine (Subbotina, Runovshchynske, Schidno-Runovshchynske, Akademika Shpaka etc.), as well as 6 fields in Egypt (Alam El Shavish License Block) has been opened during the last ten years. More than one hundred recommendations for geological exploration works and increasing of the resource base of hydrocarbon fields owned by JSC Ukrgazvydobuvannia and JSC Chornomornaftogaz were submitted.Also «Strategy of Development of Oil and Gas Industry of Ukraine till 2030», «Specified State Programme of Development of Ukrainian Sector of Black and Azov Seas», «Concept of Ukrainian Underground Gas Storage Facilities Development» were designed, as well as 74 regulations (national and industry standards, regulatory acts and other documents), 38 patents for inventions and utility models were received.The first in the Black Sea area Subbotina oil field was opened on a basis of the recommendations of the Institute.6 oil fields (HG, WHG, EHG, NHG, Karima, Malaka) in the Arab Republic of Egypt were opened according to the recommendations of the Institute.Investment projects and priority prospecting drilling (within the on-shore part of Ukraine and shelf of Black and Azov Seas and licensed units abroad - in Egypt, UAE, Libya, Turkmenistan, Russian Federation) were prepared.According to the results of the recommendations the reserves increased to 7.0 bln.m3 of gas and 5.8 mln. tons of oil.More than 20 permanent geological and technological models of oil and gas fields, created by the scientists of the Institute, are supported. Implementation of the recommendations formed on the basis of these models will provide an additional 3.2 billion m3 of gas and 3.3 mln tons of oil, and will increase the gas reserves to 2.8 bln m3, and oil reserves to 6.1 mln tons.System for monitoring of field development of National Joint Stock Company «Naftogaz of Ukraine» was created.The most significant projects carried DP Naukanaftogaz for the last 10 years (http://www.naukanaftogaz.com). Key words: SE Naukanaftogaz, geology and development of oil and gas field, standardization

STRATEGY FOR THE IMPLEMENTATION OF QUALITY MANAGEMENT POLICY ON TUNA FISHERIES IN SENDANG BIRU MALANG

Concern the government of the importance of the quality of fishery products as set out in KEPMEN-KP/52A/2013 should be followed up through the implementation of quality systems in fisheries activities. The purpose of this research was formulating development strategies and steps for the successful implementation of quality management in tuna fisheries in Sendangbiru. The analysis methods that used in this research is balanced scorecard. The result show, strategic target of implementation quality management policies on tuna fisheries in Sendangbiru are the quality of tuna produced A and B, equipment and facilities complete, distribution vehicles viable, use of technology, and availability counseling and supervision of the activities of tuna handling.

A qualitative study on the implementation of quality systems in Australian hospitals.

Public hospitals are required to have quality systems in place to meet accreditation standards, achieve government performance expectations and continually improve care. However, previous study suggests that there has been limited success in the implementation of effective quality systems. Using document review, self-evaluation and qualitative data from interviews and focus groups of 270 board members, managers and staff we explored the implementation of quality systems in eight Australian public hospitals. Using normalisation process theory, we found that the hospitals took a technical, top-down approach to quality system implementation and did not provide staff with opportunities for socialization of the technology that enabled them to normalise the quality work. 'Quality' was consistently described as an 'extra' set of tasks to do, rather than a means to creating sustained, safe, quality care. Despite enormous goodwill and positive intent, a lack of understanding of how to effect change in the complexity of hospitals has led the boards and senior managers in our sample to execute a technical, top-down approach based on compliance and reactive risk.

Profile of donors’ blood wastage in Bagalkot blood bank: a record based case series study

Background:Medical science has progressed tremendously over the years but, as yet there is no substitute for blood and thus, blood transfusion is essential part of modern-day health care. The implementation of quality system and continuous evaluation of all activities of the Blood Transfusion Services (BTS) can help to achieve the maximum quantity and quality of safe blood. Optimizing blood collection and processing would reduce the rate of discard and improve the efficiency of the Blood Transfusion Services.Methods:A case series descriptive study was conducted at Bagalkot Blood Bank, Bagalkot. The study included all 4045 records of blood donors entered in the blood bank register in one year during 2012 in Bagalkot Blood Bank and the same were analysed.Results:In the present study out of the 4045 blood donors, 26.48% were of the age group 20-29years, 95.64% being male and 50.43% were from urban areas. 85.19% were replacement donations. Most of the blood donors were of B blood group (31.32%). Of the 4045 units of blood collected, 231(5.71%) were discarded for various reasons. Main reasons for discarding blood were HBsAg (64.5%) positivity, followed by HIV (16.45%), HCV (11.26%), Syphilis (0.87%), Sterility (6.49%) and Expired (0.43%). Seroprevalence of HBsAg, HIV, HCV and Syphilis were 3.68%, 0.94%, 0.64% and 0.05% respectively.Conclusions:The present study revealed more male donors of the age group 20-29 years, 85.19% being replacement donors and mostly (31.32%) being B Blood group. Sero-positivity for HBsAg (3.68%) was found to be higher among all the blood donations.

A benchmarking model for Indian service industries using MICMAC and WISM approach

The major intention of this study is to recommend a benchmarking model of service quality for Indian service industries in successful implementation of quality system and enhancement in continuous basis, Stare for this, seventeen critical factors of service qualities have been recognized with their relationship, which are further analyzed by utilizing Weighted Interpretive structural modeling approach. This approach is useful to develop the relationship among various factors of the service quality and to identify the key measures. The measurement evaluated in this paper will help the service industries to benchmark their performance. It is an approach for refining the decision making in benchmarking implementation for service industries.

A Review of Quality Management Systems in South African HIV-AIDS Programmes: A Pre-Requisite for Sustainable Health Delivery

The global commitment to end HIV-AIDS is a bold one; requiring a multi-sectoral response strongly embedded within effective HIV-AIDS prevention efforts, patient advocacy and effective healthcare programme delivery. UNAIDS estimates that, of the 36.7 million individuals infected with HIV-AIDS globally, 19.1 million reside in South Africa (UNAIDS Gap report, 2016).In addition, approximately 2.1 million new HIV infections occurred in 2015 with almost 960 000 of those occurring in South Africa signalling that the rates of infections are not dropping as expected (UNAIDS Gap report, 2016). Given the unrelenting nature of this disease burden, even greater efforts are now required to turn the tide on HIV-AIDS globally, but more so in South Africa. These efforts entail more effective HIV-AIDS service delivery with combination prevention modalities, access to HIV-AIDS treatment and care, harm reduction of HIV-AIDS stigma and discrimination together with HIV-AIDS education, awareness and advocacy. Enhancing HIV-AIDS service delivery requires strong commitment with implementation of quality management systems in programme service delivery resulting in sustainable, effective and well run HIV-AIDS programmes. Quality management systems in HIV-AIDS programmes allow programmes to successfully meet their objectives thus allowing optimal patient care through effective and efficient means. To date there has been minimal implementation of quality systems in healthcare especially in South Africa. The use of health quality tools and systems in HIV-AIDS programmes locally and globally will allow for efficient and cost effective benefits for the optimal wellbeing of all those affected and infected by HIV-AIDS. This article reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development.

A Review of Quality Management Systems in South African HIV-AIDS Programmes: A Pre-Requisite for Sustainable Health Delivery

The global commitment to end HIV-AIDS is a bold one; requiring a multi-sectoral response strongly embedded within effective HIV-AIDS prevention efforts, patient advocacy and effective healthcare programme delivery. UNAIDS estimates that, of the 36.7 million individuals infected with HIV-AIDS globally, 19.1 million reside in South Africa (UNAIDS Gap report, 2016).In addition, approximately 2.1 million new HIV infections occurred in 2015 with almost 960 000 of those occurring in South Africa signalling that the rates of infections are not dropping as expected (UNAIDS Gap report, 2016). Given the unrelenting nature of this disease burden, even greater efforts are now required to turn the tide on HIV-AIDS globally, but more so in South Africa. These efforts entail more effective HIV-AIDS service delivery with combination prevention modalities, access to HIV-AIDS treatment and care, harm reduction of HIV-AIDS stigma and discrimination together with HIV-AIDS education, awareness and advocacy. Enhancing HIV-AIDS service delivery requires strong commitment with implementation of quality management systems in programme service delivery resulting in sustainable, effective and well run HIV-AIDS programmes. Quality management systems in HIV-AIDS programmes allow programmes to successfully meet their objectives thus allowing optimal patient care through effective and efficient means. To date there has been minimal implementation of quality systems in healthcare especially in South Africa. The use of health quality tools and systems in HIV-AIDS programmes locally and globally will allow for efficient and cost effective benefits for the optimal wellbeing of all those affected and infected by HIV-AIDS. This article reviews available data on the prevalence of quality management systems in HIV-AIDS healthcare and identifies gaps and smart practises towards recommendations for comprehensive global HIV-AIDS standards development.

Best practices in early phase medical device development: Engineering, prototyping, and the beginnings of a quality management system

Kristy Fearis is the founder and president of KPConsulting. She has held various positions in the medical device and research industry. She has led programs for medical industry leaders Medtronic, Edward Lifesciences, and Kimberly-Clark Healthcare to develop and commercialize Class II and III devices. Although a true quality management systems specialist at heart, Kristy has a passion for effectively and efficiently applying quality systems principles to early stage development to maximize benefit while minimizing impact on resources and time to market. Kristy works with both precommercial and commercial companies to build and implement quality systems that are "right sized" and support both an effective business model and high product quality. Aidan Petrie is the cofounder and chief innovation officer of Ximedica. Aidan drives innovation in Ximedica's core markets of medical device development and consumer healthcare. With a focus on human-centered design, usability, technical innovation and industrial design, Aidan has helped bring hundreds of products to market. Ranging from simple drug compliance aids to wearable therapeutics, home monitoring products, and complex surgical systems, Aidan challenges his teams to rethink the role design plays in the success of each product. Covering topics around usability, sensor and wearable technology, and current trends in medical design and development, Aidan is a sought-after industry speaker and widely published author. In addition to his role at Ximedica, Aidan advises multiple startups in the healthcare space and has interests in a number of related companies. He sits on the Board of MassArt and teaches and lectures at the Rhode Island School of Design, Massachusetts Institute of Technology, the Harvard iLab, and others. Aidan holds an undergraduate degree from Central St Martins in product design/engineering and a Masters in industrial design from the Rhode Island School of Design.

Gobernar la producción y el trabajo por medio de estándares. El caso de la industria agroalimentaria en Murcia

El sector agroalimentario de la Región de Murcia está integrado a una cadena agroalimentaria global que destaca por su modernización tecnológica y por su elevada productividad. Desde la década de los noventa se vienen implantando sistemas de calidad que han contribuido a transformar radicalmente los procesos productivos y las condiciones de trabajo. Numerosos estudios han analizado cómo la implantación de estándares y certificaciones ha dado lugar a un significativo aumento de la calidad de los productos y de sus procesos de producción. Sin embargo, algunos estudios muestran que el aumento de la calidad de los productos y de los procesos no ha supuesto necesariamente una mejora sustancial de la calidad del empleo ni una desprecarización de las condiciones de trabajo. Por el contrario, la precariedad laboral y la informalidad persisten y en algunos casos, se acentúan, al aumentar el control sobre los procesos y los trabajadores. Este artículo explora esta hipótesis en el caso de la industria de la uva de mesa en la Región de Murcia.

Opinions of Faculty Members Regarding Quality Implementation in the Faculty of Arts at King Saud University

<p>King Saud University has been seeking to achieve excellence and leadership; this is shown through seeking to advance towards the best and to cope with the universities needs by qualifying its employees academically and practically in various fields. Throughout this journey of excellence, King Saud University has adapted the quality system implementation in 2007.This study aims at presenting the opinions and suggestions of faculty members regarding quality implementation mechanisms in the departments of Faculty of Arts at King Saud University. To achieve the goals of the current study, the researchers depend on a questionnaire, which was constructed by both of them to collect data. This tool was constructed based on the standards steps of constructing a questionnaire. The tool has included several focus points which are: social and academic characteristics of the study community that consists of faculty members (n=273), strategies (vision, mission, and goals) which include 8 statements, evaluation which includes 14 statements, and finally communication and engagement which include 5 statements. In light of the results of this study the researchers recommend considering the goals of Quality Units in the departments of Faculty of Arts so that they agree and serve the goals of the development process and the quality in the college and the university, in addition to introducing a clear and announced plan of quality to all employees in the department. In addition, they suggest that Quality Units in the departments of Faculty of Arts should hold training workshops and courses to clarify quality requirements and ensures that they are understood by the employees. </p>

The Reasons behind the (Non)Use of Feedback Reports for Quality Improvement in Physical Therapy: A Mixed-Method Study.

ObjectivesTo explain the use of feedback reports for quality improvements by the reasons to participate in quality measuring projects and to identify barriers and facilitators.DesignMixed methods design.MethodsIn 2009–2011 a national audit and feedback system for physical therapy (Qualiphy) was initiated in the Netherlands. After each data collection round, an evaluation survey was held amongst its participants. The evaluation survey data was used to explain the use of feedback reports by studying the reasons to participate with Qualiphy with correlation measures and logistic regression. Semi-structured interviews with PTs served to seek confirmation and disentangle barriers and facilitators.ResultsAnalysis of 257 surveys (response rate: 42.8%) showed that therapists with only financial reasons were less likely to use feedback reports (OR = 0.24;95%CI = 0.11–0.52) compared to therapists with a mixture of reasons. PTs in 2009 and 2010 were more likely to use the feedback reports for quality improvement than PTs in 2011 (OR = 2.41;95%CI = 1.25–4.64 respectively OR = 3.28;95%CI = 1.51–7.10). Changing circumstances in 2011, i.e. using EHRs and financial incentives, had a negative effect on the use of feedback reports (OR = 0.40, 95%CI = 0.20–0.78). Interviews with 12 physical therapists showed that feedback reports could serve as a tool to support and structure quality improvement plans. Barriers were distrust and perceived self-reporting bias on indicator scores.ConclusionsImplementing financial incentives that are not well-specified and well-targeted can have an adverse effect on using feedback reports to improve quality of care. Distrust is a major barrier to implementing quality systems.

Implementation and Quality Control of Lung Cancer EGFR Genetic Testing by MALDI-TOF Mass Spectrometry in Taiwan Clinical Practice.

Molecular diagnostics in cancer pharmacogenomics is indispensable for making targeted therapy decisions especially in lung cancer. For routine clinical practice, the flexible testing platform and implemented quality system are important for failure rate and turnaround time (TAT) reduction. We established and validated the multiplex EGFR testing by MALDI-TOF MS according to ISO15189 regulation and CLIA recommendation in Taiwan. Totally 8,147 cases from Aug-2011 to Jul-2015 were assayed and statistical characteristics were reported. The intra-run precision of EGFR mutation frequency was CV 2.15% (L858R) and 2.77% (T790M); the inter-run precision was CV 3.50% (L858R) and 2.84% (T790M). Accuracy tests by consensus reference biomaterials showed 100% consistence with datasheet (public database). Both analytical sensitivity and specificity were 100% while taking Sanger sequencing as the gold-standard method for comparison. EGFR mutation frequency of peripheral blood mononuclear cell for reference range determination was 0.002 ± 0.016% (95% CI: 0.000–0.036) (L858R) and 0.292 ± 0.289% (95% CI: 0.000–0.871) (T790M). The average TAT was 4.5 working days and the failure rate was less than 0.1%. In conclusion, this study provides a comprehensive report of lung cancer EGFR mutation detection from platform establishment, method validation to clinical routine practice. It may be a reference model for molecular diagnostics in cancer pharmacogenomics.

CLINICAL QUALITY STRATEGY FACILITATES EFFECTIVE QUALITY SYSTEM IMPLEMENTATION FOR PREVENTION OF HEALTHCARE ASSOCIATED INFECTIONS

Introduction: Healthcare-associated infections (HAI) can develop either as a direct result of healthcare intervention such as medical or surgical treatment or from being in contact with a healthcare setting. The need of hour is getting the right approach of personnel in clinical community towards infection prevention, patient safety and clean environment. An established quality system enables an organisation to achieve this goal set out in its quality strategy. Objective: This study was carried out with the objective to assess clinical quality strategies facilitation to implement quality systems compliance to national standards, policies, laws, legislations and regulations related to hospital associated infections in hospital settings. Methodology: Audit tools, check lists and protocols based on the process were carried out in the high risk areas, and the surveillance was done by using a targeted quality assurance plan. Process compliance was verified with national standards. Results: Compliance was 65 % in the process of area of disinfection, hand-washing, use of isolation rooms for infected patients, reminders to limit catheter use, use of gloves and gowns, sterilization, biological waste management, training on awareness of policies, laws and legislation. The quality system was not practiced effectively at hospital level for the mentioned categories. The survey showed that hospitals do not have adequate Antimicrobial Programs. Resource availability is also an additional problem faced in the hospitals Conclusions: We emphasize by implementing quality assurance practices, which focus on systems and processes, as per the laid down policies, uses existing data to analyze service delivery processes, can improve the quality of service related to HAI. Key words: healthcare associated infections, quality strategy, quality standards, quality assurance, and continuous quality improvement. Normal 0 21 false false false RO X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:Table Normal; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:Calibri,sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Times New Roman; mso-bidi-theme-font:minor-bidi; mso-fareast-language:EN-US;}