بسم الله الرحمن الرحيم
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Transcript of بسم الله الرحمن الرحيم
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بسم الله الرحمن الرحيمبسم الله الرحمن الرحيم
و قل رب زدنى و قل رب زدنى ﴿﴾علمًا�علمًا�
صدق الله العظيمصدق الله العظيم
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Health Services Health Services AdministrationAdministration
Dr. Ahmed Al Far, M.D.Professor of Radiation Oncology
CHS 242CHS 242
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Quality ManagementQuality Management
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Quality Management Systems
Quality control (QC) Quality assurance (QA) Quality improvement (QI) Total Quality Management (TQM)
√ The focus is moving from static control to dynamic improvement
√ Each system included previous system
√ Quality must be both assured and improved
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Quality control A procedure or set of procedures intended to
ensure that a manufactured product or manufactured product or performed serviceperformed service adheres to a defined set of quality criteria or meets the requirements of the client or customer.
Subset of QA process, it comprises of activities employed in detection and measurement of the variability in the characteristics of output output attributable to the production system, and includes corrective responses.
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Quality Assurance A procedure or set of procedures intended
to ensure that a product or service under product or service under developmentdevelopment (before work is complete, as opposed to afterwards) meets specified requirements.
Any systematic process of checking to see whether a product or service being being developeddeveloped is meeting specified requirements.
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CharacteristicQAQIPhilosophyPoor performance
must be detected and remedied
Improvement is always possible
GoalControl error rateMove to higher level
Types of flaws studied
SpecialCommon and special
Performance referent
A standardCapability/need
Source of knowledge
Peer in professionAll staff
Review methodSummativeFormative, analytic
Patient needsNot assessedIncluded
Worker involvedSpecialized staffAll staff
Use of statisticsLimitedPervasive
Leads to actionOnly if deficiency is detected
Always
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Plan
Do
Check(Analyze)
Act(As Needed)
CQI Cycle
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CQI Cycle PLAN
Plan for CQI and build team to do the following.
Set standards Monitor current quality level and
identify problem/s Analyze root causes of problem/s Generate solution/s
DO Implement chosen solution/s
CHECK Monitor success of solution
ACT Adjust solution/s to ensure success Standardize effective solution/s
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Total quality management (TQM) TQM is a overall philosophy and
management system that seeks to integrate all organizational functions to focus on meeting customer needs and organizational objectives.
It is a total system approach which works horizontally across functions and departments, involves all employees from top to bottom, and everyone in the quality chain from suppliers to customers.
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Elements of TQM
Customer Focus
Teamwork
Continuous Improvement
Data-Based Decision Making
Integrated Planning
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Importance of Quality in Radiology Department?
Accurate diagnosis accurate treatment (medical errors death cost).
17 % of preventable medical errors are errors in diagnosis (Institute of Medicine, USA).
Diagnostic errors may be attributed to poorly performed medical imaging examinations, and the diagnostic quality of these examinations is operator-dependent (ASRT, 2000).
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Radiology Department QA Program
Goal: accurate diagnosis of patients Objectives:
1. To maintain quality of diagnostic images;2. To minimize radiation exposure to patient
and staff; and3. To be cost effective.
QA committee QA manual: handout ? QA personnel training
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Quality Indicators: Radiology department
General (no. of exams/year, no. of full time employee).
Productivity (exams volume/modality). Reporting (report turn around time). Access to examinations (waiting times). Customer satisfaction (patient, referring
physician, employee). Finance (cost/exam).
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