Quality Improvement
Jolene Williams
University of Phoenix
Quality Improvement The equipment department of Washington Group International has a large task of purchasing, maintaining, tracking, transporting and selling of all large company equipment of more than $5,000. While all of these processes are manual intensive and can be improved upon, this paper will address the maintenance process. Included with a "As-Is" flow chart will be a process relationship, customer impact, key items to be monitored, helpful quality management tools, and opportunities for improvement. Finally, proposed improvements, level of improvement, and relevance to UOP simulation will be discussed.
Description
Currently, the maintenance process of
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This will lead to a decreased down time of equipment.
Quality Management Tool Failure Modes and Effect Analysis (FMEA) would be a good tool for collecting and presenting data on this process. An FMEA is a process that helps to identify the possible failure modes of a process or product. This determines the effect on related sub-items and on the function of the product or process (Enterprise Solutions Competency Center, 2006).
Improvement Opportunities An FMEA would show how all the pieces of the process effects the other pieces of the process. The analysis would show how the data tracking of the meter readings would benefit the maintenance process and allow for predictive measures and forecasting. The tracking of the meter readings allows for a predictive maintenance schedule to be produced and followed. Once on a predictive maintenance schedule, equipment is taken care of and remains in operating condition. A maintenance schedule also helps to retain the resale value of equipment. By having a predictive mode and forecasting repairs, much last minute scrambling and money will be saved.
Proposed Improvements The new process would go as follows.
Meter readings are to be taken at the end of each shift and turned in to the office clerk.
Office clerk is to compile all readings and fax or email daily to the equipment department for data entry and tracking.
Database will track and set up
What do you consider to be the key issues for quality improvements in the NHS quality-improvement program as it goes forward?
Berry, L. L. (2000). Cultivating service brand equity. Journal of the Academy of Marketing Science, 28(1), 128-137. Retrieved from http://link.springer.com/article/10.1177/0092070300281012
I maintain an inventory log of all supplies and equipment for the Market up to date. I am making sure that the office operations run smoothly
The nurse is challenged with the care of patients over a lifespan. Each stage of life brings its own physical and emotional changes which directs the care needs. The care needs of the pediatric patient will be much different from the needs of the geriatric population. The geriatric population has very specific needs which has prompted the government to establish the Quality Assurance & Performance Improvement (QAPI) program. The QAPI provides the framework for nursing facilities to develop and implement changes which address deficiencies the facility was found to have. Also, the QAPI program requires practices and policy be put in place to monitor care of the residents. The purpose of this paper is to list some of the changes the elderly go through as they age, and demonstrate these changes in a quality improvement project. After review of literature, I will discuss the challenges, barriers, and solutions as related to quality improvement. Lastly, I will discuss the quality of care for the geriatric in the future.
Quality improvement data is followed in all health care setting. The use of Cerner EHRs allows data to be obtained from patient charts to analyze core measures. According to the joint commission influenza and pneumococcal vaccinations measures should be addressed in all hospital in-patients (The Joint Commission, 2015). Data can be retrieved on those patient who were diagnosed with pneumonia to determine if they received the vaccinations for pneumonia and influenza. As well as tracking the time frame between diagnosis and treatment, and additionally the patient outcome. This is captured through the documentation of the clinical staff. The information can be analyzed to determine the quality improvement changes that need to be implemented to improve patient outcomes.
Dyro (2004) indicates that periodic medical device management is a fundamental element of equipment management. Arno, Dowling and Schuerger (2016) report that high reliability and low maintenance costs are common targets for all maintenance programs. A carefully designed preventative maintenance can reduce maintenance costs through the prevention of degradation failure through preemptive intervention. Corrective maintenance is required when a failure occurs and it is often more expensive than a preventative maintenance. Preventative maintenance is implemented to decrease the probability of some particular expected failures and therefore decrease the overall maintenance cost.
Falls are a major cause of injury and death in the frail older population with Alzheimer’s disease. Residents in the long-term care settings experience falls for many reasons and are likely to endure injuries more than those in other settings. Preventing falls in this setting posed significant challenge, many have cognitive problems, aged related changes, chronic medical conditions, medication effects, and physical limitations requiring dedicated interdisciplinary efforts (Vance, 2011).
personnel follow the same steps to recording the correct information and to ensure that the
As a hospital, quality care should be a priority for patients that are going to be treated for a sickness, or any type of procedure that is going to take place. A lot of times a patient gets an infection while they were at the hospital, on top of being treated for what they original came in for. Health facilities should be environments of healing, which they are, but they also have tons of various types of germs and infections, which grasp onto individuals that have weak immune systems/are sick. Some infections that are at hospitals are Tuberculosis, VRE, VAP, C-Diff, UTI, and MRSA. Preventive measures to stop the spread of the infections is lacking tremendously in the work and aim to provide safety for all patient’s health. The work
After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when
Quality Assurance and Performance Improvement (QAPI) communicates the following five elements: design and scope, governance and leadership, feedback, data systems and monitoring, performance improvement projects, and systematic analysis and systemic action. The purpose of this paper is to communicate issues surrounding these topics, as well as aging problems. Are the topics evidence based? Do they have supporting documentation to put them into practice at various facilities? Can executing the aforementioned items make a difference at institutions? Now, start the journey to see how each section can be applied to your workplace.
In order to satisfy legal obligations we collect such information as contract arrangements, employees’ duties, payments, working hours, holiday entitlements, bonuses, as well as documents relating to health and safety. It is important for the organization to timely provide accurate and valid data in order to avoid fees or other sanctions for the Inspections that can check any data regarding individual employees.
* Understanding the limits of product sampling and inspection methods, especially for a product that is destroyed by the inspection process itself
iConsultant is committed to implementing appropriate quality management systems and processes to enable the delivery of the highest practicable quality products and services. Dyson Limited engaged iConsultant to strategize a total quality transformation for the company to overcome its current quality challenges and hone its competitiveness in the world market.
Maintenance Management is an orderly and systematic approach to planning, organizing, monitoring and evaluating maintenance activities and their costs. A good maintenance management system coupled with knowledgeable and capable maintenance staff can prevent breakdown problems and environmental damage; yield longer asset life with fewer breakdowns; and result in lower operating costs and a higher quality of instruments. The term ‘maintenance’ means to keep the equipment in operational condition or repair it to its operational mode. Main objective of the maintenance is to have increased availability of production systems, with increased safety and optimized cost. Maintenance management involves managing the functions of maintenance. Maintaining equipment in the field has been a challenging task since the beginning of industrial revolution. Since then, a significant of progress has been made to maintain equipment effectively in the field.