Research Proposal On Quality Management

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

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.

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).

Total Quality Management (TQM) is a complete and structured approach to organizational management that seeks to make better the quality of products and services through ongoing refinements in answer to continuous feedback. The importance and value of TQM was stressed by European Foundation of Quality Management to reach total customer satisfaction. TQM necessities may be defined separately for a organization or may be in adherence to established standards, such as the International Organization for Standardization's ISO 9000 series. Total Quality Management can define aims for the continuous improvement in all levels and functions of the organization. The continuous improvement suggests that quality management system should be a circle.

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

Successful companies who are focusing on customers’ loyalty. To identify customers’ satisfaction, there should be surveyed to analyze the strengths and weaknesses in performance, and develop scenarios for development and renewal. Customers satisfaction measurement focus usually on "how" services because product quantity easily measured and analyzed and is evidence of achievement and success of the organization. Therefore, senior executives are keen to highlight the quantitative achievements. But under the concept of Total Quality Management Principles (TQM), it has become more focused on quality rather than quantity of service. Thus, to measure customer satisfaction, there is two aspects, which they are quality and quantity and that what

Quality management is a systematic and continuous process that organizations use to deliver products and services that meet or exceed customer expectations (McLaughlin, & Kaluzny, 2006). Quality management in healthcare has evolved over the year to address increased demands from consumers related to the quality of care and services, as well as to address problems in patients’ outcomes (McLaughlin, & Kaluzny, 2006). Stephanie Webb Management will assess quality management in long-term care facilities (LTC).This assessment will address the definition of quality care, and describe key concepts

People, in general, have certain expectations of a health care organization. The main one, I believe, most people would agree with is to have standards to provide low-cost effective quality care. This is often presented in the principal foundation of an organization’s model of health care, embedded and established in the infrastructure of the organization. These models are responsible for the approaches of an organization’s performance, quality assessments, and quality management. As an employee of Avon hospital, a Cleveland Clinic (CC) health system hospital, I stand by their model set forth by their six fundamental beliefs and values of quality, integrity, compassion, collaboration, service, and innovation, which is the source of the

In health care, the industry is facing tremendous challenges from rising costs and larger demand for a variety of services. To help address these issues requires establishing a strategy for organizational leadership. This will serve as foundation for developing a quality management program. To achieve these objectives there will be a focus on: understanding the purpose of quality management in health care, examining three key concepts, outlining three of the organization's long / short term goals, identifying five internal / external factors that can influence quality, discussing three quality management policies and highlighting the differences between risk management / quality assurance. Together, these different elements will illustrate how our health care organization can achieve different benchmarks over the long term. ("Why Are Health Care Costs Rising," 2010)

Quality management is an act that monitor all activities that needed to maintain and sustain high quality output, continuous improvement of process and product to a desire level of excellence in order to create customer satisfaction (Flynn, Schroeder, & Sakakibara, 1994, p. 342). Nowadays, increase in globalization and international trade had led to the increase of competition in the global market. The increase of competition had forced companies to focus on the concept of quality in their business and discover that effective quality management can increase their competitive advantage in the global market (Anderson, Rungtusanatham, & Schroeder, 1994).

In the healthcare industry one of the health professional’s duty is to provide medical help and care to patients, and not create further injury or damage. Unfortunately accidents do happen in the healthcare industry, and as a result there has been a demand and need for quality and safety measures to be carried out (Iizuka, Munechika & Tsuru, 2009). Since quality can be somewhat subjective and relate to patient outcome, there are a number of ways to define quality. Iizuka, Munechika and Tsuru (2009) define quality as the ability to provide patients with effective health services with minimal utilisation of health resource. Alternatively Rose (2005) defines quality as fulfilling patient health needs while avoiding the repetition of staff and mechanical errors. Overall the quality of healthcare refers to the effectiveness and value of the health service.

The concept of quality improvement in hospitals has evolved over time. Notably, one of the key areas of quality improvement is patient care. In the 18th Century, an almshouse was a facility in United States that provided health care services. The conditions of these facilities were deplorable, overcrowding was common and no respectable person wanted to be treated there (The Joint Commission, 2008). Unfortunately, patients that were treated at an almshouse had very little options available to them. By 1752, Benjamin Franklin had taken steps towards establishing Pennsylvania Hospital. Pennsylvania Hospital was meant to provide poor patients with quality care.

• Root Cause Analysis is a method that is used to address a problem or non-conformance, in order to get to the “root cause” of the problem. It is used so we can correct or eliminate the cause, and prevent the problem from recurring. • Traditional applications of Root Cause Analysis

In today's business world, competition is high and most organizations search for ways to gain an advantage in their respectable markets. One of the obvious, but unfortunately overlooked, ways to be at the forefront is establishing, maintaining, and constantly improving quality processes within an organization. Riordan Manufacturing has an established quality culture and strives to maintain the quality processes that are currently in place. Through its quality development team, Riordan actively seeks areas or processes that need improved quality standards.

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.