Improvement and change of healthcare organisations and systems Since the late 1980s and early 90s there has been an increased interest in quality and quality improvement in healthcare. The concepts of quality have become commonplace in health services and organisations to different degrees and are built into the structure of various provider units. For example the United Kingdom has made qualit...

PURPOSE The purpose of this paper is to empirically examine developmental trends in healthcare organisation management practice and improvement work. DESIGN/METHODOLOGY/APPROACH Primary healthcare centre (n = 1,031) and clinical hospital department (n = 1,542) managers were surveyed in spring 2007 (response rate 46 per cent). This article compares results from this survey with a study in 2003...

To cite: Ranney ML, Genes N. BMJ Qual Saf Published Online First: [please include Day Month Year] doi:10.1136/bmjqs-2015004827 Two articles 2 describe the use of social media to describe or potentiate healthcare quality improvement. Taken together, these articles point to an exciting—but still nascent—trend. We hope that these two pilot studies will be taken as a call to future research rather ...

prove clinical quality of care and patient safety, lower costs, reduce medical errors, and provide more patient-centered service as well as evidence-based practice. Healthcare costs can spin out of control easily. Misallocation of resources can quickly bring down quality of care, and the evidence for this is sharply increasing. Therefore, it is another challenge to utilize data efficiently and ...

Few healthcare systems are exempt from a seemingly constant cycle of reform and this is particularly apparent in the USA and England at present. In part this is driven by the need to provide more cost-effective care, and hence savings, but also by an increased awareness of variable quality of care for patients. Even so, large-scale reorganization and reform is often undertaken with little thoug...

BACKGROUND Ghana is one of the sub-Saharan African countries making significant progress towards universal access to quality healthcare. However, it remains a challenge to attain the 2015 targets for the health related Millennium Development Goals (MDGs) partly due to health sector human resource challenges including low staff motivation. PURPOSE This paper addresses indicators of health work...

While quality in healthcare is an essential concept, the methodology to measure the quality is in preliminary stage. Developing quality indicators seems to be inspiring concept in measuring quality in healthcare system. Clinical laboratory being the inseparable part of health care system, we have made an attempt to through a light on quality indicators in clinical laboratory. Developing key per...

OBJECTIVES To evaluate a programme in which quality improvement was facilitated, based on principles of total quality management, in primary healthcare teams, and to determine its feasibility, acceptability, effectiveness, and the duration of its effect. METHOD Primary healthcare teams in Leicestershire (n = 147) were invited to take part in the facilitated programme. The programme comprised ...

Results: It is argued that the model of judgement used makes various assumptions which throw into doubt the notion that such inspections provide an objective picture of quality in healthcare. However, the contrary view, that such inspections are highly subjective, is rejected in favour of developing a perspective informed by the later philosophy of Wittgenstein; one which recognises the importa...

OBJECTIVES This purpose of this paper is to introduce the status of the Asan Medical Center (AMC) medical information system with respect to healthcare quality improvement. METHODS Asan Medical Information System (AMIS) is projected to become a completely electronic and digital information hospital. AMIS has played a role in improving the health care quality based on the following measures: s...