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- Zineldin, Mosad, et al.
(författare)
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Approaches for Reducing Medical Errors & Increasing Patient Safety : TRM, Quality and 5 Qs Methods
- 2011
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Ingår i: Approaches for Reducing Medical Errors.
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Konferensbidrag (refereegranskat)abstract
- On important goal in any country should be to deliver safe and high-quality health care to patients in all clinical settings. Despite the best intentions, however, a high rate of largely preventable adverse events and medical errors occur that cause harm to patients.Medical errors are one of many Nations´ leading causes of death and injury. In USA, between 50,000 to 100,000 people die in U.S. hospitals each year and 1 000 000 excess injures as the result of medical errors (MEs) and adverse events (AEs). 23% of Europeans argue that they have been directly affected by a medical errors personally or in the family. over 3000 people die in Sweden, 185,000 case are associated with an adverse event in Canada and almost 11% of total deaths in Australia are caused by medical errors. Mixed up test results, injuries suffered during childbirth, infections following surgery, and incorrect drug dosages are just a few of the harmful errors.This means that more people die from medical errors than from motor vehicle accidents, breast cancer, or AIDS. One question is How many patients need to die before the media, government, county councils and care planners start to take serious actions to prevent such lose of people because of the medical errors?Total relationship medical management (TRMM) emphasizes the totality and the holistic nature of a relationship which includes internal and external factors, functions and resources inside and outside any health care organization/institution. TRMM includes 5 generic quality dimensions (5 Qs) and measurements. 5Qs will be used in this study to identify the shortcoming of a health care institution to reduce the medical errors which lead to the increase of physicians and patients relationship.
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- Zineldin, Mosad, et al.
(författare)
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Measuring, Evaluating and Improving Hospital Quality Parameters/Dimensions : An Integrated Healthcare Quality Approach
- 2011
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Ingår i: International Journal of Health Care Quality Assurance. - : Emerald Group Publishing Limited. - 0952-6862 .- 1758-6542. ; 24:8, s. 654-662
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – This paper aims to examine the major factors affecting cumulative summation, to empirically examine the major factors affecting satisfaction and to address the question whether patients in Kazakhstan evaluate healthcare similarly or differently from patients in Egypt and Jordan.Design/methodology/approach – A questionnaire, adapted from previous research, was distributed to Kazakhstan inpatients. The questionnaire contained 39 attributes about five newly-developed quality dimensions (5Qs), which were identified to be the most relevant attributes for hospitals. The questionnaire was translated into Russian to increase the response rate and improve data quality. Almost 200 usable questionnaires were returned. Frequency distribution, factor analysis and reliability checks were used to analyze the data.Findings – The three biggest concerns for Kazakhstan patients are: infrastructure; atmosphere; and interaction. Hospital staff's concern for patients' needs, parking facilities for visitors, waiting time and food temperature were all common specific attributes, which were perceived as concerns. These were shortcomings in all three countries. Improving health service quality by applying total relationship management and the 5Qs model together with a customer-orientation strategy is recommended.Practical implications – Results can be used by hospital staff to reengineer and redesign creatively their quality management processes and help move towards more effective healthcare quality strategies.Social implications – Patients in three countries have similar concerns and quality perceptions.Originality/value – The paper describes a new instrument and method. The study assures relevance, validity and reliability, while being explicitly change-oriented. The authors argue that patient satisfaction is a cumulative construct, summing satisfaction as five different qualities (5Qs): object; processes; infrastructure; interaction and atmosphere.
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