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Quality concepts, Ola Elgaddar, 28 03-2013

A quick review for the basic quality concepts, history and pioneers in the field. The Poka-Yoke concept is also discussed here!!

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Quality concepts, Ola Elgaddar, 28 03-2013

  1. 1. QUALITY CONCEPTS Ola H. ElgaddarMBChB, MSc, MD, CPHQ, LGBSS Lecturer of Chemical Pathology Medical Research Institute Alexandria University Ola.elgaddar@alex-mri.edu.eg
  2. 2. We are what we repeatedly do,excellence, then, is not an act but a habit
  3. 3. The definition ofinsanity is continuingto do the same thingover and over againand expecting a different result!!
  4. 4. QualityDoing the right thing right, from thefirst time and every time!
  5. 5. Healthcare qualityThe right care for every person,every time!
  6. 6. Dimensions of Quality• Safe• Timely• Effective• Efficient• Equitable• Patient centered
  7. 7. Change in emphasis
  8. 8. In the past the focus was on:- The "WHAT" of care: Patient care given- The "WHO" of care: Patient care giverNow, the primary focus is on:- The "HOW" of care: Patient care process- The "Result" of care: Patient care outcome
  9. 9. VALUE = QUALITY + OUTCOME COSTCost of poor quality!!
  10. 10. ManagementIt is the act of getting people together toaccomplish desired goals andobjectives using available resourcesefficiently and effectively
  11. 11. Total Quality Management (TQM)An organization wide management philosophyand top - level commitment to provide "value"to all customers through: - Creating an environment of continuous improvement of people skills and processes - Building excellence into every aspect of the organization
  12. 12. TQM philosophy promotes:• Increase top down and bottom up emphasis on quality• Decreased emphasis on inspection• Increased investment in education• Continuous, ongoing quality improvement
  13. 13. Shewhart-American engineer & statistician- Inspection?!- SPC- Shewhart cycle
  14. 14. -American Statistician- In Japan (When it was like China), he taught top managementhow to improve design and thus the product (Through SPC)
  15. 15. Japanese Vs American!!!!
  16. 16. JURAN Quality is fitness for use!-American management consultant and engineer-In Japan, he worked in parallel with Deming(Management for quality)- Used Pareto
  17. 17. Ishikawa - A Japanese quality management innovator -QA emphasizing the customer -Quality first not short term profitManagement philosophy: Respect for humanity
  18. 18. POKA -YOKE
  19. 19. To err is human- IOM, November 1999- Building a safer health system- More commonly, errors are caused by faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them.- http://iom.edu/~/media/Files/Report%20Files/1999/To-Err-is- Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf
  20. 20. Shigeo Shingo
  21. 21. Poka – Yoke “Error proof”- Its origin in the Japanese language from the words “poka” (which means inadvertent mistake) and from “yoke” (which means to prevent)- Shigeo Shingo’s responsibility was managing the statistical process control in the Toyota production system in Japan during the 1950’s
  22. 22. Categories of poka-yoke devicesI) Preventive:Design the process making it impossible tomake mistakes
  23. 23. Categories of poka-yoke devicesII) Detection:Signals the user when a mistake has beenmade, so that the user can quickly correctthe problem
  24. 24. AccreditationAn institution or a program meetsstandards of quality set forth by anaccrediting agency
  25. 25. JCI worldwide• Brazil: 25• China: 20• India: 18• Jordon: 9• Qatar: 5• KSA: 49• Singapore: 14• Thiland: 23• Turkey: 41• UAE: 41

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