System Quality Improvement Including Software and Infrastructure Based on Software Metrics Approach

Author(s):  
Noriko Hanakawa ◽  
Masaki Obana
2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.


2017 ◽  
Vol 92 (5) ◽  
pp. 593-597 ◽  
Author(s):  
Karnjit Johl ◽  
R. Kevin Grigsby

2011 ◽  
Vol 135 (11) ◽  
pp. 1415-1424 ◽  
Author(s):  
Robert C. Blaylock ◽  
Christopher M. Lehman

Context.—Providing blood products for transfusions is a complex process subject to errors both within and outside the transfusion service. Transfusion-related errors can have grave consequences for the patient undergoing transfusion. As with many processes performed within health care systems, there is an expectation of error-free practice. Although this is an unobtainable goal, a focused quality-management plan, employing a medical event reporting system in a just working environment, can effect measurable system-quality improvement. Objective.—To illustrate the intrinsic value of quality-improvement activities through discussion of examples of quality misadventures from our transfusion service during the past 20 years. Data Sources.—Examples of quality-improvement activities were extracted from our quality-system archives. The published literature on transfusion quality was reviewed. Conclusions.—Active reporting, structured investigation, and systematic resolution of transfusion-related errors are effective methods for improving and maintaining transfusion quality.


2010 ◽  
Vol 13 (2) ◽  
Author(s):  
Diego A. A. Correia ◽  
Eduardo M. Guerra ◽  
Fabio F. Silveira ◽  
Clovis T. Fernandes

In order to customize their behavior at runtime, a wide sort of modern frameworks do use code annotations at the applications‟ classes as metadata configuration. However, despite its popularity, this type of metadata definition inserts complexity and semantic coupling that is ignored by traditional software metrics. This paper presents identified bad smells in annotated code and defines new metrics that help in their detection by enabling a quantitative assessment of complexity and coupling in this type of code. Moreover, it proposes some strategies to detect those bad smells by using the defined metrics and introduces an open-source tool created to automate the process of bad smell discovery on annotated code.


2020 ◽  
Vol 135 ◽  
pp. 150S-151S
Author(s):  
Divya A. Patel ◽  
Meliha Salahuddin ◽  
Amanda Wagner ◽  
Patrick S. Ramsey ◽  
Christina Davidson ◽  
...  

2020 ◽  
pp. 106286062096257
Author(s):  
Jean Marie Abraham ◽  
Niki Oldenburg ◽  
Milton Eder ◽  
Russell Luepker

Performance improvement on clinical quality outcomes typically requires significant effort by personnel in health care organizations. Understanding the cost of quality improvement is important given diffusion of value-based contracting. This study investigates the organizational costs and benefits associated with planning and implementing the Ask about Aspirin intervention to increase use of low-dose aspirin in clinically recommended patient populations. Data from 4 health systems in Minnesota were used to estimate personnel effort and labor resource costs as well as corresponding benefits, measured as the change in aspirin use among eligible candidates during the study period. Overall personnel effort across the 4 systems was approximately 3900 hours with corresponding resource costs estimated to be $214,385. Aspirin use increased 4.7% overall, corresponding to roughly 1530 new users in the aspirin candidate population. Significant variation was observed by system in total hours reported, distribution of effort by activity type, and in benefits realized from the intervention.


Author(s):  
Nicole P. Sandhu ◽  
Lynne T. Shuster ◽  
Amy T. Wang

Quality improvement, broadly interpreted, refers to any formal approach taken to understand and better the performance of a system. Quality improvement, conversationally, more often is taken to mean those methodologies or tools appropriated from industry and applied to health care. The genesis of the quality movement in health care is often traced to 2 landmark Institute of Medicine reports. “To Err is Human” cast a magnifying glass on safety gaps in care delivery, implicating preventable medical errors in the death of nearly 100,000 hospitalized patients annually.


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