Variation Risk Management Using Modeling and Simulation

1999 ◽  
Vol 121 (2) ◽  
pp. 297-304 ◽  
Author(s):  
A. C. Thornton
Keyword(s):  
Manufacturing Firms ◽  
Design Team ◽  
Improve Quality ◽  
Product Complexity ◽  
Design And Manufacturing ◽  
Graphical View ◽  
Risk Areas ◽  
Tool Set ◽  
The Impact

Design and manufacturing firms are under significant pressure to simultaneously increase product complexity, reduce design cycles, decrease cost, and improve quality. A key enabler to reduce cost without sacrificing quality is the control of variation during both design and manufacturing. The best time to reduce the impact of variation is in the early stages of design. This paper presents a tool set used to identify, early in the design process, where variation will have significant impact on the final cost and quality of a product. It presents the design team with a graphical view of variation risk, enabling them to quickly identify high-risk areas. The uncertainty about process capability and risk is also quantified and presented to the user.

scholarly journals Physician beliefs about the impact of meaningful use of the EHR

2014 ◽  
Vol 05 (03) ◽  
pp. 789-801 ◽  
Author(s):  
D.Y. Ting ◽  
M. Healey ◽  
S.R. Lipsitz ◽  
A.S. Karson ◽  
J. S. Einbinder ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Primary Care Physicians ◽  
Meaningful Use ◽  
The United States ◽  
Improve Quality ◽  
Cross Sectional ◽  
Incentive Program ◽  
Physician Beliefs ◽  
The Impact

SummaryBackground: As adoption and use of electronic health records (EHRs) grows in the United States, there is a growing need in the field of applied clinical informatics to evaluate physician perceptions and beliefs about the impact of EHRs. The meaningful use of EHR incentive program provides a suitable context to examine physician beliefs about the impact of EHRs.Objective: Contribute to the sparse literature on physician beliefs about the impact of EHRs in areas such as quality of care, effectiveness of care, and delivery of care.Methods: A cross-sectional online survey of physicians at two academic medical centers (AMCs) in the northeast who were preparing to qualify for the meaningful use of EHR incentive program.Results: Of the 1,797 physicians at both AMCs who were preparing to qualify for the incentive program, 967 completed the survey for an overall response rate of 54%. Only 23% and 27% of physicians agreed or strongly agreed that meaningful use of the EHR will help them improve the care they personally deliver and improve quality of care respectively. Physician specialty was significantly associated with beliefs; e.g., 35% of primary care physicians agreed or strongly agreed that meaningful use will improve quality of care compared to 26% of medical specialists and 21% of surgical specialists (p=0.009). Satisfaction with outpatient EHR was also significantly related to all belief items.Conclusions: Only about a quarter of physicians in our study responded positively that meaningful use of the EHR will improve quality of care and the care they personally provide. These findings are similar to and extend findings from qualitative studies about negative perceptions that physicians hold about the impact of EHRs. Factors outside of the regulatory context, such as physician beliefs, need to be considered in the implementation of the meaningful use of the EHR incentive program.Citation: Emani S, Ting DY, Healey M, Lipsitz SR, Karson AS, Einbinder JS, Leinen L, Suric V, Bates DW. Physician beliefs about the impact of meaningful use of the EHR: A cross-sectional study. Appl Clin Inf 2014; 5: 789–801http://dx.doi.org/10.4338/ACI-2014-05-RA-0050

scholarly journals Education in times of covid-19: are students learning in ergonomic conditions?

2021 ◽  
Vol 342 ◽  
pp. 01016
Author(s):  
Maria-Elena Boatca ◽  
Diana Robescu ◽  
Romulus Corlan ◽  
Nicoleta Mirea
Keyword(s):  
Quality Of Life ◽  
Online Learning ◽  
Learning System ◽  
Improve Quality ◽  
Sources Of Information ◽  
The Impact ◽  
Ergonomic Intervention ◽  
The Way ◽  
At Home

For more than a year, the way people work and learn witnessed dramatic changes on the back of the Covid-19 pandemic. While workers were supported and provided with trainings and a variety of sources of information, students did not benefit from the same ‘privilege’. In Romania, students had to adapt to online learning system since March 2020. To properly assess the impact of online learning on students’ health (both physical and mental), the authors conducted a study on students at Politehnica University of Timisoara. As part of this study, subjects were assessed using ‘Rapid Office Strain Assessment’ (ROSA). While some of them learn in ergonomic conditions, there are others exposed to high postural risk (primarily generated by use of inappropriate furniture). This assessment is part of a larger ergonomic intervention focused on educating students on the importance of creating ergonomic conditions at home with the aim to improve quality of life.

Abstract 147: Impact of Risk Factor Modification in Improving Quality of Life and Arrhythmia Symptoms in Patients With Atrial Fibrillation

2018 ◽  
Vol 11 (suppl_1) ◽  
Author(s):  
Amaryah Yaeger ◽  
Nancy R Cash ◽  
Tara Parham ◽  
Rajeev Pathak ◽  
David S Frankel ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Risk Factor ◽  
Improve Quality ◽  
Risk Factor Modification ◽  
Obstructive Sleep ◽  
Sf 36 ◽  
The Impact ◽  
Factor Modification

Objective: The desired goal of atrial fibrillation (AF) management is maintenance of sinus rhythm in order to improve quality of life (QoL) and arrhythmia symptoms (AS). Although obesity and obstructive sleep apnea (OSA) are known risk factors for development of AF, these remain inadequately treated. We report the impact of prospectively modifying these risk factors on QoL and AS in AF patients (pts). Methods: AF pts with obesity (body mass index (BMI) ≥30kg/m 2 ) and/or the need for OSA management (high-risk as per Berlin Questionnaire or untreated OSA) were voluntarily enrolled in a nurse-led risk factor modification (RFM) program at their arrhythmia clinic visit. RFM entailed patient education, lifestyle modification counseling, coordination of care with appropriate specialists, and longitudinal care management. Progress with weight loss (WL) and OSA treatment was monitored via monthly follow-up calls and/or downloads from continuous positive airway pressure (CPAP) units for up to 12 months. QoL and AS were determined with the SF-36 and AF Severity Scale (AFSS) respectively, and were assessed at baseline, 6 months, and 12 months. Student t-test and chi-square tests were used to compare continuous and dichotomous variables. Results: From 11/1/16 to 10/31/17, 252 pts (age 63±11 years; male=179; paroxysmal AF=126) were enrolled as follows: 189 for obesity and 93 for OSA. The mean WL was 2.7±3.8% from baseline and 78% (n=126 of 162 pts with available data) of enrolled obese patients achieved WL. Among 93 pts at risk for OSA, 70 completed sleep studies and 50 were identified with OSA. Majority of these patients (76%; n=38 of 50) started CPAP therapy and have remained full (57%; n=17 of 30 pts with available CPAP data) and partial (13%; n=4 of 30) users. Table shows that SF-36 and AFSS scores improved for most measures of QoL and AS from baseline to 6 months. Conclusion: Participation in a risk factor modification program targeting obesity and obstructive sleep apnea can improve quality of life and arrhythmia symptoms in patients with atrial fibrillation. The impact of this strategy on long-term maintenance of sinus rhythm remains to be determined.

scholarly journals Audit and Feedback in emergency: a systematic review and an Italian project to investigate and improve quality of care

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Sabrina Licata ◽  
Annarita Tullio ◽  
Francesca Valent
Keyword(s):  
Systematic Review ◽  
Audit And Feedback ◽  
Clinical Settings ◽  
Improve Quality ◽  
Multimodal Approach ◽  
Review Of Literature ◽  
Feedback Process ◽  
Wide Range ◽  
The Impact

The Audit and Feedback process (A&F) is commonly accepted as a good way to improve quality in health care, also in Emergency Departments (ED), where health aspects and pathologies are very different, usually acute and highly complex. Within an Italian Ministry of Health research project called EASY-NET, we conducted a systematic review of literature on A&F in EDs from 2014 to December 2019 to evaluate the impact of this approach in a particular setting where time-dependent indicators are fundamental. We selected 24 articles: 9 about infective pathologies (i.e. antibiotic stewardship), 6 about cardiovascular acute emergencies (i.e. cardiac arrest), 2 about stroke, 3 about laboratory tests, and 4 about other fields (i.e. diabetic ketoacidosis or use of prothrombin complex). Most of articles proposed a multimodal approach: only 7 concerned A&F alone. Despite the wide range on interventions modality and the poor comparability of the considered studies, the results are encouraging and confirm the importance to implement A&F both in emergency and in other clinical settings.

scholarly journals The Impact of Audit Quality Features on Enhancing Earnings Quality: The Evidence of Listed Manufacturing Firms at Amman Stock Exchange

2015 ◽  
Vol 7 (2) ◽  
pp. 255
Author(s):  
Mohammad Abdallah Almomani
Keyword(s):  
Audit Quality ◽  
Stock Exchange ◽  
Earnings Quality ◽  
Manufacturing Firms ◽  
External Audit ◽  
Quality Properties ◽  
Amman Stock Exchange ◽  
The Impact ◽  
Quality Features

<p>The study aims at investigating the impact of external audit quality features on enhancing the quality of accounting profits of the listed manufacturing firms at Amman Stock Exchange (ASE), where continuity of profit has been used as Proxy variable to express the quality of earnings. Indicators of quality of audit, audit office size, auditors' fees, period of customer's retention, type of auditor's opinion, and the specialization in client's industry, were used to measure audit quality. A sample of 45 firms had been selected, and data covering the period 2009-2013 had been collected from these firms, where 225 observations were used in the analysis. The study finds that the earnings of listed manufacturing firms at Amman Stock Exchange are with good quality, and that there is a linear relationship between external audit quality and the quality of reported earnings. Auditors' fees have most important significant effect on earnings quality, followed by auditors' opinion, where others factors has no significant effect on earnings quality. Based on these findings, the study raises several questions about the reliability of audit quality properties by stakeholders in firms, especially investors, when they check the quality of earnings, whenever they need to take a decision. The study recommends further researches regarding the issue by using other metrics to measure earnings quality, and through the addition of other properties to the quality of the audit, such as linked audit offices with auditing global offices, degree of qualification employees, and the opened lawsuits against audit office.</p>

scholarly journals Formulasi Strategi Peningkatan Mutu Institut Agama Islam Negeri (IAIN) di Jawa Timur

2020 ◽  
Vol 4 (2) ◽  
pp. 14-23
Author(s):  
Prim Masrokan Mutohar
Keyword(s):  
Higher Education ◽  
Strategic Planning ◽  
Science And Technology ◽  
Global Competition ◽  
Improve Quality ◽  
Academic Field ◽  
Global Era ◽  
The Impact

Abstrak: Penelitian ini ingin mengkaji tentang formulasi strategi peningkatan mutu IAIN di Jawa Timur yangdifokuskan pada: (1) penguatan bidang akademik (core activities of Higher Education); dan (2) Penguatanbidang non-akademik (supporting activities of Higher Education) dalam meningkatkan mutu IAIN.Perkembangan ilmu pengetahuan dan teknologi di era-global yang terjadi pada saat ini membawa dampakterjadinya perubahan dalam kehidupan manusia dan segala permasalahannya dapat diselesaikan dengan adanyapenguasaan ilmu pengetahuan dan perkembangan tehnologi. Kondisi ini menuntut IAIN di Jawa Timur agarmampu merespon secara positif dan dapat meningkatkan mutu serta dapat merespon kebutuhan stakeholder danperkembangan ilmu pengetahuan dan tehnologi secara positif. Agar IAIN mampu memenuhi tuntutan dankebutuhan stakeholder serta berperan secara dinamis dalam persaingan global, maka perlu membuat formulasistrategi peningkatan mutu lembaga dengan baik. Formulasi strategi ini dapat dijadikan sebagai upaya untukmembuat perencanaan strategis yang dilakukan secara terencana, terarah, intensif, efektif, dan efisien dalamproses peningkatan mutu IAIN di era global yang terjadi pada saat ini.Abstract: This study wants to examine the formulation of the strategy for improving the quality of IAIN in EastJava which is focused on: (1) strengthening the academic field (core activities of Higher Education); and (2)Strengthening the supporting activities of Higher Education in improving the quality of IAIN. The developmentof science and technology in the global era that occurs at this time brings the impact of changes in human lifeand all the problems can be solved by the mastery of science and the development of technology. This conditionrequires IAIN in East Java to be able to respond positively and can improve quality and can respond tostakeholder needs and the development of science and technology positively. In order for the IAIN to be able tomeet the demands and needs of stakeholders and play a dynamic role in global competition, it is necessary toformulate a strategy to improve the quality of the institution properly. The formulation of this strategy can beused as an effort to make strategic planning carried out in a planned, directed, intensive, effective, and efficientmanner in the process of improving the quality of IAIN in the current global era.

The Impact of Information Technology across Small, Medium, and Large Hospitals

2011 ◽  
pp. 347-361
Author(s):  
Stacy Bourgeois ◽  
Edmund Prater ◽  
Craig Slinkman
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Financial Performance ◽  
Hospital Performance ◽  
Performance Outcomes ◽  
Hospital Environment ◽  
Improve Quality ◽  
It Applications ◽  
The Impact

Hospitals invest in Information Technology to lower costs and to improve quality of care. However, it is unclear whether these expectations for Information Technology are being met. This study explores Information Technology (IT) in a hospital environment and investigates its relationship to mortality, patient safety, and financial performance across small, medium, and large hospitals. Breaking down IT into functional, technical, and integration components permits the assessment of different types of technologies’ impact on financial and operational outcomes. Findings indicate that both IT sophistication (access to IT applications) and IT sophistication’s relationship to hospital performance varies significantly between small, medium, and large hospitals. In addition, empirical investigation of quality, safety, and financial performance outcomes demonstrates that the observed impact of IT is contingent upon the category of IT employed.

Process Assessment as a Means to Improve Quality in IT Services

2011 ◽  
pp. 168-191
Author(s):  
Stéphane Cortina ◽  
Michel Picard ◽  
Omar Valdés Solórzano ◽  
Alain Renault
Keyword(s):  
Service Management ◽  
Process Assessment ◽  
Improve Quality ◽  
It Services ◽  
Assessment Framework ◽  
Standard Process ◽  
It Service ◽  
The Impact ◽  
Generic Process

The main objective of this chapter is to present how a formal and standard process assessment - thanks to its repeatable approach and its comparable results - can be an invaluable contribution for improving the IT services in a continual way. This chapter introduces ISO/IEC 15504, the international standard for process assessment. As a generic process assessment framework, ISO/IEC 15504 can be used for determining the capability of processes of any domain. The authors of this chapter have applied this framework in the field of IT Service Management. Their works (described below) have enabled to develop the TIPA® methodology, based on ITIL® version 2. The chapter then discusses the impact that assessments can have on the quality of the assessed processes and, as a consequence, on the services supported by these processes. The chapter finishes by presenting an example of the results and the lessons learnt as perceived by adopters of TIPA.

Long Term Follow-up of 107 Patients with Essential Thrombocythemia: Role of Cardiovascular Events

Blood ◽  
2014 ◽  
Vol 124 (21) ◽  
pp. 5566-5566
Author(s):  
Eleonora Arboscello ◽  
Elisa Molinari ◽  
Andrea Bellodi ◽  
Lisette Del Corso ◽  
Serena Favorini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Risk ◽  
Essential Thrombocythemia ◽  
Cardiovascular Events ◽  
Thrombotic Event ◽  
Improve Quality ◽  
History Of ◽  
The Impact

Abstract BACKGROUND Essential Thrombocythemia (ET) is a Philadelphia-negative chronic myeloproliferative neoplasm characterized by haemorrhagic and thrombotic complications. Haemorrhagic events and arterial and venous thrombosis, including microcirculation transient occlusions, are the major causes of morbidity in ET patients. The control of these events represents the goal of standard therapeutic approaches. MATERIALS AND METHODS We retrospectively analysed data about 107 ET patients who received diagnosis between January 1980 and June 2014. Median follow-up was 80 months,16 patients were lost during follow-up. The medium age at diagnosis was 60 years, with a prevalence of female (66 patients).We recorded adverse cardiovascular events at diagnosis and during follow-up, assessing whether cytoreductive ad antiplatelet therapy could reduce such events and improve quality of life. Finally, we evaluated the impact of additional cardiovascular risk factors. OBJECTIVES to observe incidence and kind of thrombotic events in patients affected by ET at diagnosis and during follow-up. RESULTS 30 patients (27.7%) had a history of thrombosis at diagnosis (8 transient cerebral ischemia, 7 myocardial infarction/unstable angina, among them 7 patients experienced a rethrombosis during follow-up. 16 patients (15%) developed a first thrombotic event, all patients were under cytoreductive treatment. 21 patients with a history of thrombosis had more than 60 years at diagnosis, 19 patients (63%) had at least one additional cardiovascular risk factor among arterial hypertension, dyslipidemia, diabetes, obesity, hyperuricemia and smoking. Median platelet count was 813000/mm3, leukocyte count greater was more than 10000/mm3 in half of patients. Evolution to acute leukemia/myelofibrosis occurred in 3 (2,7%) and 7 (6,5%) patients of total. CONCLUSIONS The occurrence of thrombotic events even in patients with good hematologic response of disease and during antiplatelet and cytoreductive therapy, indicates the presence of a residual risk of thrombosis. This risk is not yet fully clarified by retrospective studies published until now. Prospective studies will be useful to evaluate the role and the importance of comorbidity in these patients with long-prognosis, in order to optimize therapy, reduce cardiovascular events and improve quality of life Disclosures No relevant conflicts of interest to declare.

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