Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing ...standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes.
Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating.
Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
The primary objective of this study is to examine the present literature of Total Quality Management (TQM) and its connection with industry 4.0. The author tried to understand what subject and ...problems might be deemed more relevant, referring to the so-called Quality 4.0, which is absent from the literature to open avenues for further research. To achieve the primary objective, the author reviewed the literature on TQM from the objective (soft) and subjective (hard) perspectives, followed by identifying the critical success factors and future research avenues for researchers. A total of 87 empirical studies from 1987-2019 were studied. The descriptive and thematic analysis identified the soft and hard total quality management practices. A quality tool, 'Pareto Analysis', was applied to soft and hard TQM practices. The comprehensive review identified 23 soft and 15 hard TQM practices in the manufacturing and services sectors. The findings revealed four soft dimensions for the effective implementation of Quality 4.0 in business: Top management commitment, customer focus, training and learning, and quality of big data and analysis. Furthermore, three hard dimensions revealed the effective implementation of Quality 4.0: process management, continuous improvement, and product/service design.
An increase in the number of ships in the world merchant fleet, their tonnage and speed has significantly enhanced the intensity of navigation, and the accident rate. Despite the fact that ships are ...equipped with the latest integrated navigation and power systems, the improvement of shore services and the quality of crew training, the accident rate of ships in port waters remains high. The main reason is the “human factor”, which is understudied. The problems and potential of implementing the quality management system were analyzed by Burkov, Irikov, Buyanova, Vetrenko, Vilsky, Voropaeva, etc. The purpose of the present study is to determine the most promising and effective method for developing the quality management system in the Seaport Administration. To achieve this goal, the concept and role of the quality management system, the role of the seaport administration in the system of the transport industry, duties of top managers related to the quality management system in the seaport administration were explored. The object of the study is the Seaport Administration. The study is novel as it develops a new scientific approach that can improve the efficiency of the quality management system in the Seaport Administration, the role of top managers, the methodology for training transport industry workers in order to eliminate emergencies and AS.
Introdução: A implementação do SUS representou um aumento das atividades e serviços de saúde existentes e oferecidos à população. E a gestão do sistema de saúde torna-se de fundamental importância, ...acima de tudo, seus processos de planejamento. Neste sentido, a trajetória do Decreto 7.508/2011 que regulamenta a Lei de Saúde Orgânica (Lei nº 8.080/1990) revela um caminho marcado pelo esforço de melhorar o planejamento dentro do sistema. Com isso, algumas ferramentas formais de intervenção administrativa para qualificar a gestão do SUS tornaram-se evidentes. Considerando a relevância do tema abordado e o contexto do problema de pesquisa, a questão é: como a administração municipal de São Luís - MA dentro do SUS pode qualificar seu processo de planejamento? Objetivo: Discutir o conhecimento dos gestores sobre planejamento na gestão municipal. Material e Método: Este é um estudo exploratório, cuja abordagem do problema é qualitativa. A amostra é não-probabilística, intencional por conveniência, e o instrumento de coleta de dados foi a entrevista semi-estruturada. Este entendimento do cenário foi possível a partir das declarações das pessoas entrevistadas, mas também a partir da observação dos participantes do autor. Os gerentes foram entrevistados em abril de 2021, e a técnica de Análise de Conteúdo foi utilizada na modalidade proposta por Gomes e Minayo (2015) Resultados: As categorias de análise: Percepção sobre Gestão; Qualificação de Pessoas e Conhecimento das Normas do SUS. A pesquisa mostrou um contexto de gestão municipal que ainda carece de planejamento que fortalece e qualifica os processos de trabalho.
Celotno besedilo
Dostopno za:
CEKLJ, DOBA, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
This book presents an innovative method of how to select a leader based on system engineering concepts and the voice of the customer from Total Quality Management.
Purpose
The purpose of this paper is twofold: first, to present a set of critical factors for total quality management (TQM) and supply chain management (SCM) practices through an extensive ...literature review; and, second, to identify the relationships among them by comparing the identified TQM and SCM practices in order to explore the concept of supply chain quality management (SCQM).
Design/methodology/approach
To meet the goals of this work, a review of published quality research papers was carried out. For this, the authors identified papers on TQM and SCM practices and observed how these practices improve the business performance of organizations. Further, on the basis of identified practices, a conceptual model of SCQM was developed.
Findings
The results presented a set of six critical factors each for TQM and SCM practices. Further, it was found that management support and commitment, customer focus, information and supplier partnership are the most common practices found in both TQM and SCM practices. The integration of TQM and SCM (SCQM) throughout the supply chain has the strongest impact on the organizational performance.
Research limitations/implications
The study used data from various research papers of reputed journals which considered the study of India’s manufacturing industry as well as other countries, which may not provide a clear picture. However, this can be overcome by applying the findings of this paper to collect data from Indian manufacturing industry in future studies.
Practical implications
Indian manufacturing industry can improve its competitive image through the synergy of TQM and SCM. The result of this paper will help in providing a greater understanding of identified TQM and SCM practices that will lead to the successful implementation of TQM and SCM strategies to enhance business performance in terms of the improved levels of customer service.
Originality/value
Much of the attention is given on TQM and SCM practices, and very few studies have been undertaken to integrate TQM and SCM practices. But as far as the authors know, there is no study undertaken to integrate TQM and SCM practices in India for the manufacturing class. Therefore, this study compares TQM and SCM practices and considers their integration and can be thus treated as filling a gap in the extant literature. Therefore, the findings of this review paper will contribute in future research.
Eutrophication, or excessive nutrient enrichment, threatens water resources across the globe. We show that climate change–induced precipitation changes alone will substantially increase (19 ± 14%) ...riverine total nitrogen loading within the continental United States by the end of the century for the “business-as-usual” scenario. The impacts, driven by projected increases in both total and extreme precipitation, will be especially strong for the Northeast and the corn belt of the United States. Offsetting this increase would require a 33 ± 24% reduction in nitrogen inputs, representing a massive management challenge. Globally, changes in precipitation are especially likely to also exacerbate eutrophication in India, China, and Southeast Asia. It is therefore imperative that water quality management strategies account for the impact of projected future changes in precipitation on nitrogen loading.
Total quality management (TQM) is a systematic management technique for developing a process-driven culture inside an organization to achieve quality and customer and employee satisfaction. TQM has ...started to impact global business systems, and is extensively regarded as a management “revolution”. The implementation of TQM in the industrialized building system (IBS) in Malaysian projects has not been treated in much detail, although it is essential. This research intended to assess TQM adoption in IBS projects and identify how TQM drivers will help to overcome TQM-implementation challenges. This study utilized the mixed method by developing a semi-structured interview and survey, while the respondents were experts from TQM and IBS consulting firms. The content-validity approach was used, depending on 14 interviews and 28 responses to a distributed questionnaire. The findings indicate that TQM adoption of IBS projects is extremely poor. According to experts, local firms are still unable to execute TQM because they are reluctant to implement the TQM system as a strategy implementation across the construction process. Furthermore, according to the content validity ratio (CVR), there was an agreement that TQM would provide substantial benefits to IBS projects, such as offering cooperative associations, excellent communication, enhanced customer gratification, cost reductions, and productivity improvements. This study provided practical evidence of the fact that if the organizations adopted these 23 drivers of TQM they could overwhelm the challenges of TQM implementation in IBS projects. Thus, the stated factors were trustworthy, as indicated in the transcripts of interviews, and relying on the plurality of expert assessments. This study offers a valuable list of challenges and drivers for managers of the projects as guidelines to help them adopt TQM in IBS projects.
