Quality of Healthcare
CAMS- 234
DR. KHALID M ALJARALLAH
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Dr. Khalid ALJARALLAH 1436/35
The main aims of this course are
• To study the basic concepts in quality and terminology
• To study about continuous quality improvement
• To know about various international standards of ‘Quality of
Healthcare’
• To know about Quality measurement and analysis
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Dr. Khalid ALJARALLAH 1436/35
References
• Janet A. Brown RN., C.P.H.Q. The health Care Quality handbook, A Professional Resource and study guide.
23rd annual edition. 2009
• Berwick, D.M., Sounding board; Continuous improvement as an ideal in healthcare. New England Journal of
Medicine, January5, 1989; 320(1): 53-56.
• A guide to using data for health care quality improvement; Published by the Rural and Regional Health and
Aged Care Services Division, Victorian Government Department of Human Services, Melbourne, Victoria.
June 2008
• ISQua’s International Accreditation Standards for Healthcare External Evaluation Organisations 3rd Edition
December 2007
• http://www.isqua.org/
• http://www.cbahi.org/apps/en/home.aspx
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Dr. Khalid ALJARALLAH 1436/35
Course organization
• Uni. & CAMS rules
• Come on time..!
• USE English
• Activity in class
• One assignment
• Two mid-term Exams
• Final Exam
4
10
20
2 x 15
40
Dr. Khalid ALJARALLAH 1436/35
This course will provide you with:
• Safety Vs Quality !!
• Quality Principles
• Quality Tools
• Criteria for Healthcare Accreditation
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Dr. Khalid ALJARALLAH 1436/35
Concepts of Quality
Dr. Khalid ALJARALLAH
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Quality Vs Football
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Football= ( 1.310.000.000 )
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Quality= ( 3.970.000.000 )
Dr. Khalid ALJARALLAH
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Small mistakes cause disasters..!!
1% failure of airplane landing in one month!
100 per month wrong prescription !
10 incidents of rat in food product in one year!
Dr. Khalid ALJARALLAH
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How to prevent adverse events ?
By …!
Good planning
Clear and implemented rules !
Check points !
Continuous training !
Internal & external review !
……
……..
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What is Quality !?
Dr. Khalid ALJARALLAH
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Quality!!
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Quality is a philosophy.
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It has no meaning unless related to a function!
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Where is the quality?
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History of Quality
Quality Inspection (world war II) every unit- stat.)
 Quality control
 Quality Assurance
 Total Quality Management TQM
 Quality Improvement
(Healthcare, Education ..etc.)
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Definitions: Quality!!!
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Fitness for use , J.M Juran (1988):
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Features or characteristics of anything
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Degree or standard of excellence
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Doing the right things right,
every time from the first time!
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Totality of characteristics of an entity that bear on its ability to satisfy stated and implied
needs (ISO)
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Aspects of Quality
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Measurable (No. , % etc.)
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Appreciative (experts)
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Perceptive (stakeholders)
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Dimensions of Quality
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Appropriateness
Competency
Effectiveness
Efficiency
Timeliness
Prevention and early detection of errors
Availability
Continuity...
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QC
Vs
QA

QC is a correction process manly detects the error after its
occurrence
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QA is a prevention process aims at predicting and
preventing the error before it's occurrence
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Quality Assurance
Quality assurance can be:

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- Internal, where the institution review its own
results,
- External, where an external professional body
reviews the data of the practice (peer review).
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Quality Assurance!!

The concept of quality assurance and it methods were originally
developed within a commercial context.
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Quality assurance can only be successful, i.e. result in continuous
improvement, if three conditions are met: the evaluation activities are
carried out in
(1). systematic,
(2). structural fashion, and
(3). are integrated in the organization's regular work patterns.
Dolmans DH, Wolfhagen HA, Scherpbier AJ, From quality assurance to total quality management: how can quality assurance result in continuous improvement in health professions
education?. Educ Health (Abingdon). 2003 Jul;16(2):210-7
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Continuous Quality Improvement (CQI)
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An organizational process in which staff identify, plan, and
implement ongoing improvements in service delivery
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CQI can be implemented using FOCUS-PDCA approach
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