Quality

manageme OBJECTIVES:

nt system 1. DEFINE QUALITY MANAGEMENT SYSTEM

2. INTRODUCE THE METHODS OF QMS USING
P-D-C-A
3. DISCUSS
THE STEPS OF QUALITY
IMPROVEMENT SYSTEM
What is Quality Management
System?

The healthcare setting has

to identify goals for ensuring
Quality management
quality management in
focuses management
healthcare. Each
system on ensuring quality
department has to be given
measurable goals to reach.
Basic Concepts
Is a system by which an
organization aims to reduce and
eventually eliminate
nonconformance to
specifications, standards , and
customer expectations in the
most cost effective and efficient
manner.
Provides consistency and
satisfaction in terms of methods,
materials, equipment ,etc ,and
interacts with all activities of the
organization, beginning with the
identification of customer
requirements and ending with
their satisfaction .
Quality
Management
System
 A 4 STEP MANAGEMENT METHOD
USED IN BUSINESS FOR THE CONTROL
AND CONTINUOUS IMPROVEMENT
OF PROCESSES AND PRODUCTS.
Plan-Do-
Check-Act
IT IS ALSO KNOWN AS DEMING
CYCLE
P-D-C-A
STEPS IN QUALITY IMPROVEMENT SYSTEM :
PLAN STAGE

1. 1. Review of Present System –

Mapping the present process
through flowcharts, control
charts, and other tools. Data to be Data Methodology Responsible
2. 2. Formulation of Data Collected Source Person
Collection Plan and
Collection
Medicatio Incident Chart Review Jamaica
n Error Report Abdulla
 Formulation of Problem
PLAN: Statement
STAGE 3  Who
 When
 Where
 The description must be
measurable
 The problem statement is clear,
concise and measurable.
 Formulation of Goal/
Plan : Objective statement
Stage 4 S- pecific
M-easurable
A-ttainable
R-ealistic
T-ime bounded
PLAN: Stage Formulation of Point of
5 Cause
- apply the because
equation to the problem
to help define the point
of cause .
PLAN: Stage 6

Formulation of Root Cause

Analysis –
- identify problem causes –
FISHBONE or ISHIKAWA diagram
.
Plan – Do-Check-Act : Plan Stage

ISHIKAWA DIAGRAM Did not check for No end-user

the calibration orientation
Man

No monitoring tool
Over infusion of for calibrated and
No calibration Not calibrated
IV fluids Machine non calibrated
sticker equipment

Usage of uncalibrated
Method infusion pump Outdated
calibration
PLAN: Stage Pareto Analysis
.

7 - it uses the Pareto Principle (

also known as the 80/20 rule) the
idea that by doing 20% of the
work ,you can generate 80% of
the benefit of doing the entire
job.
Plan – Do-Check-Act : Plan Stage

PARETO ANALYSIS
PROBLEM SCORE PERCENTAGE COMMULATIVE
PERCENTAGE
No End-User 3 30% 30%
Orientation
No monitoring 5 50% 80%
tool for
calibrated and
non calibrated
equipment

Outdated 2 20% 100%

Calibration
 Formulation of Alternative Solution/
Correction Action

DO STAGE :
Step 1 – each counter measures/corrective
actions must tie back to root cause,
and each counter measures must
support achieving the goal/objective
statement .
DO STAGE:  Selectionof the Best
Step 2 Alternative Solution/
Correction Action
Effectiveness
Possibility of Success
Implementability
 Plan – Do-Check-Act : Do Stage

Planning for Best Solution Rating Overall Disposition

Criteria
A – Effectiveness 5 – Excellent 11 – pts and above – GO
B – Possibility of Success 3 – Good 10 – pts and below – NO GO
C- Implementability 1 - Fair
 Plan – Do-Check-Act : Do Stage

3. Implementation of Best Alternative Solution/ Corrective Action

- Concerns implementation of the counter measures /corrective
actions initially on a small scale to check its effectiveness / to reduce
the deviation or solve the issue.
ACTIVITIES PERSON RESPONSIBLE SCHEDULE
JAN FEB MAR APRIL MAY
1. Revise guidelines
2. Seek approval
3. Implementation
4. Mentoring
5. Standardization

Legend : target
Actual
 Act Stage

STANDARDIZATION
- Standardization is developing the logistics of the process so that
work is performed the same way across the department or service
- Formulation of Action Plan for Standardization

What When Where Who Why How