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Development of QI Activity Evaluation Framework Based on PDCA and Case Study on Quality Improvement Activities  

Park, Yeon-Hwa (Quality Improvement Team, Chonbuk National University Hospital)
Lee, Myung-Ha (College of Nursing, Chonbuk National University)
Jeong, Seok-Hee (College of Nursing, Chonbuk National University)
Publication Information
Journal of Korean Academy of Nursing Administration / v.18, no.2, 2012 , pp. 222-233 More about this Journal
Abstract
Purpose: This study was conducted to develop an evaluation framework for QI activity in medical institutions and to analyze QI activity cases by applying the developed evaluation framework. Method: A four-phase process was employed to develop the evaluation framework, and a descriptive survey was used for the QI case study. Data were collected in April, 2010 by examining 157 QI activity cases presented at conferences and published in Journal of Korean Society of Quality Assurance in Health Care over the past three years. Developed QI activity evaluation instruments were used for data collection. Data were analyzed using the SPSS 18.0 for Windows program. Result: A QI Activity Evaluation Framework was developed. This framework consisted of 45 items. The department with the highest level of QI participation was the nursing department. The most frequent QI activity theme was patient safety. QI activity levels in Korean medical institutions are relatively equalized without significant differences according to institution characteristics. Conclusions: From the quality aspect of QI activity, more systematic and scientific approaches are required to upgrade QI activity. This study could provide methodological guidelines for QI activity and be useful in setting goals and directions for QI activity in medical institutions in Korea.
Keywords
Quality improvement; Evaluation framework; PDCA; Case study;
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  • Reference
1 The Korean Society of Quality Assurance in Health Care (2007b, 2008b, 2009b). Journal of Korean Society of Quality Assurance in Health Care. Seoul: The Korean Society of Quality Assurance in Health Care.
2 The Korean Society of Quality Assurance in Health Care (2010, April 20). Oral session presentation data of Scientific Meeting. Retrieved June 25, 2010, from http://www.kosqua.net/?sub =pub&sub2=2c# clk
3 Yun, T. Y. (2007). Study on the change of tools at quality circle activities in Korea. Unpublished master's thesis, Hannam University, Taejon.
4 Oh, K. Y. (2003). (A) Study on the activation of quality improvement using an effective guidance of quality control circles. Unpublished master's thesis, Jeonju University, Jeonju.
5 Barsness, Z. I., Shortell, S. M., Gillies, R. R., Hughes, E. F. X., O'Brien, J. L., Bohr, D., Izui, C., et al. (1993, Dec 5). The Quality March: National survey of hospital quality improvement activities. Hospital and Health Care Networks, 67(23), 52-55.
6 Brook, R. H. (2010). The end of the quality improvement movement: Long live improving value. JAMA: Journal of the American Medical Association, 304(16), 1831-1832. doi: 10.1001/jama.2010.1555
7 Chae, Y. M., Lee, S. H., & Choi, K. S. (2001). Study on quality improvement activities in Korean hospitals. Journal of Korean Society of Quality Assurance in Health Care. 8(2), 232-243.
8 Choi, J. H. (2003). (The) Performance of QI programs in general hospitals. Unpublished master's thesis, Yonsei University, Seoul.
9 Cho, S. H., Kim, H. J., & Kim, C. Y. (1997). Quality improvement activities in Korean hospitals. Journal of Korean Society of Quality Assurance in Health Care. 4(2), 196-209.
10 Cho, W. H. (2000). QI concept and method in medical institution & understanding of CQI. Hospital management outcome evaluation. Symposium conducted at the scientific meeting of the Korea Society of Hospital Administration, Seoul, Korea.
11 Choi, K. S., Lee, S. H., Cho, W. H., Kang, H. Y., & Chae, Y. M. (2001). Succeeding factors and barriers to implementing quality improvement programs. Journal of Korean Society of Quality Assurance in Health Care. 8(2). 146-159.
12 Ernst & Young Global Limited (1992). International quality study: Health industry report. Cleveland: The American Quality Foundation.
13 Graham, N. O. (2001). Quality in health care: Theory, application, and evolution (C. B. Kim, T. O. Yoo, G. O. Koh, H. Choi, J. A. Lee, Trans). Seoul: Gyechukk Munhawasa.
14 Han, Y. J. (2003). Awareness and attitude of medical personnel for the activities to improve medical quality in a university hospital. Unpublished master's thesis, Dankook University, Cheonan.
15 Hyun, S. K. (2002). (A) Study on the follow-up management system of continuous quality improvement activity. Unpublished master's thesis, Yonsei University, Seoul.
16 Hong, A. R. (2005). (A) Study on the effect of quality improvement activities in healthcare organizations. Unpublished master's thesis, Konyang University, Nonsan.
17 Hwang, J. H. (1996). Quality improvement activity in hospitals and its acceptance among hospital personnels quality assurance, hospital personnels. Journal of Korean Society of Quality Assurance in Health Care. 3(2), 86-97.
18 Joint Commission on Accreditation of Healthcare Organization (1992). Striving toward improvement: Six hospital in search of quality. Chicago: JACHO
19 Koo, I. S., & Kim, T. S. (2005). A Study on the effective guide of quality small group activity in Korea. The Journal of Namseoul University, 11(2), 37-50.
20 Lee, K. I., & Kim, H. (2007). A suggestion on the promotive directions of quality circle activity. Journal of Quality Management, 35(2). 1-26.
21 Lee, S. I. (1998). Attitudes toward quality improvement activities of QA committee member physicians in Korean university hospitals. Journal of Korean Society of Quality Assurance in Health Care, 5(1), 76-91.
22 Lee, S. I. (2003). Country status and challenges of the activities of the hospital quality improvement. Journal of the Korean Hospital Association. 32(2), 36-41.
23 Lee, S. H. (2001). Factors associated with the degree of quality improvement factors associated with the degree of quality improvement performance. Korean Journal of Health Policy & Administration. 11(4), 54-69.
24 Lee, S. H., Chae, Y .M., Jee, Y. K., & Choi, K. S. (2001). A study on quality improvement activities in Korean hospitals. Journal of Korean Society of Quality Assurance in Health Care, 8(2), 172-185.
25 Maguerez, G., Erbault, M., Terra, J. L., Maisonneuve, H., & Matillon, Y. (2001). Evaluation of 60 continuous quality improvement projects in French hospitals. International Journal for Quality in Health Care, 13(2), 89-97. doi: 10.1093/ intqhc/13.2.89
26 Massoud, R., Askov, K., Reinke, J., Franco, L. M., Bornstein, T., Knebel, E., & Macaulay, C. (2004). Modern paradigm for improving healthcare quality (S. I. Lee, Trans). Seoul: Han Hak Munhasa.(Original work published 2001)
27 Melum, M. M., & Sinioris, M. E. (1993). Total quality management in health care: Taking stock. Quality Management in Health Care, 1(4), 59-63.
28 Stoltz, P. K. (1996). FOCUS-PDCA. Today's Management Methods, 223-244.
29 Tak, K. C. (2002). Research on the total quality management (TQM) of the general hospitals. Unpublished doctoral dissertation, Kyungsan University, Daegu.
30 The Korean Society of Quality Assurance in Health Care (2007a, 2008a, 2009a). Annual fall meeting of the Korean Society of Quality Assurance, seminar handout II. Seoul: The Korean Society of Quality Assurance in Health Care.