Quality Analysis in Healthcare

Running head: QUALITY ANALYSIS IN HEALTHCARE
Topic- Quality Analysis in Healthcare
Student name
University name
Author notes

2QUALITY ANALYSIS IN HEALTHCARE
INTRODUCTION
Quality control in health care is very essential in order to provide quality care treatment to
patients. The paper focuses on one of the students’ compliant on the service concerns in walk-in
urgent care clinics in the ambulatory health services of a healthcare University. Student
complaint have raised manifold in areas of service quality received, long waiting time,
unavailability of follow-up care services, difficulty in finding the right clinic in the building
premises, long treatment time and unavailability of medical record in the required time. The past
nine-month data provided is used for quality analysis and for better results one area of complaint
received is selected that is too long waiting time for treatment providence. The qualitative
analysis tool of fish bone analysis and quantitative tool of run and control chart is used for data
interpretation and a recommendation is provided based on the result findings.

3QUALITY ANALYSIS IN HEALTHCARE
QUALITY ANALYSIS
The major tools used for the quality analysis are fish and bone chart and run and control chart.
FISH BONE CHART
The fish and bone chart also known as the Ishikawa diagram is one of the most effective quality
control tools that uses six sigma approach in the most efficient manner and is mainly used to find
the cause of a specific event. One of the major uses of Fish and Bone diagram is quality defect
prevention and to find the factor that is potentially responsible for causing the undesirable effect
(Goetsch & Davis, 2014). The tools of five whys provide the structured framework of cause-
effect analysis. The various aspects considered for the long waiting time includes the following
shown in the diagram below.
The various factors are discussed as follows,
Environment:
Environment Methods
Waiting time
People Materials
Equipment

4QUALITY ANALYSIS IN HEALTHCARE
The major environmental factors include small waiting rooms, lesser rooms allocated for urgent-
care clinics, inefficient departmental flows, long information processing time and clinic list is
longer as compared to other lists. Other factors also include poor layout of the ambulatory health
service organization, unplanned emergencies, unpleasant service in waiting rooms like not so
comfortable chairs, too quiet and no supply of magazine or newspapers.
Method:
The method insufficiency factors include poor scheduling, early arrival of transport, missing
patient files and also disorganized file inventory maintenance system and no note tracking
system. Existing patient and new patient processing procedures should be varied to optimize the
urgent need of treatment.
Equipment:
The factors of equipment ineffectiveness include poor maintenance of tools and urgent care
machineries, difficult to find wheelchairs at the time of urgent need and less use of computerized
data management. Manual data recording also includes shortage of papers and pens and use of
other outdated tools. Appointment software is required to replace the manual system and FIFO
(First-In-First-Out) patient processing will help reduce waiting time.
People:
The people factor is one of the most important factors that cause the waiting time to be higher.
Factors include jumping queue tendency of patients causing ill-management, limited staff
support during emergencies, do not keeping with the actual appointment time, both ad hoc and
scheduled patients in a single clinic and last-minute patient deferral. Ineffective communication
also leads to long waiting time. The Job description of nurses, receptionists and physicians