Comparing and Contrasting Approaches to Quality Management in Healthcare

WORKBOOK

TABLE OF CONTENTS
INTRODUCTION...........................................................................................................................4
MAIN BODY..................................................................................................................................4
ACTIVITY 1...................................................................................................................................4
Comparing and contrasting key features of the deaming, Juran and Ishikawa approaches to
quality management and how it helps in improving health production quality..........................4
Key elements and quality strategies of Toyota total Quality Production System.......................5
Concept of lean healthcare with example of successful use of lean in healthcare organization
along with some barriers of its successful use.............................................................................6
ACTIVITY 2...................................................................................................................................6
What is healthcare quality...........................................................................................................6
Importance of quality improvement in healthcare service management.....................................6
Necessary condition required for quality improvement..............................................................7
Relationship between healthcare quality and patient safety........................................................7
ACTIVITY 3...................................................................................................................................7
Adverse events and how frequent are these.................................................................................7
Types of Adverse events..............................................................................................................8
Preventable and non-preventable adverse events........................................................................8
Reasons for distinction made between the systems and individual factors that are contributing
to adverse events..........................................................................................................................9
ACTIVITY 4...................................................................................................................................9
Factor of adverse events and which of them are systems or individual factors.........................9
Causal and contributing factors classified as system or individual factor.................................11
The problems identified during the inquiries but not identified through Accreditation............11
Health and aged care are those harm to be susceptible.............................................................11
Public inquiries are achieving the long term improvement in the quality and health services..12
ACTIVITY 5.................................................................................................................................12
The impact of organizational culture on health care quality and safety....................................12
The type of cultural supports that delivery for high quality and safe care................................12
A safety culture..........................................................................................................................13

The person centred care integrated to safety culture.................................................................13
ACTIVITY 6.................................................................................................................................13
Clinical governance...................................................................................................................13
Importance of clinical governance in health and aged care organizations................................13
Common elements of clinical governance frameworks.............................................................14
Barriers that need to be addressed for successful clinical governance......................................14
CONCLUSION..............................................................................................................................14
REFERENCES................................................................................................................................1

INTRODUCTION
The degree to which healthcare services increase likelihood of desired health outcomes is
known as healthcare quality (Mannion and Davies, 2018). This study will discuss differentiation
between Juran, Deaming and Ishikwa approaches in healthcare. Further, it will discuss
effectiveness of Lean and total quality management approaches for improving quality of
healthcare. It will also discuss some different types of adverse events that have negative impacts
of patients’ health. There is interrelation and linked between patients’ health safety and quality of
healthcare that also this study will discuss.
MAIN BODY
ACTIVITY 1
Comparing and contrasting key features of the deaming, Juran and Ishikawa approaches to
quality management and how it helps in improving health production quality
Deaming Juran Ishikwa
Definition It is a process of
quality improvement
in which activities are
being performed as
per the expectations
and needs of
customers. Variances
do not affected largely
by workers’ activities.
Workers play a vital
role in this quality
management approach
because of being close
to activities that
impact quality.
It is conformance to
requirements, not as
goodness. Workers
are being motivated
by managers in order
to improve quality of
products and services.
Degree of
management
involvement
Process of quality
improvement is being
done in the broad
room which means all
participants take
responsibility of
It is believed that
majority of problems
to quality is all
because of fault of
poor management and
not because of poor
Senior manager is all
responsible for defects
in quality and process
of quality
improvement also