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Yedi temel kalite aracının kullanımı ile ilgili performans değerlendirme ve iyileştirmesi için bir model: sağlık performansı için bir yol haritası

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A model for performance measurement and improvement related to the usage of seven basic quality tools: a roadmap for healthcare performance

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Page Number-First: 
111
Page Number-Last: 
118

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Abstract (Original Language): 
Kalite uzmanları kalite iyileştirme araçları uygun şekilde kullanıldığında sürekli kalite iyileştirmeyi sürdürülebilir hale getirebilirler. Pek çok kalite problemi 7 temel kalite araçı ile çözülebilir. Bu çalışmanın amacı kalite araçlarını kullanarak bir performans değerlendirme ve iyileştirme modeli oluşturmaktır. Bizim modelimiz yönetim araçlarından çok istatistiki yöntemlerin kullanımına odaklıdır. Bu makalede hasta düşmeleri uygun kalite araçları kullanılarak analiz edilmiş ve zaman içerisinde belirli bir oranın altına düşürülmüştür. Yedi kalite iyileştirme aracının etkin kullanımı ile müdahele öncesi hasta düşme hızı 1000 hasta gününde 7.83, müdahele sonrası düşme hızı ise 1000 hasta gününde 0.86 olarak saptanmıştır. (% 89.02’lik bir düşüş). Sonuç olarak, bu çalışma ile uygun kalite iyileştirme araçlarını uygun zamanda kullanarak performans değerlendirme söz konusudur ve iyileştirme sağlanmaktadır. Bu model aynı zamanda idari personelinde iyileştirmeye karşın etkin ve effekt if çalışmasına olanak sağlamaktadır.
Abstract (2. Language): 
Quality improvement personnel are best served when they use appropriate quality tools for sustaining continuous quality improvements. Most of the quality problems can be solved by seven basic quality tools. The purpose of this study is to build a model for performance measurement and improvement with regard to the appropriate utility of quality tools. Our model was developed using statistical approach, rather than from the management point of view. In this paper, incidence of patient falls were analyzed and reduced using appropriate quality tools. Pre intervention fall rate was reported as 7.83 per 1,000 patient days, whereas post intervention fall rate was measured as 0.86 per 1,000 patient days (89.02% reduction) after implementation of the seven basic quality tools. In conclusion, this study demonstrates a model for performance measurement and results in improvement when appropriate quality tools are used at the proper time. This model also assists the quality management personnel to work efficiently and effectively toward improvement.

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DOI: 
10.5455/sad.13-1481449676

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