Quality management in general surgery: a review of the literature
Open Access
- 1 January 2014
- journal article
- review article
- Published by Asian Pacific Journal of Tropical Medicine Press in Journal of Acute Disease
- Vol. 3 (4), 253-257
- https://doi.org/10.1016/s2221-6189(14)60057-3
Abstract
IntroductionTotal quality management is a systematic approach focused on satisfying customers' expectations, identifying problems, analytically solving patient's problems and to implement continuous quality improvement.MethodSystematic review of the English language medical literature, using electronic search of the Pubmed, ProQuest and ScienceDirect databases with different combinations of the keywords: total quality management, healthcare, trauma, and minimally invasive surgery.ResultsThe assessment of outcomes in surgery represents a part of the quality assurance of patients' care. Usually, the surgeons have their own set of mental variables that can predict good and bad outcomes Surveys of complication rates and outcome are a poor substitute for quality control. For the reported complications it is impossible to know which complications are real (inherent to surgery and unavoidable) and which are a consequence of a mistake or an error in judgment. For polytrauma patients, optimal outcome requires an initial management fulfilling a high standard of quality assurance. A prerequisite is the availability of adequate resources at all times, including personnel, technical equipment, and special designed emergency room.ConclusionsRomanian hospitals need a more aggressive implementation of total quality management policy, in order to maintain their competitiveness on nowadays European Union competitive marketKeywords
This publication has 19 references indexed in Scilit:
- Natural orifice translumenal endoscopic surgery (NOTES) second-look peritoneoscopy for staging of limited peritoneal carcinomatosisMedical Hypotheses, 2013
- SchockraummanagementDer Chirurg, 2007
- Quality management through a national quality award frameworkThe TQM Magazine, 2006
- Monitoring incident report in the healthcare process to improve quality in hospitalsInternational Journal of Medical Informatics, 2005
- Quality Measurement of Outcome in General Surgery RevisitedArchives of Surgery, 2002
- Interdisziplinäres Qualitätsmanagement in der Behandlung schwerverletzter PatientenDer Unfallchirurg, 2001
- The need for the introduction of quality management into Greek health careTotal Quality Management, 2000
- Quality management in German health care – the EFQM Excellence ModelInternational Journal of Health Care Quality Assurance, 2000
- Total quality management in European healthcareInternational Journal of Health Care Quality Assurance, 2000
- General Principles of Surgery Quality ControlSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1994