Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma

Mustafa Said Yıldız

doi:10.17681/hsp.365273

Research Article

Evaluating Healthcare Quality Knowledge and Experience Level: a Comparison Between Turkey and Saudi Arabia Hospitals’ Quality Unit Professionals

Year 2018, Volume: 5 Issue: 2, 188 - 200, 10.06.2018

Mustafa Said Yıldız

https://doi.org/10.17681/hsp.365273

Abstract

AAim: The aim of this study is to evaluate the
degrees of quality improvement knowledge and experience among Turkey and Saudi
Arabia hospital quality professionals.
Material and Method: Initially comparison between hospital quality
professionals of two countries in regards to the two factors were made
analysing the survey conducted. Due to the statistically significant
differences between means of two countries’ quality professionals’ six sigma
knowledge and experience in ANOVA analysis conducted; relationship of ages and
years of healthcare quality experience of both country professionals and their
averages for six sigma training and experience factor was analyzed. Results: An increase of means of six
sigma knowledge and experience by ages and years of work experience is found
for Saudi Arabia professionals. For Turkey hospital quality professionals, a
difference between age groups and work experience year groups could not be
found. A superiority of Saudi Arabia quality professionals over Turkey quality
professionals regarding all of quality improvement methods and also
certificates and trainings (except total quality management certificate) was
observed. As a conclusion of the study; beyond accreditation efforts, more
emphasis on hospital and department level quality improvement for Turkey is
suggested for higher level of health outcomes.

Keywords

Healthcare quality professionals, quality knowledge and experience levels

References

1. Ferlie EB and Shortell SM. Improving the Quality of Health Care in the United Kingdom and the United States: A Framework For Change. The Milbank Quarterly 2001; 79(2): 281-315.
2. Gupta KS and Rokade V. Importance of Quality in Health Care Sector, Journal of Health Management 2016; 18(1): 84-94.
3. Spencer E. and Walshe K. National Quality Improvement Policies and Strategies in European Healthcare Systems. BMJ Quality & Safety Health Care 2009; 18(Suppl I):i22–i27.
4. Crosby, P Quality is Free. New York: McGraw-Hill. 1979
5. Greenfield D. and Braithwaite J. Health Sector Accreditation Research: A Systematic Review. International Journal for Quality in Health Care 2008; 20(3), 172–183.
6. Yıldız M.S. Hastanelerde Kalite Yönetim Sistemlerinin Değerlendirilmesi: Kamu ve Özel Hastanelerde bir Araştırma, Yayınlanmamış Doktora Tezi, Gazi Üniversitesi Sosyal Bilimler Üniversitesi, 2017, Ankara.
7. Batalden P. and Davidoff F. Teaching Quality Improvement; The Devil is in the Details. The Journal of the American Medical Association 2007; 298(9): 1059-61.
8. Almutairi K.M. and Moussa M. Systematic Review Of Quality of Care in Saudi Arabia: a Forecast of a Highquality Health Care. Saudi Medical Journal 2014; 35(8): 802-809.
9. JCI JCI-Accredited Organizations, http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations (Erişim Tarihi: 18.09.2017). 10. TÜSKA, TÜSKA hakkında, http://tuseb.gov.tr/tuska/tuska-hakkinda (Erişim Tarihi: 18.09.2017).
11. CBAHI, CBAHI at a Glance, https://www.cbahi.gov.sa/surveyor/AboutUs.aspx (Erişim tarihi: 18.09.2017).
12. Sağlık Bakanlığı Kalite ve Akreditasyon Daire Başkanlığı web sitesi, Sağlıkta Akreditasyon, http://kalite.saglik.gov.tr/TR,8789/saglikta-akreditasyon.html, (Erişim Tarihi: 19.09.2017).
13. Batalden P.B. and Davidoff F.What is Quality İmprovement and How Can it Transform Healthcare? Quality and Safety in Healthcare 2007; 16(1): 2-3.
14. Boonyasai R.T., Windish D.M., Chakraborti C., Feldman L.S., Rubin H.R., Bass E.B. Effectiveness of Teaching Quality Improvement to Clinicians: a Systematic Review, JAMA, 2007; 298(9):1023-37.
15. Kim C.S., Lukela M.P., Pakesh V.I., Mangrulkar R.S., Del Valle J., Spahlinger D.A., Billi J.E. Teaching Internal Medicine Residents Quality Improvement and Patient Safety: A Lean Thinking Approach. American Journal of Medical Quality 2010; 25(3): 211-17.
16. Fox J., Bagley L., Day S., Holleran R., Handrahan D. Research and Quality Improvement Experience and Knowledge: A Nursing Survey. Journal of Nursing Management 2011; 9(5): 623-631.
17. Kaplan H.C., Brady P.W., Dritz M.C., Hooper D.K., Linam W.M., Froehle C.M., Margolis P. The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature. The Milbank Quarterly 2010; 88(4), 500–559.ff
18. Thomerson L.D. Journey for Excellence: Kentucky’s Commonwealth Health Corporation Adopts Six Sigma Approach. Quality Congress. ASQ Annual Quality Congress Proceedings, 2001; 152–58.
19. Arnheiter E.D. and Maleyeff J. The Integration of Lean Management and Six Sigma”, TQM Magazine 2005; 17(1): 5-18.
20. Sorin T.T. and Fady F.F. Lean Management: The Journey from Toyota to Healthcare. Rambam Maimonides Medical Journal 2013; 4(2):e0007.
21. Berlowitz D.R., Young G.J., Hickey E.C., Brian D.S., Elaine S.M., , Barbara S., Jennifer J.A., Arlene S.A., Lisa V.R., Mark A.M. Quality Improvement Implementation in the Nursing Home, HSR: Health Services Research 2003; 38(1): 65-83.
22. Plsek P.E. Quality Improvement Methods in Clinical Medicine. Pediatrics 1999; 103(1): 203-14.
23. Benneyan J.C., Lloyd R.C., Plsek P.E. Statistical Process Control as a Tool for Research and Healthcare Improvement. Quality and Safety in Health Care 2003; 12:458–464.
24. Institute for Healthcare Improvement, Cause and Effect Diagram http://www.ihi.org/resources/Pages/Tools/CauseandEffectDiagram.aspx, (Erişim Tarihi: 01.10.2017).
25. Institute for Healthcare Improvement, Five Whys http://www.ihi.org/resources/Pages/ImprovementStories/AskWhyFiveTimestoGettotheRootCause.aspx, (Erişim Tarihi: 01.10.2017).
26. Colligan L., Anderson J.E., Potts H.W.W., Berman J. Does the Process Map Influence the Outcome of Quality Improvement Work? A Comparison of a Sequential Flow Diagram and a Hierarchical Task Analysis Diagram, BMC Health Services Research, 2010; 10(7): 1-9.
27. Lummus R.R., Vokurka R.J., Rodeghiero B. Improving Quality through Value Stream Mapping: A Case Study of a Physician’s Clinic. Total Quality Management 2006; (17): 8, 1063–75.
28. Institute for Healthcare Improvement, Pareto Chart http://www.ihi.org/resources/Pages/Tools/ParetoDiagram.aspx, (Erişim Tarihi: 01.10.2017).
29. Van Tilburg C.M., Leistikow I.P., Rademaker C.M.A., Bierings M.B., van Dijk A.T.H, Health Care Failure Mode and Effect Analysis: A Useful Proactive Risk Analysis in a Pediatric Oncology Ward. Quality and Safety in Health Care 2006; 15(1): 58–63.
30. Murray M.E., Douglas S., Girdley D., Jarzemsky P. Teaching Quality Improvement. Journal of Nursing Education. 2010; 49(8): 466-69.
31. Hamrin V., Vick R., Brame C., Simmons M., Smith L., Vanderhoef D. Teaching a Systems Approach: An Innovative Quality Improvement Project. Journal of Nursing Education 2016; 55(4):209-214.
32. Kyrkjebø J.M. Teaching Quality Improvement in the Classroom and Clinic: Getting it Right and Getting it Wrong And Getting it Right. Journal of Nursing Education 2006; 45(3): 109-116.
33. Teeley K.H., Lowe J.M., Beal J., Knapp M.L. Incorporating Quality Improvement Concepts and Practice into a Community Health Nursing Course. Journal of Nursing Education. 2006; 45(2).
34. Wong B.M., Etchells E.E., Kuper A., Levinson W., Shojania K.G. Teaching Quality Improvement and Patient Safety to Trainees: A Systematic Review. Academic Medicine 2010; 85(9): 1425-39.
35. Ulusoy H. Yükseköğretimde Yalın Eğitim, Medicabil Bilimsel Etkinlikleri, Yalın Hastane 2017, 23-25 Mart 2017, Bursa.
36. Laureani A., Antony J. Standards for Lean Six Sigma Certification. International Journal of Productivity and Performance Management 2011; 61(1): 110-120.
37. ASQ web sitesi, Six Sigma Green Belt, http://asq.org/healthcaresixsigma/training/green-belt.html, (Erişim Tarihi: 01.09.2017).
38. ASQ web sitesi, Six Sigma Black Belt, http://asq.org/healthcaresixsigma/training/outlines/black-belt.html, (Erişim Tarihi: 01.09.2017).
39. NAHQ web sitesi, CPHQ Certification Body of Knowledge. http://nahq.org/certification/certified-professional-healthcare-quality, (Erişim Tarihi: 01.10.2017).
40. Sağlık Bakanlığı Kalite ve Akreditasyon Daire Başkanlığı web sitesi, Eğitimler, http://kalite.saglik.gov.tr/TR,9166/egitimler-ve-toplantilar.html (Erişim Tarihi: 19.09.2017)
41. ASTHO web sitesi, http://www.astho.org/Quality-Improvement/Toolkit/Michigan-Department-of-Community-Health-Quality-Improvement-and-Performance-Management-Survey/ (Erişim tarihi: 18.09.2017).

Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma

Year 2018, Volume: 5 Issue: 2, 188 - 200, 10.06.2018

Mustafa Said Yıldız

https://doi.org/10.17681/hsp.365273

Abstract

Amaç:
Türkiye ve Suudi Arabistan hastaneleri kalite profesyonellerinin kalite
iyileştirme bilgi ve deneyim düzeylerini değerlendirmek ve karşılaştırmaktır.
Gereç ve Yöntem: İlk olarak, gerçekleştirilen anketin değerlendirilmesiyle iki
ülke çalışanları arasında belirlenen iki faktörde (Kalite Eğitim ve Deneyimi,
Altı Sigma Eğitim ve Deneyimi) karşılaştırılma yapıldı. Gerçekleştirilen ANOVA
analizinde iki ülke kalite çalışanları Altı Sigma bilgi ve deneyimi faktörü
ortalamaları arasında anlamlı farklılık görülmesi nedeniyle; Altı Sigma bilgi
ve deneyimi faktörü için iki ülke sağlık çalışanlarının yaşları ve sağlıkta
kalite alanında çalışma süreleri bakımından değerlendirme yapıldı. Bulgular ve Sonuç: Suudi Arabistan
çalışanlarının yaşları ve sağlıkta kalite alanında çalışma süreleri arttıkça
Altı Sigma eğitim ve deneyim ortalamalarının arttığı görüldü. Türkiye
hastaneleri kalite çalışanları için ise yaş ve sağlıkta kalite süresi grupları
arasında farklılık görülmedi. Suudi Arabistan kalite çalışanlarının Türkiye
kalite çalışanlarına göre hem kalite metotlarının tümünde, hem de toplam kalite
yönetimi dışındaki tüm sertifika ve eğitimlerde üstün oldukları görüldü. Çalışma
sonucu olarak Türkiye’nin akreditasyon çabalarının ötesinde daha yüksek sağlık
sonuçları için hastane ve klinik düzeyi kalite iyileştirmeye daha fazla vurgu
yapması önerilmiştir.

Keywords

Sağlıkta kalite çalışanları, sağlıkta kalite bilgi ve deneyim düzeyleri

References

1. Ferlie EB and Shortell SM. Improving the Quality of Health Care in the United Kingdom and the United States: A Framework For Change. The Milbank Quarterly 2001; 79(2): 281-315.
2. Gupta KS and Rokade V. Importance of Quality in Health Care Sector, Journal of Health Management 2016; 18(1): 84-94.
3. Spencer E. and Walshe K. National Quality Improvement Policies and Strategies in European Healthcare Systems. BMJ Quality & Safety Health Care 2009; 18(Suppl I):i22–i27.
4. Crosby, P Quality is Free. New York: McGraw-Hill. 1979
5. Greenfield D. and Braithwaite J. Health Sector Accreditation Research: A Systematic Review. International Journal for Quality in Health Care 2008; 20(3), 172–183.
6. Yıldız M.S. Hastanelerde Kalite Yönetim Sistemlerinin Değerlendirilmesi: Kamu ve Özel Hastanelerde bir Araştırma, Yayınlanmamış Doktora Tezi, Gazi Üniversitesi Sosyal Bilimler Üniversitesi, 2017, Ankara.
7. Batalden P. and Davidoff F. Teaching Quality Improvement; The Devil is in the Details. The Journal of the American Medical Association 2007; 298(9): 1059-61.
8. Almutairi K.M. and Moussa M. Systematic Review Of Quality of Care in Saudi Arabia: a Forecast of a Highquality Health Care. Saudi Medical Journal 2014; 35(8): 802-809.
9. JCI JCI-Accredited Organizations, http://www.jointcommissioninternational.org/about-jci/jci-accredited-organizations (Erişim Tarihi: 18.09.2017). 10. TÜSKA, TÜSKA hakkında, http://tuseb.gov.tr/tuska/tuska-hakkinda (Erişim Tarihi: 18.09.2017).
11. CBAHI, CBAHI at a Glance, https://www.cbahi.gov.sa/surveyor/AboutUs.aspx (Erişim tarihi: 18.09.2017).
12. Sağlık Bakanlığı Kalite ve Akreditasyon Daire Başkanlığı web sitesi, Sağlıkta Akreditasyon, http://kalite.saglik.gov.tr/TR,8789/saglikta-akreditasyon.html, (Erişim Tarihi: 19.09.2017).
13. Batalden P.B. and Davidoff F.What is Quality İmprovement and How Can it Transform Healthcare? Quality and Safety in Healthcare 2007; 16(1): 2-3.
14. Boonyasai R.T., Windish D.M., Chakraborti C., Feldman L.S., Rubin H.R., Bass E.B. Effectiveness of Teaching Quality Improvement to Clinicians: a Systematic Review, JAMA, 2007; 298(9):1023-37.
15. Kim C.S., Lukela M.P., Pakesh V.I., Mangrulkar R.S., Del Valle J., Spahlinger D.A., Billi J.E. Teaching Internal Medicine Residents Quality Improvement and Patient Safety: A Lean Thinking Approach. American Journal of Medical Quality 2010; 25(3): 211-17.
16. Fox J., Bagley L., Day S., Holleran R., Handrahan D. Research and Quality Improvement Experience and Knowledge: A Nursing Survey. Journal of Nursing Management 2011; 9(5): 623-631.
17. Kaplan H.C., Brady P.W., Dritz M.C., Hooper D.K., Linam W.M., Froehle C.M., Margolis P. The Influence of Context on Quality Improvement Success in Health Care: A Systematic Review of the Literature. The Milbank Quarterly 2010; 88(4), 500–559.ff
18. Thomerson L.D. Journey for Excellence: Kentucky’s Commonwealth Health Corporation Adopts Six Sigma Approach. Quality Congress. ASQ Annual Quality Congress Proceedings, 2001; 152–58.
19. Arnheiter E.D. and Maleyeff J. The Integration of Lean Management and Six Sigma”, TQM Magazine 2005; 17(1): 5-18.
20. Sorin T.T. and Fady F.F. Lean Management: The Journey from Toyota to Healthcare. Rambam Maimonides Medical Journal 2013; 4(2):e0007.
21. Berlowitz D.R., Young G.J., Hickey E.C., Brian D.S., Elaine S.M., , Barbara S., Jennifer J.A., Arlene S.A., Lisa V.R., Mark A.M. Quality Improvement Implementation in the Nursing Home, HSR: Health Services Research 2003; 38(1): 65-83.
22. Plsek P.E. Quality Improvement Methods in Clinical Medicine. Pediatrics 1999; 103(1): 203-14.
23. Benneyan J.C., Lloyd R.C., Plsek P.E. Statistical Process Control as a Tool for Research and Healthcare Improvement. Quality and Safety in Health Care 2003; 12:458–464.
24. Institute for Healthcare Improvement, Cause and Effect Diagram http://www.ihi.org/resources/Pages/Tools/CauseandEffectDiagram.aspx, (Erişim Tarihi: 01.10.2017).
25. Institute for Healthcare Improvement, Five Whys http://www.ihi.org/resources/Pages/ImprovementStories/AskWhyFiveTimestoGettotheRootCause.aspx, (Erişim Tarihi: 01.10.2017).
26. Colligan L., Anderson J.E., Potts H.W.W., Berman J. Does the Process Map Influence the Outcome of Quality Improvement Work? A Comparison of a Sequential Flow Diagram and a Hierarchical Task Analysis Diagram, BMC Health Services Research, 2010; 10(7): 1-9.
27. Lummus R.R., Vokurka R.J., Rodeghiero B. Improving Quality through Value Stream Mapping: A Case Study of a Physician’s Clinic. Total Quality Management 2006; (17): 8, 1063–75.
28. Institute for Healthcare Improvement, Pareto Chart http://www.ihi.org/resources/Pages/Tools/ParetoDiagram.aspx, (Erişim Tarihi: 01.10.2017).
29. Van Tilburg C.M., Leistikow I.P., Rademaker C.M.A., Bierings M.B., van Dijk A.T.H, Health Care Failure Mode and Effect Analysis: A Useful Proactive Risk Analysis in a Pediatric Oncology Ward. Quality and Safety in Health Care 2006; 15(1): 58–63.
30. Murray M.E., Douglas S., Girdley D., Jarzemsky P. Teaching Quality Improvement. Journal of Nursing Education. 2010; 49(8): 466-69.
31. Hamrin V., Vick R., Brame C., Simmons M., Smith L., Vanderhoef D. Teaching a Systems Approach: An Innovative Quality Improvement Project. Journal of Nursing Education 2016; 55(4):209-214.
32. Kyrkjebø J.M. Teaching Quality Improvement in the Classroom and Clinic: Getting it Right and Getting it Wrong And Getting it Right. Journal of Nursing Education 2006; 45(3): 109-116.
33. Teeley K.H., Lowe J.M., Beal J., Knapp M.L. Incorporating Quality Improvement Concepts and Practice into a Community Health Nursing Course. Journal of Nursing Education. 2006; 45(2).
34. Wong B.M., Etchells E.E., Kuper A., Levinson W., Shojania K.G. Teaching Quality Improvement and Patient Safety to Trainees: A Systematic Review. Academic Medicine 2010; 85(9): 1425-39.
35. Ulusoy H. Yükseköğretimde Yalın Eğitim, Medicabil Bilimsel Etkinlikleri, Yalın Hastane 2017, 23-25 Mart 2017, Bursa.
36. Laureani A., Antony J. Standards for Lean Six Sigma Certification. International Journal of Productivity and Performance Management 2011; 61(1): 110-120.
37. ASQ web sitesi, Six Sigma Green Belt, http://asq.org/healthcaresixsigma/training/green-belt.html, (Erişim Tarihi: 01.09.2017).
38. ASQ web sitesi, Six Sigma Black Belt, http://asq.org/healthcaresixsigma/training/outlines/black-belt.html, (Erişim Tarihi: 01.09.2017).
39. NAHQ web sitesi, CPHQ Certification Body of Knowledge. http://nahq.org/certification/certified-professional-healthcare-quality, (Erişim Tarihi: 01.10.2017).
40. Sağlık Bakanlığı Kalite ve Akreditasyon Daire Başkanlığı web sitesi, Eğitimler, http://kalite.saglik.gov.tr/TR,9166/egitimler-ve-toplantilar.html (Erişim Tarihi: 19.09.2017)
41. ASTHO web sitesi, http://www.astho.org/Quality-Improvement/Toolkit/Michigan-Department-of-Community-Health-Quality-Improvement-and-Performance-Management-Survey/ (Erişim tarihi: 18.09.2017).

There are 40 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	RESEARCH ARTICLE
Authors	Mustafa Said Yıldız 0000-0001-7423-1408
Publication Date	June 10, 2018
Published in Issue	Year 2018 Volume: 5 Issue: 2

Cite

APA	Yıldız, M. S. (2018). Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. Sağlık Bilimleri Ve Meslekleri Dergisi, 5(2), 188-200. https://doi.org/10.17681/hsp.365273
AMA	Yıldız MS. Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. HSP. June 2018;5(2):188-200. doi:10.17681/hsp.365273
Chicago	Yıldız, Mustafa Said. “Sağlıkta Kalite Bilgi Ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye Ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma”. Sağlık Bilimleri Ve Meslekleri Dergisi 5, no. 2 (June 2018): 188-200. https://doi.org/10.17681/hsp.365273.
EndNote	Yıldız MS (June 1, 2018) Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. Sağlık Bilimleri ve Meslekleri Dergisi 5 2 188–200.
IEEE	M. S. Yıldız, “Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma”, HSP, vol. 5, no. 2, pp. 188–200, 2018, doi: 10.17681/hsp.365273.
ISNAD	Yıldız, Mustafa Said. “Sağlıkta Kalite Bilgi Ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye Ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma”. Sağlık Bilimleri ve Meslekleri Dergisi 5/2 (June 2018), 188-200. https://doi.org/10.17681/hsp.365273.
JAMA	Yıldız MS. Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. HSP. 2018;5:188–200.
MLA	Yıldız, Mustafa Said. “Sağlıkta Kalite Bilgi Ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye Ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma”. Sağlık Bilimleri Ve Meslekleri Dergisi, vol. 5, no. 2, 2018, pp. 188-00, doi:10.17681/hsp.365273.
Vancouver	Yıldız MS. Sağlıkta Kalite Bilgi ve Deneyim Düzeyinin Değerlendirilmesi: Türkiye ve Suudi Arabistan Hastaneleri Kalite Çalışanları Arasında Karşılaştırma. HSP. 2018;5(2):188-200.

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