Science.gov

Sample records for management quality assessment

  1. Water Quality Assessment and Management

    EPA Pesticide Factsheets

    Overview of Clean Water Act (CWA) restoration framework including; water quality standards, monitoring/assessment, reporting water quality status, TMDL development, TMDL implementation (point & nonpoint source control)

  2. Assessing the quality of cost management

    SciTech Connect

    Fayne, V.; McAllister, A.; Weiner, S.B.

    1995-12-31

    Managing environmental programs can be effective only when good cost and cost-related management practices are developed and implemented. The Department of Energy`s Office of Environmental Management (EM), recognizing this key role of cost management, initiated several cost and cost-related management activities including the Cost Quality Management (CQM) Program. The CQM Program includes an assessment activity, Cost Quality Management Assessments (CQMAs), and a technical assistance effort to improve program/project cost effectiveness. CQMAs provide a tool for establishing a baseline of cost-management practices and for measuring improvement in those practices. The result of the CQMA program is an organization that has an increasing cost-consciousness, improved cost-management skills and abilities, and a commitment to respond to the public`s concerns for both a safe environment and prudent budget outlays. The CQMA program is part of the foundation of quality management practices in DOE. The CQMA process has contributed to better cost and cost-related management practices by providing measurements and feedback; defining the components of a quality cost-management system; and helping sites develop/improve specific cost-management techniques and methods.

  3. Quality Management Plan for the Environmental Assessment and Innovation Division

    EPA Pesticide Factsheets

    Quality management plan (QMP) which identifies the mission, roles, responsibilities of personnel with regard to quality assurance and quality management for the environmental assessment and innovation division.

  4. An assessment model for quality management

    NASA Astrophysics Data System (ADS)

    Völcker, Chr.; Cass, A.; Dorling, A.; Zilioli, P.; Secchi, P.

    2002-07-01

    SYNSPACE together with InterSPICE and Alenia Spazio is developing an assessment method to determine the capability of an organisation in the area of quality management. The method, sponsored by the European Space Agency (ESA), is called S9kS (SPiCE- 9000 for SPACE). S9kS is based on ISO 9001:2000 with additions from the quality standards issued by the European Committee for Space Standardization (ECSS) and ISO 15504 - Process Assessments. The result is a reference model that supports the expansion of the generic process assessment framework provided by ISO 15504 to nonsoftware areas. In order to be compliant with ISO 15504, requirements from ISO 9001 and ECSS-Q-20 and Q-20-09 have been turned into process definitions in terms of Purpose and Outcomes, supported by a list of detailed indicators such as Practices, Work Products and Work Product Characteristics. In coordination with this project, the capability dimension of ISO 15504 has been revised to be consistent with ISO 9001. As contributions from ISO 9001 and the space quality assurance standards are separable, the stripped down version S9k offers organisations in all industries an assessment model based solely on ISO 9001, and is therefore interesting to all organisations, which intend to improve their quality management system based on ISO 9001.

  5. Total Quality Management: Implications for Educational Assessment.

    ERIC Educational Resources Information Center

    Rankin, Stuart C.

    1992-01-01

    Deming's "System of Profound Knowledge" is even more fundamental than his 14-principle system transformation guide and is based on 4 elements: systems theory, statistical variation, a theory of knowledge, and psychology. Management should revamp total system processes so that quality of product is continually improved. Implications for…

  6. Total Quality Management: Implications for Educational Assessment.

    ERIC Educational Resources Information Center

    Rankin, Stuart C.

    1992-01-01

    Deming's "System of Profound Knowledge" is even more fundamental than his 14-principle system transformation guide and is based on 4 elements: systems theory, statistical variation, a theory of knowledge, and psychology. Management should revamp total system processes so that quality of product is continually improved. Implications for…

  7. Air quality risk assessment and management.

    PubMed

    Chen, Yue; Craig, Lorraine; Krewski, Daniel

    2008-01-01

    This article provides (1) a synthesis of the literature on the linkages between air pollution and human health, (2) an overview of quality management approaches in Canada, the United States, and the European Union (EU), and (3) future directions for air quality research. Numerous studies examining short-term effects of air pollution show significant associations between ambient levels of particulate matter (PM) and other air pollutants and increases in premature mortality and hospitalizations for cardiovascular and respiratory illnesses. Several well-designed epidemiological studies confirmed the adverse long-term effects of PM on both mortality and morbidity. Epidemiological studies also document significant associations between ozone (O3), sulfur (SO2), and nitrogen oxides (NO(x)) and adverse health outcomes; however, the effects of gaseous pollutants are less well documented. Subpopulations that are more susceptible to air pollution include children, the elderly, those with cardiorespiratory disease, and socioeconomically deprived individuals. Canada-wide standards for ambient air concentrations of PM2.5 and O3 were set in 2000, providing air quality targets to be achieved by 2010. In the United States, the Clean Air Act provides the framework for the establishment and review of National Ambient Air Quality Standards for criteria air pollutants and the establishment of emissions standards for hazardous air pollutants. The 1996 European Union's enactment of the Framework Directive for Air Quality established the process for setting Europe-wide limit values for a series of pollutants. The Clean Air for Europe program was established by the European Union to review existing limit values, emission ceilings, and abatement protocols, as set out in the current legislation. These initiatives serve as the legislative framework for air quality management in North America and Europe.

  8. Assessment of the Quality Management Models in Higher Education

    ERIC Educational Resources Information Center

    Basar, Gulsun; Altinay, Zehra; Dagli, Gokmen; Altinay, Fahriye

    2016-01-01

    This study involves the assessment of the quality management models in Higher Education by explaining the importance of quality in higher education and by examining the higher education quality assurance system practices in other countries. The qualitative study was carried out with the members of the Higher Education Planning, Evaluation,…

  9. Assessing Educational Processes Using Total-Quality-Management Measurement Tools.

    ERIC Educational Resources Information Center

    Macchia, Peter, Jr.

    1993-01-01

    Discussion of the use of Total Quality Management (TQM) assessment tools in educational settings highlights and gives examples of fishbone diagrams, or cause and effect charts; Pareto diagrams; control charts; histograms and check sheets; scatter diagrams; and flowcharts. Variation and quality are discussed in terms of continuous process…

  10. Assessing Educational Processes Using Total-Quality-Management Measurement Tools.

    ERIC Educational Resources Information Center

    Macchia, Peter, Jr.

    1993-01-01

    Discussion of the use of Total Quality Management (TQM) assessment tools in educational settings highlights and gives examples of fishbone diagrams, or cause and effect charts; Pareto diagrams; control charts; histograms and check sheets; scatter diagrams; and flowcharts. Variation and quality are discussed in terms of continuous process…

  11. Competitive Funding Models, Resource Management and Quality Assessment.

    ERIC Educational Resources Information Center

    Sizer, John

    1994-01-01

    Reviews, from a management accountant and funding council chief executive's perspective, relationship among (British) funding council models for competitive funding of higher education institutions, resource management, and quality assessments of teaching and learning. Posits a constrained funding environment for the rest of the 1990s. Concludes…

  12. A recreation quality rapid assessment method for visitor capacity management

    Treesearch

    Kenneth Chilman; Stuart Schneider; Les Wadzinski

    2007-01-01

    A rapid assessment method for inexpensively obtaining representative samples of place-specific visitor numbers and perceptions of visit quality was tested on Niobrara National Scenic River (NSR). Similar tests have been done on national forest areas in Indiana and Illinois. The data are used in meetings focusing on visitor capacity management. The rapid assessment...

  13. Procedure for assessing visual quality for landscape planning and management

    NASA Astrophysics Data System (ADS)

    Gimblett, H. Randal; Fitzgibbon, John E.; Bechard, Kevin P.; Wightman, J. A.; Itami, Robert M.

    1987-07-01

    Incorporation of aesthetic considerations in the process of landscape planning and development has frequently met with poor results due to its lack of theoretical basis, public involvement, and failure to deal with spatial implications. This problem has been especially evident when dealing with large areas, for example, the Adirondacks, Scenic Highways, and National Forests and Parks. This study made use of public participation to evaluate scenic quality in a portion of the Niagara Escarpment in Southern Ontario, Canada. The results of this study were analyzed using the visual management model proposed by Brown and Itami (1982) as a means of assessing and evaluating scenic quality. The map analysis package formulated by Tomlin (1980) was then applied to this assessment for the purpose of spatial mapping of visual impact. The results of this study illustrate that it is possible to assess visual quality for landscape/management, preservation, and protection using a theoretical basis, public participation, and a systematic spatial mapping process.

  14. Groundwater Quality Assessment for Waste Management Area U: First Determination

    SciTech Connect

    Hodges, Floyd N.; Chou, Charissa J.

    2000-08-04

    As a result of the most recent recalculation one of the indicator parameters, specific conductance, exceeded its background value in downgradient well 299-W19-41, triggering a change from detection monitoring to groundwater quality assessment program. The major contributors to the higher specific conductance are nonhazardous constituents (i.e., sodium, calcium, magnesium, chloride, sulfate, and bicarbonate). Nitrate, chromium, and technetium-99 are present and are increasing; however, they are significantly below their drinking waster standards. Interpretation of groundwater monitoring data indicates that both the nonhazardous constituents causing elevated specific conductance in groundwater and the tank waste constituents present in groundwater at the waste management area are a result of surface water infiltration in the southern portion of the facility. There is evidence for both upgradient and waste management area sources for observed nitrate concentrations. There is no indication of an upgradient source for the observed chromium and technetium-99.

  15. Quality, management, and the interplay of self-assessment, process assessments, and performance-based observations

    NASA Astrophysics Data System (ADS)

    Willett, D. J.

    1993-04-01

    In this document, the author presents his observations on the topic of quality assurance (QA). Traditionally the focus of quality management has been on QA organizations, manuals, procedures, audits, and assessments; quality was measured by the degree of conformance to specifications or standards. Today quality is defined as satisfying user needs and is measured by user satisfaction. The author proposes that quality is the responsibility of line organizations and staff and not the responsibility of the QA group. This work outlines an effective Conduct of Operations program. The author concludes his observations with a discussion of how quality is analogous to leadership.

  16. A soil quality and metabolic activity assessment after fifty-seven years of agricultural management

    USDA-ARS?s Scientific Manuscript database

    Soil quality assessment is a proactive process for understanding the long-term effects of soil and crop management practices within agricultural watersheds. The objective of this study was to assess the impact of management on the soil quality in fields with 57 yrs of known management history. The f...

  17. IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  18. (AWMA) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  19. IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  20. IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  1. (AWMA) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  2. Groundwater Quality Assessment for Waste Management Area U: First Determination

    SciTech Connect

    FN Hodges; CJ Chou

    2000-08-04

    Waste Management Area U (TWA U) is located in the 200 West Area of the Hanford Site. The area includes the U Tank Farm, which contains 16 single-shell tanks and their ancillary equipment and waste systems. WMA U is regulated under the Resource Conservation and Recovery Act of 1976 (RCRA) as stipulated in 40 CFR Part 265, Subpart F, which is incorporated into the Washington State dangerous waste regulations (WAC 173-303400) by reference. Groundwater monitoring at WMA U has been guided by an interim status indicator evaluation program. As a result of changes in the direction of groundwater flow, background values for the WMA have been recalculated several times during its monitoring history. The most recent recalculation revealed that one of the indicator parameters, specific conductance, exceeded its background value in downgradient well 299-W19-41. This triggered a change from detection monitoring to a groundwater quality assessment program. The major contributors to the higher specific conductance are nonhazardous constituents, such as bicarbonate, calcium, chloride, magnesium, sodium and sulfate. Chromium, nitrate, and technetium-99 are present and are increasing; however, they are significantly below their drinking water standards. The objective of this study is to determine whether the increased concentrations of chromium, nitrate, and technetium-99 in groundwater are from WMA U or from an upgradient source. Interpretation of groundwater monitoring data indicates that both the nonhazardous constituents causing elevated specific conductance in groundwater and the tank waste constituents present in groundwater at the WMA are a result of surface water infiltration in the southern portion of the WMA. There is evidence that both upgradient and WMA sources contribute to the nitrate concentrations that were detected. There is no indication of an upgradient source for the chromium and technetium-99 that was detected. Therefore, a source of contamination appears to

  3. Quality Management and Self Assessment Tools for Public Libraries.

    ERIC Educational Resources Information Center

    Evans, Margaret Kinnell

    This paper describes a two-year study by the British Library Research and Innovation Centre that examined the potential of self-assessment for public library services. The approaches that formed the basis for the investigation were the Business Excellence Model, the Quality Framework, and the Democratic Approach. Core values were identified by…

  4. Total Quality Management Assessment, Teaching, and Learning: Toward a Campuswide Language and System.

    ERIC Educational Resources Information Center

    Jones, Jesse; Timmerman, Linda

    1994-01-01

    Describes the processes required for ensuring a successful transition to Total Quality Management (TQM) methods of assessment, suggesting that a campuswide assessment terminology must replace the different assessment terminologies used by faculty and administration. Indicates that TQM provides an overarching philosophy about work and providing…

  5. Practitioners as Educators: Formal Quality Assessment of the Bristol MSc in Information and Library Management.

    ERIC Educational Resources Information Center

    Heery, Mike

    2001-01-01

    Reports on a quality assessment of the MSc in Information and Library Management at the University of Bristol (United Kingdom) that is taught by practicing library and information science professionals. Describes the Quality Assurance Agency for Higher Education and explains why they gave the course a strong endorsement. (Author/LRW)

  6. Auditing and assessing nutrient management for air quality.

    USDA-ARS?s Scientific Manuscript database

    The potential adverse effects of concentrated animal feeding operations (CAFO) on the environment are a growing concern. Until recently, the effects of CAFO on air quality have received little attention. The air quality concerns of CAFO vary with the location, type of operation, and other factors....

  7. Assessment and management of water quality of Kshipra River in Ujjain City (Madhya Pradesh), India.

    PubMed

    Gupta, R C; Gupta, Ajay K; Shrivastava, R K

    2013-04-01

    This paper shows the water quality status and its assessment through Water Quality Index (WQI), various sources of pollution in the river and the possible strategies to restore the water quality of River Kshipra to its pristine status. The data procured from M.P. Pollution Control Board and WQI reveals that its water quality ranges from medium to bad. The study reveals that Khan River water is a major source of pollution to the River Kshipra. Implementation of sustainable management plan along with proper sewerage planning, watershed management and maintaining sufficient dilution flow will control the pollution in the River Kshipra.

  8. Managing Air Quality - Human Health, Environmental and Economic Assessments

    EPA Pesticide Factsheets

    Human health and environmental assessments characterize health and environmental risks associated with exposure to pollution. Economic assessments evaluate the cost and economic impact of a policy or regulation & can estimate economic benefits.

  9. Techniques of fisheries management: water quality assessment with stream insects

    Treesearch

    A. Dennis Lemly

    2000-01-01

    Nutrient enrichment of streams is a long-standing problem that continues to have substantial local and regional consequences. For example, water quality of streams in the southern Appalachian Mountains of the U.S. can be seriously degraded by organic nutrients leached from animal wastes if cattle or other livestock are allowed to graze in the riparian zone. Local...

  10. Cost Quality Management Assessment for the Idaho Operations Office. Final report

    SciTech Connect

    1995-06-01

    The Office of Engineering and Cost Management (EM-24) conducted a Cost Quality Management Assessment of EM-30 and EM-40 activities at the Idaho National Engineering Laboratory on Feb. 3--19, 1992 (Round I). The CQMA team assessed the cost and cost-related management activities at INEL. The Round II CQMA, conducted at INEL Sept. 19--29, 1994, reviewed EM-30, EM-40, EM-50, and EM-60 cost and cost-related management practices against performance objectives and criteria. Round II did not address indirect cost analysis. INEL has made measurable progress since Round I.

  11. Assessing the impact of continuous quality improvement/total quality management: concept versus implementation.

    PubMed Central

    Shortell, S M; O'Brien, J L; Carman, J M; Foster, R W; Hughes, E F; Boerstler, H; O'Connor, E J

    1995-01-01

    OBJECTIVE: This study examines the relationships among organizational culture, quality improvement processes and selected outcomes for a sample of up to 61 U. S. hospitals. DATA SOURCES AND STUDY SETTING: Primary data were collected from 61 U. S. hospitals (located primarily in the midwest and the west) on measures related to continuous quality improvement/total quality management (CQI/TQM), organizational culture, implementation approaches, and degree of quality improvement implementation based on the Baldrige Award criteria. These data were combined with independently collected data on perceived impact and objective measures of clinical efficiency (i.e., charges and length of stay) for six clinical conditions. STUDY DESIGN: The study involved cross-sectional examination of the named relationships. DATA COLLECTION/EXTRACTION METHODS: Reliable and valid scales for the organizational culture and quality improvement implementation measures were developed based on responses from over 7,000 individuals across the 61 hospitals with an overall completion rate of 72 percent. Independent data on perceived impact were collected from a national survey and independent data on clinical efficiency from a companion study of managed care. PRINCIPAL FINDINGS: A participative, flexible, risk-taking organizational culture was significantly related to quality improvement implementation. Quality improvement implementation, in turn, was positively associated with greater perceived patient outcomes and human resource development. Larger-size hospitals experienced lower clinical efficiency with regard to higher charges and higher length of stay, due in part to having more bureaucratic and hierarchical cultures that serve as a barrier to quality improvement implementation. CONCLUSIONS: What really matters is whether or not a hospital has a culture that supports quality improvement work and an approach that encourages flexible implementation. Larger-size hospitals face more difficult

  12. Retrospective assessment of air quality management practices in Taiwan

    NASA Astrophysics Data System (ADS)

    Kuo, Pei-Hsuan; Ni, Pei-Chen; Keats, Andrew; Tsuang, Ben-Jei; Lan, Yung-Yao; Lin, Min-Der; Chen, Chien-Lung; Tu, Yueh-Yuan; Chang, Len-Fu; Chang, Ken-Hui

    In 1995, Taiwan's Environmental Protection Administration (EPA/TW) instituted a policy of levying emission taxes on polluters in order to combat the rampant national issue of pollution. Since that time, pollution control strategies, tightening exhaust emission standards for industry, improvements in fuel quality, and new stricter vehicle emission standards, etc., have been implemented. This study evaluates the effectiveness of these measures and examines the improvement of Taiwan's air quality. In this paper, we conduct a detailed analysis of change in the concentrations of pollutants (SO 2, NO x and particulate matter [PM]) between two three-year periods (from 1996 to1998 and from 2000 to 2002). The pollution levels were generally lower in the latter period. Concentrations at 14 EPA/TW stations in central Taiwan were simulated and source apportionment analyses in three of Central Taiwan's largest cities were conducted using a trajectory transfer-coefficient air quality model. Correlation coefficients ( r) between simulations and observations for the monthly means of the concentrations of SO 2, NO x, PM 2.5 and PM 10 during the study periods at the 14 stations are 0.56, 0.63, 0.70 and 0.31, respectively. The sulfur control policy greatly reduced SO 2 concentration island-wide, a stringent emission standard put into place for gasoline vehicles reduced NO x concentration along highways, and an emissions tax placed on construction sites, as well as a regular program for road-dust sweeping, reduced primary particulate matter. Among all of the pollution abatement policies implemented, the most effective method for reducing PM 2.5 concentrations in the three largest cities involved the reduction of fine ammonium sulfate aerosols from point sources (56-63% of net PM 2.5 reduction). The next largest reduction was attributed to a diminishment in primary PM 2.5 emanating from point sources (27-56% of net PM 2.5 reduction). Secondary particulate matter, especially sulfate

  13. Quality of Information Assurance - Assessment, Management and Use (QIAAMU)

    DTIC Science & Technology

    2013-04-01

    see how QIAAMU runtime assessment and tradeoff mechanism can adapt the sys- tem and mission operation to maximize the overall QoS and IA satisfaction of...mission to a configuration that offers maximal satisfaction to all QoS and security requirements. If it finds a configuration that satisfies all...configuration that does not satisfy all re- quirements, but the overall level of satisfaction is better than the original configuration, then some mission

  14. Management impacts and remote sensing applications for water quality assessment

    NASA Astrophysics Data System (ADS)

    Thoma, David Patrick

    This research, consisting of three parts, was designed to improve understanding of non-point pollution sources in the Minnesota River Basin and how adoption of conservation tillage practice (chisel plow with about 30% residue cover) might affect non-point source pollution and crop yield from relatively flat lands in the Minnesota River Basin. The first part was a plot experiment at Lamberton, MN that tested the water quality impacts of two tillage (moldboard vs. chisel) systems, and two nutrient source (liquid hog manure vs. urea) treatments. Four years of natural surface runoff and tile drainage showed few significant differences in water quality parameters from these relatively flat plots. Annual average sediment loss from the plots was 1260 kg/ha with 1.4 kg/ha and 0.13 kg/ha associated total and dissolved P loss respectively. Annual average NO3-N losses through tile drainage were 9.1 kg/ha. Average annual corn grain yield was reduced by 0.4 Mg/ha in the four-year average yield under the chisel system. The second project investigated remote sensing and the Tillage Transect Survey (TTS) accuracy for measuring crop residue cover. When residues were grouped into 5 cover categories the TTS accuracy (49%) outperformed all models (best model = 39%), but models performed as good or better (up to 80%) than the TTS when only two cover categories were used. The third project used airborne scanning laser altimetry to determine mass wasting of bank materials from the Blue Earth River. For the time between the April 2000 and April 2001 scans, between 23 and 56% of the sediment transported by the river had its source from bank collapse and erosion. For the same period, total P contribution from riverbank erosion was 201 t.

  15. Environmental quality of Long Island Sound: Assessment and management issues

    SciTech Connect

    Wolfe, D.A.; Farrow, D.R.G.; Robertson, A. ); Monahan, R. ); Stacey, P.E. )

    1991-09-01

    Estimated pollutant loadings to Long Island Sound (LIS) are presented and discussed in the context of current information on population trends and land-use characteristics within the drainage basin of the sound. For the conventional pollutants (BOD, N, and P) and for most of the metals examined, the fluxes to LIS from wastewater treatment plants approach or exceed the fluxes from riverine sources. Urban runoff is a significant source for only a few contaminants, such as lead and petroleum hydrocarbons. Atmospheric flux estimates made for other areas are extrapolated to LIS, and this source appears to be significant for lead, zinc, and polynuclear aromatic hydrocarbons, and chlorinated pesticides. Continued population growth is projected through 2010, both in the urban centers of the western sound and in the coastal counties surrounding the central and eastern portions of LIS. This growth will place increased pollution pressure on the sound and increased demands on already scarce coastal and estuarine land-use categories. Close interaction between environmental planners, managers, and scientists is required to identify effective control strategies for reducing existing pollutant stress to the sound and for minimizing the effects of future development.

  16. Quality Management and Information Brokerage.

    ERIC Educational Resources Information Center

    van Halm, Johan

    1995-01-01

    To compete effectively, information brokers need to adopt management and marketing tools; Total Quality Management can upgrade an organization's performance by using customer feedback of its services. SERVQUAL identifies gaps in service by assessing quality expectations versus quality experiences. (AEF)

  17. Quality Management and Information Brokerage.

    ERIC Educational Resources Information Center

    van Halm, Johan

    1995-01-01

    To compete effectively, information brokers need to adopt management and marketing tools; Total Quality Management can upgrade an organization's performance by using customer feedback of its services. SERVQUAL identifies gaps in service by assessing quality expectations versus quality experiences. (AEF)

  18. Assessing the quality and usability of smartphone apps for pain self-management.

    PubMed

    Reynoldson, Charmian; Stones, Catherine; Allsop, Matthew; Gardner, Peter; Bennett, Michael I; Closs, S José; Jones, Rick; Knapp, Peter

    2014-06-01

    To evaluate smartphone apps intended for self-management of pain using quality assessment criteria and usability testing with prospective users. 1) Survey and content analysis of available apps; and 2) individual usability study of two apps. University of Leeds, United Kingdom. Forty-one participants (aged 19-59 years) with experience of chronic or recurrent pain episodes. We undertook a survey, content analysis, and quality appraisal of all currently available mobile phone apps for self-management of pain. Two apps were then selected and assessed with usability testing. Twelve apps met the inclusion criteria. The quality assessment revealed wide variation in their clinical content, interface design, and usability to support self-management of pain. Very little user or clinician involvement was identified in the development of the apps. From the usability testing, participants stated a preference for an interface design employing a lighter color scheme and particular text font. Although very few participants were aware of pain-reporting apps prior to participation, many would consider use in the future. Variation in app quality and a lack of user and clinician engagement in development were found across the pain apps in this research. Usability testing identified a range of user preferences. Although useful information was obtained, it would be beneficial to involve users earlier in the process of development, as well as establishing ways to merge end user requirements with evidence-based content, to provide high-quality and usable apps for self-management of pain. Wiley Periodicals, Inc.

  19. (NEW YORK) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  20. ( RTP, NC ) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  1. ( RTP, NC ) IMPROVING EMISSION INVENTORIES FOR EFFECTIVE AIR-QUALITY MANAGEMENT ACROSS NORTH AMERICA - A NARSTO ASSESSMENT

    EPA Science Inventory

    The NARSTO Ozone and Particulate Matter Assessments emphasized that emission inventories are critical to the success of air quality management programs and that emissions inventories in Canada, Mexico, and the United States need improvement to meet expectations for quality, timel...

  2. Performance-based management and quality of work: an empirical assessment.

    PubMed

    Falzon, Pierre; Nascimento, Adelaide; Gaudart, Corinne; Piney, Cécile; Dujarier, Marie-Anne; Germe, Jean-François

    2012-01-01

    In France, in the private sector as in the public sector, performance-based management tends to become a norm. Performance-based management is supposed to improve service quality, productivity and efficiency, transparency of allotted means and achieved results, and to better focus the activity of employees and of the whole organization. This text reports a study conducted for the French Ministry of Budget by a team of researchers in ergonomics, sociology and management science, in order to assess the impact of performance-based management on employees, on teams and on work organization. About 100 interviews were conducted with employees of all categories and 6 working groups were set up in order to discuss and validate or amend our first analyses. Results concern several aspects: workload and work intensification, indicators and performance management and the transformation of jobs induced by performance management.

  3. A Risk-based Assessment And Management Framework For Multipollutant Air Quality.

    PubMed

    Frey, H Christopher; Hubbell, Bryan

    2009-06-01

    The National Research Council recommended both a risk- and performance-based multipollutant approach to air quality management. Specifically, management decisions should be based on minimizing the exposure to, and risk of adverse effects from, multiple sources of air pollution and that the success of these decisions should be measured by how well they achieved this objective. We briefly describe risk analysis and its application within the current approach to air quality management. Recommendations are made as to how current practice could evolve to support a fully risk- and performance-based multipollutant air quality management system. The ability to implement a risk assessment framework in a credible and policy-relevant manner depends on the availability of component models and data which are scientifically sound and developed with an understanding of their application in integrated assessments. The same can be said about accountability assessments used to evaluate the outcomes of decisions made using such frameworks. The existing risk analysis framework, although typically applied to individual pollutants, is conceptually well suited for analyzing multipollutant management actions. Many elements of this framework, such as emissions and air quality modeling, already exist with multipollutant characteristics. However, the framework needs to be supported with information on exposure and concentration response relationships that result from multipollutant health studies. Because the causal chain that links management actions to emission reductions, air quality improvements, exposure reductions and health outcomes is parallel between prospective risk analyses and retrospective accountability assessments, both types of assessment should be placed within a single framework with common metrics and indicators where possible. Improvements in risk reductions can be obtained by adopting a multipollutant risk analysis framework within the current air quality management

  4. A Risk-based Assessment And Management Framework For Multipollutant Air Quality

    PubMed Central

    Frey, H. Christopher; Hubbell, Bryan

    2010-01-01

    The National Research Council recommended both a risk- and performance-based multipollutant approach to air quality management. Specifically, management decisions should be based on minimizing the exposure to, and risk of adverse effects from, multiple sources of air pollution and that the success of these decisions should be measured by how well they achieved this objective. We briefly describe risk analysis and its application within the current approach to air quality management. Recommendations are made as to how current practice could evolve to support a fully risk- and performance-based multipollutant air quality management system. The ability to implement a risk assessment framework in a credible and policy-relevant manner depends on the availability of component models and data which are scientifically sound and developed with an understanding of their application in integrated assessments. The same can be said about accountability assessments used to evaluate the outcomes of decisions made using such frameworks. The existing risk analysis framework, although typically applied to individual pollutants, is conceptually well suited for analyzing multipollutant management actions. Many elements of this framework, such as emissions and air quality modeling, already exist with multipollutant characteristics. However, the framework needs to be supported with information on exposure and concentration response relationships that result from multipollutant health studies. Because the causal chain that links management actions to emission reductions, air quality improvements, exposure reductions and health outcomes is parallel between prospective risk analyses and retrospective accountability assessments, both types of assessment should be placed within a single framework with common metrics and indicators where possible. Improvements in risk reductions can be obtained by adopting a multipollutant risk analysis framework within the current air quality management

  5. Assessing the Relationship of Knowledge Management Effectiveness and Assessment Quality Improvement

    ERIC Educational Resources Information Center

    Ringhand, Darlene Gail

    2009-01-01

    Administrators at post-secondary institutions have found that national or regional accreditation is necessary to remain competitive in the higher education market with evidence of assessment considered a positive measure for accreditation. This quantitative study examined the correlation between the ranked levels of knowledge management within…

  6. Assessing the Relationship of Knowledge Management Effectiveness and Assessment Quality Improvement

    ERIC Educational Resources Information Center

    Ringhand, Darlene Gail

    2009-01-01

    Administrators at post-secondary institutions have found that national or regional accreditation is necessary to remain competitive in the higher education market with evidence of assessment considered a positive measure for accreditation. This quantitative study examined the correlation between the ranked levels of knowledge management within…

  7. A human ecological assessment of air quality management: A convergence in economic and ecological thinking?

    NASA Astrophysics Data System (ADS)

    Simpson, R. W.

    1988-05-01

    Traditional air pollution management practices are examined using the human ecological framework adopted by Boyden and others (1981) in their study of Hong Kong—the biohistorical or biosocial approach. The subsequent analysis of current air quality management practices assesses their effectiveness in protecting the overall health of both humans and the natural environment. The uncertainties inherent in air pollution management practices which emerge highlight the need to reduce emissions rather than rely on scientific knowledge to define “clean” air. The assessment also clearly defines roles for research in various areas such as atmospheric models, health effects, and environmental damage. The final recommendations emphasize the need for the introduction of such incentives to reduce emissions as economic instruments and warn against using health information to define clean air. Health and environmental damage information can, however, be used in risk assessment strategies together with atmospheric dispersion models.

  8. Assessment of Quality of Life in Patients With Skin Disorders Undergoing Ayurvedic Panchakarma (Biopurification) as Management.

    PubMed

    Deshpande, Harish; Shivakumar; Kavita, M B; Tripathy, T B; Chaturvedi, Ashutosh

    2016-07-01

    Chronic skin conditions can have a negative impact on one's quality of life, affecting their physical, functional, and emotional well-being. Whereas biopurifactory measures (panchakarma) of Ayurveda claims to provide better quality of life after treatment. Hence current study is planned to provide evidence in patients with skin disorders, undergoing Ayurvedic treatment. Sixty patients with skin disorder, who underwent purification therapies like therapeutic emesis and therapeutic purgation, were randomly placed in 2 groups to assess quality of life. Quality of life assessment was done with the help of Skindex-29 among the patients before and after Ayurvedic purification therapy. Thereafter, the quality of life assessment was done on the first follow-up. A statistically significant improvement in the quality of life domains-emotions, functioning, and symptoms-after the Ayurvedic management was observed with P value <.001. Study concludes that there is improvement in quality of life among patients with skin disease after undergoing Ayurveda purification therapies. © The Author(s) 2015.

  9. The development of an audit technique to assess the quality of safety barrier management.

    PubMed

    Guldenmund, Frank; Hale, Andrew; Goossens, Louis; Betten, Jeroen; Duijm, Nijs Jan

    2006-03-31

    This paper describes the development of a management model to control barriers devised to prevent major hazard scenarios. Additionally, an audit technique is explained that assesses the quality of such a management system. The final purpose of the audit technique is to quantify those aspects of the management system that have a direct impact on the reliability and effectiveness of the barriers and, hence, the probability of the scenarios involved. First, an outline of the management model is given and its elements are explained. Then, the development of the audit technique is described. Because the audit technique uses actual major hazard scenarios and barriers within these as its focus, the technique achieves a concreteness and clarity that many other techniques often lack. However, this strength is also its limitation, since the full safety management system is not covered with the technique. Finally, some preliminary experiences obtained from several test sites are compiled and discussed.

  10. An outcomes analysis approach to utilization management: quality assessment of appropriateness of specialty referrals.

    PubMed

    Warren, B H

    1994-01-01

    This report illustrates some methods by which to identify, guide, and develop acceptable levels of expected outcomes, defined as the validity or appropriateness of specialty referrals or procedures, through utilization management case studies and interventions. Outcomes variables may be used as standardized ongoing measures of cost-effectiveness and quality of health care services, focusing on appropriateness of utilization of specialty resources and health care technology. Community, regional, and national standards for such measures are currently being developed and evaluated for assessing the appropriateness of the use of health care technology. These standards for desired or expected outcomes need to become an integral part of utilization management as well as quality assessment and improvement, and are very helpful tools for developing specific interventions to be used for improving upon and documenting the cost-effective delivery of care within health services organizations.

  11. Parallel Quality Assessment of Emergency Departments by European Foundation for Quality Management Model and Iranian National Program for Hospital Evaluation

    PubMed Central

    IMANI NASAB, Mohammad Hasan; MOHAGHEGH, Bahram; KHALESI, Nader; JAAFARIPOOYAN, Ebrahim

    2013-01-01

    Background European Foundation for Quality Management (EFQM) model is a widely used quality management system (QMS) worldwide, including Iran. Current study aims to verify the quality assessment results of Iranian National Program for Hospital Evaluation (INPHE) based on those of EFQM. Methods: This cross-sectional study was conducted in 2012 on a sample of emergency departments (EDs) affiliated with Tehran University of Medical Sciences (TUMS), Iran. The standard questionnaire of EFQM (V-2010) was used to gather appropriate data. The results were compared with those of INPHE. MS Excel was used to classify and display the findings. Results: The average assessment score of the EDs based on the INPHE and EFQM model were largely different (i.e. 86.4% and 31%, respectively). In addition, the variation range among five EDs’ scores according to each model was also considerable (22% for EFQM against 7% of INPHE), especially in the EDs with and without prior record of applying QMSs. Conclusion: The INPHE’s assessment results were not confirmed by EFQM model. Moreover, the higher variation range among EDs’ scores using EFQM model could allude to its more differentiation power in assessing the performance comparing with INPHE. Therefore, a need for improvement in the latter drawing on other QMSs’ (such as EFQM) strengths, given the results emanated from its comparison with EFQM seems indispensable. PMID:23967429

  12. Quality indicators for the assessment and management of pain in the emergency department: A systematic review

    PubMed Central

    Stang, Antonia S; Hartling, Lisa; Fera, Cassandra; Johnson, David; Ali, Samina

    2014-01-01

    BACKGROUND: Evidence indicates that pain is undertreated in the emergency department (ED). The first step in improving the pain experience for ED patients is to accurately and systematically assess the actual care being provided. Identifying gaps in the assessment and treatment of pain and improving patient outcomes requires relevant, evidence-based performance measures. OBJECTIVE: To systematically review the literature and identify quality indicators specific to the assessment and management of pain in the ED. METHODS: Four major bibliographical databases were searched from January 1980 to December 2010, and relevant journals and conference proceedings were manually searched. Original research that described the development or collection of data on one or more quality indicators relevant to the assessment or management of pain in the ED was included. RESULTS: The search identified 18,078 citations. Twenty-three articles were included: 15 observational (cohort) studies; three before-after studies; three audits; one quality indicator development study; and one survey. Methodological quality was moderate, with weaknesses in the reporting of study design and methodology. Twenty unique indicators were identified, with the majority (16 of 20) measuring care processes. Overall, 91% (21 of 23) of the studies reported indicators for the assessment or management of presenting pain, as opposed to procedural pain. Three of the studies included children; however, none of the indicators were developed specifically for a pediatric population. CONCLUSION: Gaps in the existing literature include a lack of measures reflecting procedural pain, patient outcomes and the pediatric population. Future efforts should focus on developing indicators specific to these key areas. PMID:25337856

  13. Clinical technology assessment, cost-effective adoption, and quality management by hospitals in the 1990s.

    PubMed

    Veluchamy, S; Saver, C L

    1990-06-01

    Technology assessment in the 1990s must become an integral part of a hospital's strategic priority goals, with active participation of physicians and top management. Technology assessment should involve a wide range of criteria and health care consumer expectations, so that the appropriateness, effectiveness, cost-effectiveness, and quality improvement aspects of new technologies are all considered. Mount Carmel Health's Advanced Treatment and Bionics Institute (ATBI), established in 1986, monitors significant developments in new technologies and performs technology and outcomes assessments. ATBI activities, which have facilitated adoption of 35 treatment-based projects, are integrated into the existing QA structure of Mount Carmel hospitals. Through resolution of identified problems, quality care can be promoted, while providing patients innovative medical treatments.

  14. Novel approaches to assess the quality of fertility data stored in dairy herd management software.

    PubMed

    Hermans, K; Waegeman, W; Opsomer, G; Van Ranst, B; De Koster, J; Van Eetvelde, M; Hostens, M

    2017-03-02

    Scientific journals and popular press magazines are littered with articles in which the authors use data from dairy herd management software. Almost none of such papers include data cleaning and data quality assessment in their study design despite this being a very critical step during data mining. This paper presents 2 novel data cleaning methods that permit identification of animals with good and bad data quality. The first method is a deterministic or rule-based data cleaning method. Reproduction and mutation or life-changing events such as birth and death were converted to a symbolic (alphabetical letter) representation and split into triplets (3-letter code). The triplets were manually labeled as physiologically correct, suspicious, or impossible. The deterministic data cleaning method was applied to assess the quality of data stored in dairy herd management from 26 farms enrolled in the herd health management program from the Faculty of Veterinary Medicine Ghent University, Belgium. In total, 150,443 triplets were created, 65.4% were labeled as correct, 17.4% as suspicious, and 17.2% as impossible. The second method, a probabilistic method, uses a machine learning algorithm (random forests) to predict the correctness of fertility and mutation events in an early stage of data cleaning. The prediction accuracy of the random forests algorithm was compared with a classical linear statistical method (penalized logistic regression), outperforming the latter substantially, with a superior receiver operating characteristic curve and a higher accuracy (89 vs. 72%). From those results, we conclude that the triplet method can be used to assess the quality of reproduction data stored in dairy herd management software and that a machine learning technique such as random forests is capable of predicting the correctness of fertility data.

  15. A watershed scale assessment of the impacts of suburban turf management on runoff water quality

    NASA Astrophysics Data System (ADS)

    Bachman, M.; Inamdar, S. P.; Barton, S.; Duke, J.; Tallamy, D.; Bruck, J.

    2014-12-01

    Steadily increasing rates of urbanization have raised concerns about the negative impacts of urban runoff on receiving surface water quality. These concerns have been further amplified by landscaping paradigms that encourage high-input, intensively-managed and mono-culture turf and lawn landscapes. We conducted a watershed-scale assessment of turf management practices on water quality vis-à-vis less-intensive management practices that preserve and enhance more diverse and native vegetation. The study treatments with existing/established vegetation and landscaping practices included turf, urban, forest, meadow, and a mixed site with a professional golf course. Stream water sampling was performed during baseflow and storm events. Highest nutrient (nitrate and total nitrogen) concentrations in runoff were observed for the mixed watershed draining the golf course. In contrast, nutrient concentrations in baseflow from the turf watershed were lower than expected and were comparable to those measured in the surrounding meadow and forest sites. Runoff losses from the turf site may have been minimal due to the optimal quality of management implemented. Total nitrogen concentrations from the turf site increased sharply during the first storms following fertilization, suggesting that despite optimal management there exists a risk for nutrient runoff following fertilization. Dissolved organic carbon (DOC) concentrations from the turf site were elevated and aromatic in content while the mixed watershed site yielded more labile DOM. Overall, this study suggests that turf lawns, when managed properly, pose minimal environmental risk to surrounding surface waters. Based on the results of this study, providing homeowners with increased information regarding best management practices for lawn maintenance may serve as a cost-efficient method for reducing suburban runoff pollution.

  16. Development and validation of an index to assess hospital quality management systems

    PubMed Central

    Wagner, C.; Groene, O.; Thompson, C. A.; Klazinga, N. S.; Dersarkissian, M.; Arah, O. A.; Suñol, R.; Klazinga, N; Kringos, DS; Lombarts, MJMH; Plochg, T; Lopez, MA; Secanell, M; Sunol, R; Vallejo, P; Bartels, P; Kristensen, S; Michel, P; Saillour-Glenisson, F; Vlcek, F; Car, M; Jones, S; Klaus, E; Bottaro, S; Garel, P; Saluvan, M; Bruneau, C; Depaigne-Loth, A; Shaw, C; Hammer, A; Ommen, O; Pfaff, H; Groene, O; Botje, D; Wagner, C; Kutaj-Wasikowska, H; Kutryba, B; Escoval, A; Lívio, A; Eiras, M; Franca, M; Leite, I; Almeman, F; Kus, H; Ozturk, K; Mannion, R; Arah, OA; Chow, A; DerSarkissian, M; Thompson, CA; Wang, A; Thompson, A

    2014-01-01

    Objective The aim of this study was to develop and validate an index to assess the implementation of quality management systems (QMSs) in European countries. Design Questionnaire development was facilitated through expert opinion, literature review and earlier empirical research. A cross-sectional online survey utilizing the questionnaire was undertaken between May 2011 and February 2012. We used psychometric methods to explore the factor structure, reliability and validity of the instrument. Setting and participants As part of the Deepening our Understanding of Quality improvement in Europe (DUQuE) project, we invited a random sample of 188 hospitals in 7 countries. The quality managers of these hospitals were the main respondents. Main Outcome Measure The extent of implementation of QMSs. Results Factor analysis yielded nine scales, which were combined to build the Quality Management Systems Index. Cronbach's reliability coefficients were satisfactory (ranging from 0.72 to 0.82) for eight scales and low for one scale (0.48). Corrected item-total correlations provided adequate evidence of factor homogeneity. Inter-scale correlations showed that every factor was related, but also distinct, and added to the index. Construct validity testing showed that the index was related to recent measures of quality. Participating hospitals attained a mean value of 19.7 (standard deviation of 4.7) on the index that theoretically ranged from 0 to 27. Conclusion Assessing QMSs across Europe has the potential to help policy-makers and other stakeholders to compare hospitals and focus on the most important areas for improvement. PMID:24618212

  17. A conceptual framework for quality assessment and management of biodiversity data.

    PubMed

    Veiga, Allan Koch; Saraiva, Antonio Mauro; Chapman, Arthur David; Morris, Paul John; Gendreau, Christian; Schigel, Dmitry; Robertson, Tim James

    2017-01-01

    The increasing availability of digitized biodiversity data worldwide, provided by an increasing number of institutions and researchers, and the growing use of those data for a variety of purposes have raised concerns related to the "fitness for use" of such data and the impact of data quality (DQ) on the outcomes of analyses, reports, and decisions. A consistent approach to assess and manage data quality is currently critical for biodiversity data users. However, achieving this goal has been particularly challenging because of idiosyncrasies inherent in the concept of quality. DQ assessment and management cannot be performed if we have not clearly established the quality needs from a data user's standpoint. This paper defines a formal conceptual framework to support the biodiversity informatics community allowing for the description of the meaning of "fitness for use" from a data user's perspective in a common and standardized manner. This proposed framework defines nine concepts organized into three classes: DQ Needs, DQ Solutions and DQ Report. The framework is intended to formalize human thinking into well-defined components to make it possible to share and reuse concepts of DQ needs, solutions and reports in a common way among user communities. With this framework, we establish a common ground for the collaborative development of solutions for DQ assessment and management based on data fitness for use principles. To validate the framework, we present a proof of concept based on a case study at the Museum of Comparative Zoology of Harvard University. In future work, we will use the framework to engage the biodiversity informatics community to formalize and share DQ profiles related to DQ needs across the community.

  18. A conceptual framework for quality assessment and management of biodiversity data

    PubMed Central

    Saraiva, Antonio Mauro; Chapman, Arthur David; Morris, Paul John; Gendreau, Christian; Schigel, Dmitry; Robertson, Tim James

    2017-01-01

    The increasing availability of digitized biodiversity data worldwide, provided by an increasing number of institutions and researchers, and the growing use of those data for a variety of purposes have raised concerns related to the "fitness for use" of such data and the impact of data quality (DQ) on the outcomes of analyses, reports, and decisions. A consistent approach to assess and manage data quality is currently critical for biodiversity data users. However, achieving this goal has been particularly challenging because of idiosyncrasies inherent in the concept of quality. DQ assessment and management cannot be performed if we have not clearly established the quality needs from a data user’s standpoint. This paper defines a formal conceptual framework to support the biodiversity informatics community allowing for the description of the meaning of "fitness for use" from a data user’s perspective in a common and standardized manner. This proposed framework defines nine concepts organized into three classes: DQ Needs, DQ Solutions and DQ Report. The framework is intended to formalize human thinking into well-defined components to make it possible to share and reuse concepts of DQ needs, solutions and reports in a common way among user communities. With this framework, we establish a common ground for the collaborative development of solutions for DQ assessment and management based on data fitness for use principles. To validate the framework, we present a proof of concept based on a case study at the Museum of Comparative Zoology of Harvard University. In future work, we will use the framework to engage the biodiversity informatics community to formalize and share DQ profiles related to DQ needs across the community. PMID:28658288

  19. A simple method for assessing available weather data quality for site specific nutrient management

    NASA Astrophysics Data System (ADS)

    Fuka, D. R.; Collick, A.; Kleinman, P. J. A.; Sommerlot, A.; Easton, Z. M.

    2014-12-01

    Phosphorous (P) Indices are an assessment tool used to identifying agricultural fields most vulnerable to P losses. In the two decades since its introduction, the P Indexing concept has evolved, and there are now P Indices that serve as Best Management Practice (BMP) selection and targeting. While the use of observed P loss data under various management scenarios is the ideal way to assess the accuracy of the P Indices, water quality data, particularly at the field scale, are not widely available and can require years of costly field research to generate. In place of in-situ water quality measurements, the use of locally relevant and corroborated water quality models is a more expedient option to conduct index assessments in the short time required for new standards. The input forcing data required by these models include precipitation and temperature. Unfortunately obtaining representative meteorological data for watershed-scale hydrological modelling can be difficult and time consuming. Land-based weather stations do not always adequately represent the weather occurring over a watershed because they can be far from the watershed of interest and can have gaps in their data series, or recent data are not available. Fuka et al. (2013) has shown that readily available short term forecasting data can match the accuracy of using traditional weather gauging stations, especially when the closest stations are more than 10km from the watershed. In this study we demonstrate a methodology to ascertain the most representative openly accessible weather forcing data for running water quality models in any location in the US. For this P-Index assessment, nine representative project watersheds from the three regional consortiums--Heartland, Chesapeake Bay, and Southern Regions--are used to demonstrate this method of determining what is the most representative weather forcing data for any location within the regions.

  20. Study of microarthropod communities to assess soil quality in different managed vineyards

    NASA Astrophysics Data System (ADS)

    Gagnarli, Elena; Vignozzi, Nadia; Valboa, Giuseppe; Bouneb, Mabrouk; Corino, Lorenzo; Goggioli, Donatella; Guidi, Silvia; Lottero, Mariarosa; Tarchi, Franca; Simoni, Sauro

    2014-05-01

    Land use type influences the abundance and diversity of soil arthropods. The evaluation of the effects of different crop managements on soil quality is commonly requested; it can be pursued by means of the determination of communities' structure of edaphic fauna. The development and application of biological indices may represent an efficient mean to assess soil quality. We evaluated the effect of crop managements (organic and Integrated Pest Management-IPM) in some vineyards in Piedmont (Italy) on soil biota in relation to some physical and chemical characteristics of the soil. The study was performed in eleven sites, including seven organic and four IPM managed vineyards located in the Costigliole d'Asti area. Samplings were carried out during the winter 2011 and the spring 2012. Soil samples were collected using a cylindrical soil core sampler (3cm diameter x 30cm height): each sample was a cylindrical soil core which was equally subdivided to study arthropod communities at different depth ranges. Additional samples were collected and analyzed for the following soil physical and chemical properties: texture (sedigraph method), pH (1:2.5 soil/water), total organic carbon (TOC), total nitrogen (NT) and calcium carbonate (dry combustion by CN analyzer). The extraction of microarthropods was performed using the selector Berlese-Tullgren. All specimens were counted and determined up to the order level. The influence of soil properties and of agronomic practices on the abundance of mesofauna was evaluated by multivariate analysis (MANOVA). The biological soil quality was also defined through the determination of biotic indices such as the qualitative and quantitative QBSar (Quality Biological Soil - arthropods), and biodiversity indices such as species richness and indices of Shannon-Wiener (H') and Simpson (D). Overall, more than four thousands arthropods were collected and the highest abundance was in biological management with about 2:1 ratio (biological vs

  1. Assessing the Quality of Higher Education in the United Kingdom: Librarianship and Information Management as a Case-Study

    ERIC Educational Resources Information Center

    Cochrane, Clive

    2004-01-01

    Provides a chronological account of the processes employed to assess the quality of Librarianship and Information Management (LIM) education in the Wales, England and Scotland between 1994 and 2002. Explains the three methodologies implemented to assess quality. Highlights firstly, how the diversity of the UK impacts on the implementation of…

  2. Assessing the Quality of Higher Education in the United Kingdom: Librarianship and Information Management as a Case-Study

    ERIC Educational Resources Information Center

    Cochrane, Clive

    2004-01-01

    Provides a chronological account of the processes employed to assess the quality of Librarianship and Information Management (LIM) education in the Wales, England and Scotland between 1994 and 2002. Explains the three methodologies implemented to assess quality. Highlights firstly, how the diversity of the UK impacts on the implementation of…

  3. Instructional Leadership for Quality Learning: An Assessment of the Impact of the Primary School Management Development Project in Botswana

    ERIC Educational Resources Information Center

    Pansiri, Nkobi Owen

    2008-01-01

    A descriptive study using questionnaires was conducted in 2004 to assess the effectiveness of instructional leadership displayed by primary school management teams following the implementation of the Primary School Management Project in Botswana. Leadership skills, Coordination of instructional activities, management of curriculum and quality of…

  4. Instructional Leadership for Quality Learning: An Assessment of the Impact of the Primary School Management Development Project in Botswana

    ERIC Educational Resources Information Center

    Pansiri, Nkobi Owen

    2008-01-01

    A descriptive study using questionnaires was conducted in 2004 to assess the effectiveness of instructional leadership displayed by primary school management teams following the implementation of the Primary School Management Project in Botswana. Leadership skills, Coordination of instructional activities, management of curriculum and quality of…

  5. Air quality risk management.

    PubMed

    Williams, Martin L

    2008-01-01

    Rather than attempt to provide a comprehensive account of air quality risk assessment, as might be found in a textbook or manual, this article discusses some issues that are of current importance in the United Kingdom and the rest of Europe, with special emphasis on risk assessment in the context of policy formulation, and emerging scientific knowledge. There are two pollutants of particular concern and that both pose challenges for risk assessment and policy, and they are particulate matter (PM) and ozone. The article describes some issues for health risk assessment and finally some forward-looking suggestions for future approaches to air quality management.

  6. Report of the Department of Energy, Office of Environmental Management, Quality Assessment Program, inorganic intercomparison study

    SciTech Connect

    Greenlaw, P.D.

    1996-07-01

    This report presents results from the soil inorganic analysis of the 44th set of environmental quality assessment samples, of the quality assessment program, that were received on or before June 3, 1996. The samples were analyzed for RCRA metals.

  7. Using National Ambient Air Quality Standards for fine particulate matter to assess regional wildland fire smoke and air quality management.

    PubMed

    Schweizer, Don; Cisneros, Ricardo; Traina, Samuel; Ghezzehei, Teamrat A; Shaw, Glenn

    2017-10-01

    Wildland fire is an important ecological process in the California Sierra Nevada. Personal accounts from pre-20th century describe a much smokier environment than present day. The policy of suppression beginning in the early 20th century and climate change are contributing to increased megafires. We use a single particulate monitoring site at the wildland urban interface to explore impacts from prescribed, managed, and full suppression wildland fires from 2006 to 2015 producing a contextual assessment of smoke impacts over time at the landscape level. Prescribed fire had little effect on local fine particulate matter (PM2.5) air quality with readings typical of similar non-fire times; hourly and daily good to moderate Air Quality Index (AQI) for PM2.5, maximum hourly concentrations 21-103 μg m(-3), and mean concentrations between 7.7 and 13.2 μg m(-3). Hourly and daily AQI was typically good or moderate during managed fires with 3 h and one day reaching unhealthy while the site remained below National Ambient Air Quality Standards (NAAQS), with maximum hourly concentrations 27-244 μg m(-3), and mean concentrations 6.7-11.7 μg m(-3). The large high intensity fire in this area created the highest short term impacts (AQI unhealthy for 4 h and very unhealthy for 1 h), 11 unhealthy for sensitive days, and produced the only annual value (43.9 μg m(-3)) over the NAAQS 98th percentile for PM2.5 (35 μg m(-3)). Pinehurst remained below the federal standards for PM2.5 when wildland fire in the local area was managed to 7800 ha (8-22% of the historic burn area). Considering air quality impacts from smoke using the NAAQS at a landscape level over time can give land and air managers a metric for broader evaluation of smoke impacts particularly when assessing ecologically beneficial fire. Allowing managers to control the amount and timing of individual wildland fire emissions can help lessen large smoke impacts to public health from a megafire. Published by

  8. Case study of microarthropod communities to assess soil quality in different managed vineyards

    NASA Astrophysics Data System (ADS)

    Gagnarli, E.; Goggioli, D.; Tarchi, F.; Guidi, S.; Nannelli, R.; Vignozzi, N.; Valboa, G.; Lottero, M. R.; Corino, L.; Simoni, S.

    2015-07-01

    Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly sought, and the determination of community structures of edaphic fauna can represent an efficient tool. In the area of Langhe (Piedmont, Italy), eight vineyards characterized for physical and chemical properties (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate) were selected. We evaluated the effect of two types of crop management, organic and integrated pest management (IPM), on abundance and biodiversity of microarthropods living at the soil surface. Soil sampling was carried out in winter 2011 and spring 2012. All specimens were counted and determined up to the order level. The biodiversity analysis was performed using ecological indexes (taxa richness, dominance, Shannon-Wiener, Buzas and Gibson's evenness, Margalef, equitability, Berger-Parker), and the biological soil quality was assessed with the BSQ-ar index. The mesofauna abundance was affected by both the type of management and sampling time. On the whole, a higher abundance was in organic vineyards (N = 1981) than in IPM ones (N = 1062). The analysis performed by ecological indexes showed quite a high level of biodiversity in this environment, particularly in May 2012. Furthermore, the BSQ-ar values registered were similar to those obtained in preserved soils.

  9. Managing Assessment.

    ERIC Educational Resources Information Center

    Further Education Development Agency, London (England).

    This document, which is intended for curriculum managers at British further education colleges, presents guidelines for developing and implementing a college assessment policy based on the principle that the objectives of all assessment procedures and policies are as follows: enhance the assessment provision within colleges; ensure that assessment…

  10. Quality Metadata Management for Geospatial Scientific Workflows: from Retrieving to Assessing with Online Tools

    NASA Astrophysics Data System (ADS)

    Leibovici, D. G.; Pourabdollah, A.; Jackson, M.

    2011-12-01

    Experts and decision-makers use or develop models to monitor global and local changes of the environment. Their activities require the combination of data and processing services in a flow of operations and spatial data computations: a geospatial scientific workflow. The seamless ability to generate, re-use and modify a geospatial scientific workflow is an important requirement but the quality of outcomes is equally much important [1]. Metadata information attached to the data and processes, and particularly their quality, is essential to assess the reliability of the scientific model that represents a workflow [2]. Managing tools, dealing with qualitative and quantitative metadata measures of the quality associated with a workflow, are, therefore, required for the modellers. To ensure interoperability, ISO and OGC standards [3] are to be adopted, allowing for example one to define metadata profiles and to retrieve them via web service interfaces. However these standards need a few extensions when looking at workflows, particularly in the context of geoprocesses metadata. We propose to fill this gap (i) at first through the provision of a metadata profile for the quality of processes, and (ii) through providing a framework, based on XPDL [4], to manage the quality information. Web Processing Services are used to implement a range of metadata analyses on the workflow in order to evaluate and present quality information at different levels of the workflow. This generates the metadata quality, stored in the XPDL file. The focus is (a) on the visual representations of the quality, summarizing the retrieved quality information either from the standardized metadata profiles of the components or from non-standard quality information e.g., Web 2.0 information, and (b) on the estimated qualities of the outputs derived from meta-propagation of uncertainties (a principle that we have introduced [5]). An a priori validation of the future decision-making supported by the

  11. Assessment of a Megacity Air Quality Management Policy using the GAINS-Korea : Seoul metropolitan area Air Quality Management Plan(SAQMP)

    NASA Astrophysics Data System (ADS)

    Kim, Y.; Woo, J. H.; Ahn, Y. H.; Choi, K. C.; Kim, H. K.; Lee, Y. M.; Amann, M.; Wagner, F.; Lee, J. B.; Song, C. K.; Han, J. S.

    2014-12-01

    Air pollution in and near megacities are very severe because of their massive pollutant emissions and high population density. Korea has ambitiously set its 2nd phase capitol air quality improvement program called Seoul metropolitan area Air Quality Management Plan(SAQMP), targeting the year 2024. The air quality improvement targets for the year 2024 are 30 ug/m3 and 20 ug/m3 for PM10 and pm2.5, respectively and planned expenditure are almost 4 billion US dollar. Emissions of PM10, PM2.5 are required to be decreased up to 35%, 45%, respectively, from their future baseline level. Various special measures, such as cap-and-trade, LNB, EURO standards program, will be implemented to control emissions over Seoul, Incheon, and Gyeonggi-do area. Smart approach of reducing air pollution and GHGs are, however, required to maximize improvement of metropolitan air quality and climate change. IIASA's Greenhouse gas - Air pollution Interactions aNd Synergies(GAINS) modeling framework is an widely used tool to design and manage smart emission control strategies that can achieve air quality/climate improvements with least costs. We have developed the national version of GAINS for Korea (GAINS-Korea) to set up those strategies for national and regional scale. In this study, we have implemented SAQMP in the GAINS-Korea Model and assess its effects of emissions reduction and air quality improvements. Various analysis results using the framework will be presented at site.

  12. Multipollutant air quality management.

    PubMed

    Hidy, George M; Pennell, William T

    2010-06-01

    On the basis of a recent NARSTO assessment, this review discusses the factors involved in the implementation of a risk- and results-based multipollutant air quality management strategy applicable to North America. Such a strategy could evolve from current single-pollutant regulatory practices using a series of steps that would seek to minimize risk of exposure for humans and ecosystems while providing for a quantitative evaluation of the effectiveness of the management process. The tools needed to support multipollutant air quality management are summarized. They include application of a formal risk analysis, accounting for atmospheric processes, ambient measurements, emissions characterization, air quality modeling of emissions to ambient concentrations, and characterization of human and ecological responses to ambient pollutant exposure. The new management strategy would expand the current practice of accountability that relates emission reductions and attainment of air quality derived from air quality criteria and standards. Conceptually, achievement of accountability would establish goals optimizing risk reduction associated with pollution management. This expanded approach takes into account the sequence of processes from emissions reduction to resulting changes in ambient concentration. Using ambient concentration as a proxy for exposure, the resulting improvement in human and ecosystem health is estimated. The degree to which this chain of processes and effects can be achieved in current practice is examined in a multipollutant context exemplified by oxidants, as indicated by ozone, particulate matter, and some hazardous air pollutants. Achievement of a multipollutant management strategy will mostly depend on improving knowledge about human and ecosystem response to pollutant exposure.

  13. Identifying and assessing highly hazardous drugs within quality risk management programs.

    PubMed

    Sussman, Robert G; Schatz, Anthony R; Kimmel, Tracy A; Ader, Allan; Naumann, Bruce D; Weideman, Patricia A

    2016-08-01

    Historically, pharmaceutical industry regulatory guidelines have assigned certain active pharmaceutical ingredients (APIs) to various categories of concern, such as "cytotoxic", "hormones", and "steroids". These categories have been used to identify APIs requiring segregation or dedication in order to prevent cross-contamination and protect the quality and safety of drug products. Since these terms were never defined by regulatory authorities, and many novel pharmacological mechanisms challenge these categories, there is a recognized need to modify the historical use of these terms. The application of a risk-based approach using a health-based limit, such as an acceptable daily exposure (ADE), is more appropriate for the development of a Quality Risk Management Program (QRMP) than the use of categories of concern. The toxicological and pharmacological characteristics of these categories are discussed to help identify and prioritize compounds requiring special attention. Controlling airborne concentrations and the contamination of product contact surfaces in accordance with values derived from quantitative risk assessments can prevent adverse effects in workers and patients, regardless of specific categorical designations to which these APIs have been assigned. The authors acknowledge the movement away from placing compounds into categories and, while not yet universal, the importance of basing QRMPs on compound-specific ADEs and risk assessments. Based on the results of a risk assessment, segregation and dedication may also be required for some compounds to prevent cross contamination during manufacture of APIs. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Does human resource management improve family planning service quality? Analysis from the Kenya Service Provision Assessment 2010.

    PubMed

    Thatte, Nandita; Choi, Yoonjoung

    2015-04-01

    Human resource (HR) management is a priority for health systems strengthening in developing countries, yet few studies have empirically examined associations with service quality. The purpose of this study was to assess the relationship between HR management and family planning (FP) service quality. Data came from the 2010 Kenya Service Provision Assessment, a nationally representative health facility assessment. In total, 912 FP consultations from 301 facilities were analysed. Four indices were created to measure quality on reproductive history taking, physical examination, sexually transmitted infections prevention and pill/injectable specific counselling. HR management variables included training in the past year, any and supportive (i.e. with feedback, technical updates and discussion) in-person supervision in the past 6 months and having a written job description. Multivariate linear regression analyses were conducted to estimate coefficients of HR management variables on each of the four quality indices, adjusting for background characteristics of clients, provider and facilities. The level of service quality ranged from 16 to 53 out of a maximum score of 100 across the indices. Fifty-two per cent of consultations were done by providers who received supportive in-person supervision in the previous 6 months. In 23% and 38% of consultations, the provider was trained in the past year and had a written job description, respectively. Multivariate analyses indicated that having a written job description was associated with higher service quality in history taking, physical examination and the pill/injectable specific counselling. Other HR management variables were not significantly associated with service quality. Having a written job description was significantly associated with higher service quality and may be a useful tool for strengthening management practices. The details of such job descriptions and the quality of other management indicators should be

  15. The Imprecise Science of Evaluating Scholarly Performance: Utilizing Broad Quality Categories for an Assessment of Business and Management Journals

    ERIC Educational Resources Information Center

    Lange, Thomas

    2006-01-01

    In a growing number of countries, government-appointed assessment panels develop ranks on the basis of the quality of scholarly outputs to apportion budgets in recognition of evaluated performance and to justify public funds for future R&D activities. When business and management journals are being grouped in broad quality categories, a recent…

  16. Comparison of seven water quality assessment methods for the characterization and management of highly impaired river systems.

    PubMed

    Ji, Xiaoliang; Dahlgren, Randy A; Zhang, Minghua

    2016-01-01

    In the context of water resource management and pollution control, the characterization of water quality impairments and identification of dominant pollutants are of critical importance. In this study, water quality impairment was assessed on the basis of 7 hydrochemical variables that were monitored bimonthly at 17 sites in 2010 along the rural-suburban-urban portion of the Wen-Rui Tang River in eastern China. Seven methods were used to assess water quality in the river system. These methods included single-factor assessment, water quality grading, comprehensive pollution index, the Nemerow pollution index, principle component analysis, fuzzy comprehensive evaluation, and comprehensive water quality identification index. Our analysis showed that the comprehensive water quality identification index was the best method for assessing water quality in the Wen-Rui Tang River due to its ability to effectively characterize highly polluted waters with multiple impairments. Furthermore, a guideline for the applications of these methods was presented based on their characteristics and efficacy. Results indicated that the dominant pollutant impairing water quality was total nitrogen comprised mainly of ammonium. The temporal variation of water quality was closely related to precipitation as a result of dilution. The spatial variation of water quality was associated with anthropogenic influences (urban, industrial, and agriculture activities) and water flow direction (downstream segments experiencing cumulative effects of upstream inputs). These findings provide valuable information and guidance for water pollution control and water resource management in highly polluted surface waters with multiple water quality impairments in areas with rapid industrial growth and urbanization.

  17. Groundwater quality assessment plan for the Metallurgical Laboratory Hazardous Waste Management Facility

    SciTech Connect

    Jerome, K.M.

    1990-10-01

    The Metallurgical Laboratory Hazardous Waste Management Facility (MLHWMF) will be closed under interim status regulation and permitted as a hazardous waste management facility by a Post Closure Part B Permit under 40 CFR 264. This report discusses the ground water quality assessment plan for the MLHWMF. The Metallurgical Laboratory Hazardous Waste Management Facility consists of the process sewer line leading to the Metallurgical Laboratory basin from the fence, the Metallurgical Laboratory basin, the drainage outfall to the Carolina bay, and the Carolina bay itself. The Metallurgical Laboratory HWMF received F001, F003, F007, and D011 waste. F001 waste includes spent halogenated solvents used in degreasing (trichloroethylene, 1,1,1-trichloroethane, and carbon tetrachloride). F003 waste includes spent nonhalogenated solvents (acetone), and F007 waste is spent cyanide plating bath solution. At present forty-three constituents are analyzed per sample. Trichloroethylene, tetrachloroethylene, and total radium are the only constituents that were reported above Primary Drinking Water Standards (PDWS) during the second quarter of 1990. Listed in this report are the constituents that are being analyzed at present. Appendix A presents the trends for the analyzed constituents from the fourth quarter of 1988 to the second quarter of 1990. 5 figs., 5 tabs.

  18. Sustainable management of harbours : a numerical approach for the assessment of waters quality

    NASA Astrophysics Data System (ADS)

    Bonamano, Simone; Madonia, Alice; Piazzolla, Daniele; Paladini de Mendoza, Francesco; Piermattei, Viviana; Scanu, Sergio; Melchiorri, Cristiano; Marcelli, Marco

    2017-04-01

    Within the Water Framework Directive (WFD), harbours must reach or maintain the good ecological potential, being classified as heavily modified water bodies. To fulfill this task and to comply the Marine Spatial Planning (MSP) principles, port managers have to monitor the water quality that can be compromised by the numerous activities including the realization of new infrastructures. The port of Civitavecchia, located on the central west coast of Italy, is undergoing to major structural changes to become one of the first ports of the Mediterranean in terms of passenger traffic and goods, thus requiring the development of management tools for the predictive assessment of harbour water quality. This study focused on the evaluation of water degradation within Civitavecchia port trough the calculation of Flushing time (FT) and the development of the new Flushing Efficiency Index (FEI). FT was calculated through the use of a numerical model under different scenarios selected combining different weather conditions with the new port configurations. FT values was then used to estimate the FEI for the evaluation of the improvement (positive values) or the deterioration (negative values) of water quality in the different zones of the port. The increase in the harbour basin size due to the embankment extension results in high values of FT, particularly in the inner part of the port, in accordance with the highest values of the Enrichment Factor (EF) of the trace metals found in the sediment. The correlation between FT and EF confirms that renewal time can be used as a proxy to evaluate the water quality conditions in the harbour basin, as also stated by the WFD guidelines. Also the results of FEI calculation indicate the potential occurrence of water degradation due to the embankment extension. Otherwise, the realization of a second entrance in the southern part of Civitavecchia port produces FEI positive values, highlighting a drastic improvement in harbour water renewal

  19. Management Assessment.

    ERIC Educational Resources Information Center

    1998

    This document contains three papers from a symposium on management assessment. In "The Air Force ROTC (Reserve Officer Training Corps) Selection System as a Predictor of Leadership" (Orlando V. Griego, George A. Morgan, Gary D. Geroy), 102 ROTC cadets rated their own leadership characteristics and were rated by subordinates; leaders and…

  20. Management Assessment.

    ERIC Educational Resources Information Center

    1998

    This document contains three papers from a symposium on management assessment. In "The Air Force ROTC (Reserve Officer Training Corps) Selection System as a Predictor of Leadership" (Orlando V. Griego, George A. Morgan, Gary D. Geroy), 102 ROTC cadets rated their own leadership characteristics and were rated by subordinates; leaders and…

  1. [Endorsement of risk management and patient safety by certification of conformity in health care quality assessment].

    PubMed

    Waßmuth, Ralf

    2015-01-01

    Certification of conformity in health care should provide assurance of compliance with quality standards. This also includes risk management and patient safety. Based on a comprehensive definition of quality, beneficial effects on the management of risks and the enhancement of patient safety can be expected from certification of conformity. While these effects have strong face validity, they are currently not sufficiently supported by evidence from health care research. Whether this relates to a lack of evidence or a lack of investigation remains open. Advancing safety culture and "climate", as well as learning from adverse events rely in part on quality management and are at least in part reflected in the certification of healthcare quality. However, again, evidence of the effectiveness of such measures is limited. Moreover, additional factors related to personality, attitude and proactive action of healthcare professionals are crucial factors in advancing risk management and patient safety which are currently not adequately reflected in certification of conformity programs.

  2. Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement

    PubMed Central

    Farokhzadian, Jamileh; Nayeri, Nahid Dehghan; Borhani, Fariba

    2015-01-01

    Background: Clinical risks have created major problems in healthcare system such as serious adverse effects on patient safety and enhancing the financial burden for the healthcare. Thus, clinical risk management (CRM) system has been introduced for improving the quality and safety of services to health care. The aim of this study was to assess the status of CRM in the hospitals. Methods: A cross-sectional study was conducted on 200 nursing staff from three teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast of Iran. Data were collected from the participants using questionnaire and observational checklist in quality improvement offices and selected wards. The data were analyzed using SPSS version 20. Results: Almost, 57% of persons participated in at least one of training sessions on CRM. The status of CRM system was rated from weak to moderate (2.93±0.72- 3.18±0.66). Among the six domains of CRM system, the highest mean belonged to domain the monitoring of analysis, evaluation and risk control (3.18±0.72); the lowest mean belonged to domain the staff’s knowledge, recognition and understanding of CRM (2.93±0.66). There were no integrated electronic systems for recording and analyzing clinical risks and incidents in the hospitals. Conclusion: Attempts have been made to establish CRM through improvement quality approach such as clinical governance and accreditation, but not enough, however, health care should move toward quality improvement and safe practice through the effective integration of CRM in organizational process. PMID:26156927

  3. Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement.

    PubMed

    Farokhzadian, Jamileh; Dehghan Nayeri, Nahid; Borhani, Fariba

    2015-03-18

    Clinical risks have created major problems in healthcare system such as serious adverse effects on patient safety and enhancing the financial burden for the healthcare. Thus, clinical risk management (CRM) system has been introduced for improving the quality and safety of services to health care. The aim of this study was to assess the status of CRM in the hospitals. A cross-sectional study was conducted on 200 nursing staff from three teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast of Iran. Data were collected from the participants using questionnaire and observational checklist in quality improvement offices and selected wards. The data were analyzed using SPSS version 20. Almost, 57% of persons participated in at least one of training sessions on CRM. The status of CRM system was rated from weak to moderate (2.93±0.72- 3.18±0.66). Among the six domains of CRM system, the highest mean belonged to domain the monitoring of analysis, evaluation and risk control (3.18±0.72); the lowest mean belonged to domain the staff's knowledge, recognition and understanding of CRM (2.93±0.66). There were no integrated electronic systems for recording and analyzing clinical risks and incidents in the hospitals. Attempts have been made to establish CRM through improvement quality approach such as clinical governance and accreditation, but not enough, however, health care should move toward quality improvement and safe practice through the effective integration of CRM in organizational process.

  4. Assessment of an intervention to train teaching hospital care providers in quality management

    PubMed Central

    Francois, P; Vinck, D; Labarere, J; Reverdy, T; Peyrin, J

    2005-01-01

    Background: Successful implementation of continuous quality improvement (CQI) programs in hospitals remains rare in all countries, making it necessary to experiment with implementation methods while considering the cultural factors of resistance to change. Objective: To assess the impact of an educational intervention on involvement of clinical department staff in the quality process. Setting: Twelve voluntary clinical departments (six experimental and six controls) in a French 2000-bed university hospital comprising 40 clinical departments. Intervention: Three day training seminar to a group of 12–20 staff members from each department. Design: Quasi-experimental post-test only design study with control group conducted 12 months after the intervention with a questionnaire completed in a face-to-face interview. Subjects: 98 trained staff and 100 untrained staff from the six experimental departments and 100 staff from the six control departments. Principal measurements: Declared knowledge of the CQI methods and participation in quality management activities. Results: 286 people (96%) were involved in the study. More of the trained staff knew the CQI methods (62.4%) than staff in the control departments (16.5%) (adjusted odds ratio (ORa) = 10.6 (95% CI 4.97 to 22.62)). More trained staff also participated in quality improvement work groups than control department staff (76.3% v 14.0%; ORa = 27.4 (95% CI 11.6 to 64.4)). In the experimental departments the untrained staff's knowledge of CQI methods and their participation in work groups did not differ from that of control department staff. Conclusions: A continuing education intervention can involve care providers in CQI. Dissemination of knowledge from trained personnel to other staff members remains limited. PMID:16076785

  5. Quality Management in Education.

    ERIC Educational Resources Information Center

    Tribus, Myron

    When transferring the methods of quality management from industry to academia, there are important differences that must be considered. This paper describes the differences between traditional management and quality management, and shows how Deming's principles of Total Quality Management (TQM) can be applied to education. Some of these principles…

  6. How do we know? An assessment of integrated community case management data quality in four districts of Malawi.

    PubMed

    Yourkavitch, Jennifer; Zalisk, Kirsten; Prosnitz, Debra; Luhanga, Misheck; Nsona, Humphreys

    2016-11-01

    The World Health Organization contracted annual data quality assessments of Rapid Access Expansion (RAcE) projects to review integrated community case management (iCCM) data quality and the monitoring and evaluation (M&E) system for iCCM, and to suggest ways to improve data quality. The first RAcE data quality assessment was conducted in Malawi in January 2014 and we present findings pertaining to data from the health management information system at the community, facility and other sub-national levels because RAcE grantees rely on that for most of their monitoring data. We randomly selected 10 health facilities (10% of eligible facilities) from the four RAcE project districts, and collected quantitative data with an adapted and comprehensive tool that included an assessment of Malawi's M&E system for iCCM data and a data verification exercise that traced selected indicators through the reporting system. We rated the iCCM M&E system across five function areas based on interviews and observations, and calculated verification ratios for each data reporting level. We also conducted key informant interviews with Health Surveillance Assistants and facility, district and central Ministry of Health staff. Scores show a high-functioning M&E system for iCCM with some deficiencies in data management processes. The system lacks quality controls, including data entry verification, a protocol for addressing errors, and written procedures for data collection, entry, analysis and management. Data availability was generally high except for supervision data. The data verification process identified gaps in completeness and consistency, particularly in Health Surveillance Assistants' record keeping. Staff at all levels would like more training in data management. This data quality assessment illuminates where an otherwise strong M&E system for iCCM fails to ensure some aspects of data quality. Prioritizing data management with documented protocols, additional training and

  7. Innovative assessment tools to improve water quality and watershed management in farming areas.

    PubMed

    Merot, Philippe; Aurousseau, Pierre; Gascuel-Odoux, Chantal; Durand, Patrick

    2009-01-01

    A lot of initiatives for improving water quality have been developed over the last 15 y in Brittany in response to degradation induced by intensive farming and under the pressure of European policy and environmental organizations. This has involved the partnerships of farmer organizations, organizations in charge of rural affairs, research and formation institutes, and environmental nongovernmental organizations. In this paper, we present 2 complementary aspects of an original, and possibly efficient, water policy within the framework of water management in a medium-sized watershed, including 1) development of new methods of diagnostic and decision support based on participative approaches and 2) development of new methods to assess the current status and effect of alternative scenarios, taking into account the complexity of a system with strong agricultural and hydrological variability and a relatively long response time. The 1st series of methods, which deals with the buffering capacity of landscape structures, is close to a social learning approach; the 2nd illustrates the importance, for policy makers, of a precisely defined protocol for data monitoring and analysis and of the use of spatially distributed and dynamic models when water policy is based on an obligation of results. In spite of the coexistence of all the necessary constituents of a coherent policy, it seems difficult to build. The state of current water quality illustrates the importance and limitations of incentive policy.

  8. Groundwater Quality Assessment Plan for Single-Shell Tank Waste Management Area U

    SciTech Connect

    Smith, Ronald M.; Hodges, Floyd N.; Williams, Barbara A.

    2001-08-29

    Single-Shell Tank Waste Management Area U (WMA U) is in the 200 West Area on the Hanford Site. The area includes the U Tank Farm that contains 16 underground, single-shell tanks and their ancillary equipment and waste systems. WMA U is regulated under the Resource Conservation and Recovery Act of 1976 (RCRA) as codified in 40 CFR Part 265, Subpart F and Washington's Hazardous Waste Management Act (HWMA, RCW 70.105) and its implementing requirements in the Washington State dangerous waste regulations (WAC 173-303-400). Releases of hazardous wastes from WMA U have contaminated groundwater beneath the area. Therefore, the WMA U is being assessed to determine the rate of movement and extent of the contamination released and to determine the concentrations in groundwater. The original finding of groundwater impact was determined from elevated specific conductance in downgradient well 299-W19-41. The elevated specific conductance was attributed to the nonhazardous constituents calcium, magnesium, sulfate, and chloride. Tank waste constituents nitrate and technetium-99 are also present as co-contaminants and have increased over the past several years; however, at concentrations well below the respective drinking water standards. Chromium concentrations in downgradient wells have generally exceeded background levels, but similar levels were also observed in upgradient well 299-W18-25 in early 2000 before it went dry. The objective of this report is to present the current conceptual model for how and where contaminant releases have reached the water table and how that contamination has dispersed in the groundwater system. These efforts will achieve the requirements of a groundwater quality assessment under RCRA [40 CFR 265.93 (d)(4)]. On that basis, a monitoring schedule with appropriate analytes and proposals for new wells and tests are presented in this document.

  9. Informational system as an instrument for assessing the performance of the quality management system

    NASA Astrophysics Data System (ADS)

    Rohan, R.; Roşu, M. M.

    2017-08-01

    At present there is used a significant number of techniques and methods for diagnosis and management analysis which support the decision-making process. All these methods facilitate reaching the objectives for improving the results through efficiency, quality and customer satisfaction. By developing a methodology for analysing the problems identified in the macro-productive companies there can be brought outstanding benefits to the management and there are offered new perspectives on the critical influencing factors within a system. Through this paper we present an effective management strategy, applicable to an organization with productive profile in order to design an informational system aimed to manage one of its most important and complex systems, namely the coordination of the quality management system. The informational organisation of the quality management system on management principles, ensures an optimization of the informational energy consumption, allowing the management to deal with the following: to ascertain the current situation; to seize the opportunities, but also the potential risks afferent to the organisation policy; to observe the strengths and weaknesses; to take appropriate decisions and then to control the effects obtained. In this way, the decisional factors are able to better understand the available opportunities and to base more efficiently the process of choosing the alternatives.

  10. Lake Diefenbaker: Water Quality Assessment and Modeling for Management under Environmental Change

    NASA Astrophysics Data System (ADS)

    Sereda, J.; Wheater, H. S.; Hudson, J.; Doig, L.; Liber, K.; Jones, P.; Giesy, J.; Bharadwaj, L.

    2011-12-01

    Preliminary results are presented for a comprehensive inter-disciplinary study on Lake Diefenbaker initiated by the Global Institute for Water Security to understand the physical and biogeochemical processes affecting water quality under climate change and their policy implications. Lake Diefenbaker is a large reservoir (surface area ~500km2 and Zmean ~33m) located in Southern Saskatchewan, Canada and is a critically-important water resource for Saskatchewan. It receives nearly all of its flow from the South Saskatchewan River, which flows through some of the most urbanized and intense agricultural lands of southern Alberta. As a result these waters contain high levels of nutrients [nitrogen (N) and phosphorus (P)] along with a variety of chemical contaminants characteristic of anthropogenic activity. In addition, riparian and in-lake activities provide local sources of nutrients, from domestic sewage, agriculture and fish farming. The South Saskatchewan River has been identified by the World Wildlife Fund (2009) as Canada's most threatened river in terms of environmental flow. Lake Diefenbaker has numerous large deep embayments (depth >20m) and an annual water level fluctuation of ~6m. A deep thermocline (~25m) forms infrequently. Stratification does not occur throughout the lake. Anecdotal information suggests that the frequency and severity of algal blooms are increasing; although blooms have been sporadic and localized. This localized eutrophication may be related to local stratification patterns, point source nutrient loading, and/or internal lake processes (i.e., internal nutrient loading). A paleolimnological reconstruction has begun to assess historical nutrient and contaminant loading to Lake Diefenbaker and hence the trajectory of water quality in the lake. Major point sources and diffuse sources of N and P are also under investigation. In addition, the type (N versus P) and degree of nutrient limitation of bacteria and algae are being assessed (spatially

  11. Notification: Preliminary Research to Evaluate EPA's Use of and Adherence to Quality Management Policies in Chemical Risk Assessments

    EPA Pesticide Factsheets

    Project #OPE-FY14-0012, December 19, 2013. The Office of Inspector General (OIG) is starting preliminary research on the U.S. Environmental Protection Agency’s (EPA’s) use of and adherence to quality management policies in chemical risk assessments.

  12. Vineyard zonal management for grape quality assessment by combining airborne remote sensed imagery and soil sensors

    NASA Astrophysics Data System (ADS)

    Bonilla, I.; Martínez De Toda, F.; Martínez-Casasnovas, J. A.

    2014-10-01

    Vineyard variability within the fields is well known by grape growers, producing different plant responses and fruit characteristics. Many technologies have been developed in last recent decades in order to assess this spatial variability, including remote sensing and soil sensors. In this paper we study the possibility of creating a stable classification system that better provides useful information for the grower, especially in terms of grape batch quality sorting. The work was carried out during 4 years in a rain-fed Tempranillo vineyard located in Rioja (Spain). NDVI was extracted from airborne imagery, and soil conductivity (EC) data was acquired by an EM38 sensor. Fifty-four vines were sampled at véraison for vegetative parameters and before harvest for yield and grape analysis. An Isocluster unsupervised classification in two classes was performed in 5 different ways, combining NDVI maps individually, collectively and combined with EC. The target vines were assigned in different zones depending on the clustering combination. Analysis of variance was performed in order to verify the ability of the combinations to provide the most accurate information. All combinations showed a similar behaviour concerning vegetative parameters. Yield parameters classify better by the EC-based clustering, whilst maturity grape parameters seemed to give more accuracy by combining all NDVIs and EC. Quality grape parameters (anthocyanins and phenolics), presented similar results for all combinations except for the NDVI map of the individual year, where the results were poorer. This results reveal that stable parameters (EC or/and NDVI all-together) clustering outcomes in better information for a vineyard zonal management strategy.

  13. From chemical risk assessment to environmental quality management: the challenge for soil protection.

    PubMed

    Bone, James; Head, Martin; Jones, David T; Barraclough, Declan; Archer, Michael; Scheib, Catherine; Flight, Dee; Eggleton, Paul; Voulvoulis, Nikolaos

    2011-01-01

    The 40 years that have passed since the beginning of the 'environmental revolution' has seen a large increase in development of policies for the protection of environmental media and a recognition by the public of the importance of environmental quality. There has been a shift from policy in reaction to high profile events, then to control of releases to single environmental media, and to the present position of moving toward integrated management of all environmental media at present. This development has moved away from classical chemical risk assessment toward environmental holism, including recognition of the ecological value of these media. This work details how policy developments have taken place for air and water, with examples from the USA and EU, in order to compare this with policy development regarding soil. Soil, with quite different policy frameworks and distinct uses, understanding, and threats compared to other environmental media, is currently attracting attention regarding the need for its protection independent of use. Challenges for soil policy are identified and evaluated, and recommendations on how these challenges can be overcome are discussed with relevance to water and air protection policy.

  14. Selected Aspects of Assessment/Improvement of Academic Research Quality, Also of Industrial Management

    NASA Astrophysics Data System (ADS)

    Jemala, Marek

    2016-06-01

    In terms of publishing and commercialisation of academic research results, there may be more preferred qualitative research in the long term. But, not every research can be focused only on the quality of its outputs, but each output of the research, however, should have an adequate quality and added value. The main research question of this article may be determined as follows - How can the quality of academic research be better evaluated and thus improved, also in the area of Industrial management? It is not the intention of this article to perform statistical research in the field yet, but this study is based on empirical data and results.

  15. The imprecise science of evaluating scholarly performance: utilizing broad quality categories for an assessment of business and management journals.

    PubMed

    Lange, Thomas

    2006-08-01

    In a growing number of countries, government-appointed assessment panels develop ranks on the basis of the quality of scholarly outputs to apportion budgets in recognition of evaluated performance and to justify public funds for future R&D activities. When business and management journals are being grouped in broad quality categories, a recent study has noted that this procedure was placing the same journals in essentially the same categories. Drawing on journal quality categorizations by several German- and English-speaking business departments and academic associations, the author performs nonparametric tests and correlations to analyze whether this claim can be substantiated. In particular, he examines the ability of broad quality categorizations to add value to governmental, administrative, and academic decision making by withstanding the criticism traditionally levied at research quality assessments.

  16. A comparative analysis of current microbial water quality risk assessment and management practices in British Columbia and Ontario, Canada.

    PubMed

    Dunn, Gemma; Harris, Leila; Cook, Christina; Prystajecky, Natalie

    2014-01-15

    Bacteria, protozoa and viruses are ubiquitous in aquatic environments and may pose threats to water quality for both human and ecosystem health. Microbial risk assessment and management in the water sector is a focus of governmental regulation and scientific inquiry; however, stark gaps remain in their application and interpretation. This paper evaluates how water managers practice microbial risk assessment and management in two Canadian provinces (BC and Ontario). We assess three types of entities engaged in water management along the source-to-tap spectrum (watershed agencies, water utilities, and public health authorities). We analyze and compare the approaches used by these agencies to assess and manage microbial risk (including scope, frequency, and tools). We evaluate key similarities and differences, and situate them with respect to international best practices derived from literatures related to microbial risk assessment and management. We find considerable variability in microbial risk assessment frameworks and management tools in that approaches 1) vary between provinces; 2) vary within provinces and between similar types of agencies; 3) have limited focus on microbial risk assessment for ecosystem health and 4) diverge considerably from the literature on best practices. We find that risk assessments that are formalized, routine and applied system-wide (i.e. from source-to-tap) are limited. We identify key limitations of current testing methodologies and looking forward consider the outcomes of this research within the context of new developments in microbial water quality monitoring such as tests derived from genomics and metagenomics based research. © 2013 Elsevier B.V. All rights reserved.

  17. Visual quality assessment of alternative silvicultural practices in upland hardwood management

    Treesearch

    Tim McDonald; Bryce Stokes

    1997-01-01

    Visual impacts of forest operations are of increasing concern to forest managers. Tools are available for evaluating, and potentially avoiding, problems in visual quality resulting from poorly designed harvest unit boundaries. One of these visualization tools is applied in comparing various harvest unit shape alternatives in an upland hardwood stand on steeply sloping...

  18. Total Quality Management in Higher Education: From Assessment to Improvement. An Annotated Bibliography, Second Edition.

    ERIC Educational Resources Information Center

    Peterson, Marvin W.; And Others

    This publication is an annotated bibliography of articles and key organizational sources on Total Quality Management (TQM) in higher education. The list was developed through searches of local and national data bases including Education Resources Information Center (ERIC), Public Affairs Information System (PAIS), Wilson Indexes to Journal…

  19. A Retention Assessment Process: Utilizing Total Quality Management Principles and Focus Groups

    ERIC Educational Resources Information Center

    Codjoe, Henry M.; Helms, Marilyn M.

    2005-01-01

    Retaining students is a critical topic in higher education. Methodologies abound to gather attrition data as well as key variables important to retention. Using the theories of total quality management and focus groups, this case study gathers and reports data from current college students. Key results, suggestions for replication, and areas for…

  20. A Retention Assessment Process: Utilizing Total Quality Management Principles and Focus Groups

    ERIC Educational Resources Information Center

    Codjoe, Henry M.; Helms, Marilyn M.

    2005-01-01

    Retaining students is a critical topic in higher education. Methodologies abound to gather attrition data as well as key variables important to retention. Using the theories of total quality management and focus groups, this case study gathers and reports data from current college students. Key results, suggestions for replication, and areas for…

  1. Groundwater quality assessment plan for single-shell waste management area B-BX-BY at the Hanford Site

    SciTech Connect

    SM Narbutovskih

    2000-03-31

    Pacific Northwest National Laboratory conducted a first determination groundwater quality assessment at the Hanford Site. This work was performed for the US Department of Energy, Richland Operations Office, in accordance with the Federal Facility Compliance Agreement during the time period 1996--1998. The purpose of the assessment was to determine if waste from the Single-Shell Tank (SST) Waste Management Area (WMA) B-BX-BY had entered the groundwater at levels above the drinking water standards (DWS). The resulting assessment report documented evidence demonstrating that waste from the WMA has, most likely, impacted groundwater quality. Based on 40 CFR 265.93 [d] paragraph (7), the owner-operator must continue to make the minimum required determinations of contaminant level and of rate/extent of migrations on a quarterly basis until final facility closure. These continued determinations are required because the groundwater quality assessment was implemented prior to final closure of the facility.

  2. Development, evaluation, and application of sediment quality targets for assessing and managing contaminated sediments in Tampa Bay, Florida

    USGS Publications Warehouse

    MacDonald, D.D.; Carr, R.S.; Eckenrod, D.; Greening, H.; Grabe, S.; Ingersoll, C.G.; Janicki, S.; Janicki, T.; Lindskoog, R.A.; Long, E.R.; Pribble, R.; Sloane, G.; Smorong, D.E.

    2004-01-01

    Tampa Bay is a large, urban estuary that is located in west central Florida. Although water quality conditions represent an important concern in this estuary, information from numerous sources indicates that sediment contamination also has the potential to adversely affect aquatic organisms, aquatic-dependent wildlife, and human health. As such, protecting relatively uncontaminated areas of the bay from contamination and reducing the amount of toxic chemicals in contaminated sediments have been identified as high-priority sediment management objectives for Tampa Bay. To address concerns related to sediment contamination in the bay, an ecosystem-based framework for assessing and managing sediment quality conditions was developed that included identification of sediment quality issues and concerns, development of ecosystem goals and objectives, selection of ecosystem health indicators, establishment of metrics and targets for key indicators, and incorporation of key indicators, metrics, and targets into watershed management plans and decision-making processes. This paper describes the process that was used to select and evaluate numerical sediment quality targets (SQTs) for assessing and managing contaminated sediments. These SQTs included measures of sediment chemistry, whole-sediment and pore-water toxicity, and benthic invertebrate community structure. In addition, the paper describes how the SQTs were used to develop site-specific concentration-response models that describe how the frequency of adverse biological effects changes with increasing concentrations of chemicals of potential concern. Finally, a key application of the SQTs for defining sediment management areas is discussed.

  3. Statistical quality management

    NASA Astrophysics Data System (ADS)

    Vanderlaan, Paul

    1992-10-01

    Some aspects of statistical quality management are discussed. Quality has to be defined as a concrete, measurable quantity. The concepts of Total Quality Management (TQM), Statistical Process Control (SPC), and inspection are explained. In most cases SPC is better than inspection. It can be concluded that statistics has great possibilities in the field of TQM.

  4. Study of microarthopod communities to assess soil quality in different managed vineyards

    NASA Astrophysics Data System (ADS)

    Gagnarli, E.; Goggioli, D.; Tarchi, F.; Guidi, S.; Nannelli, R.; Vignozzi, N.; Valboa, G.; Lottero, M. R.; Corino, L.; Simoni, S.

    2015-01-01

    Land use influences the abundance and diversity of soil arthropods. The evaluation of the impact of different management strategies on soil quality is increasingly requested. The determination of communities' structures of edaphic fauna can represent an efficient tool. In this study, in some vineyards in Piedmont (Italy), the effects of two different management systems, organic and integrated pest management (IPM), on soil biota were evaluated. As microarthropods living in soil surface are an important component of soil ecosystem interacting with all the other system components, a multi disciplinary approach was adopted by characterizing also some soil physical and chemical characteristics (soil texture, soil pH, total organic carbon, total nitrogen, calcium carbonate). Soil samplings were carried out on Winter 2011 and Spring 2012. All specimens were counted and determined up to the order level. The biological quality of the soil was defined through the determination of ecological indices, such as QBS-ar, species richness and indices of Shannon-Weaver, Pielou, Margalef and Simpson. The mesofauna abundance was affected by both the type of management and the soil texture. The analysis of microarthropod communities by QBS-ar showed higher values in organic than in IPM managed vineyards; in particular, the values registered in organic vineyards were similar to those characteristic of preserved soils.

  5. Quality Self Assessment: A Process of Course Team Development or Contrived Collegiality and Impression Management?

    ERIC Educational Resources Information Center

    Boocock, Andrew

    2011-01-01

    Ethnographic research in an FE College (College X) between 2000 and 2005 was designed to uncover the extent to which quality self-assessment processes had effectively utilised productive motivational inputs (i.e. lecturer self-interest, intrinsic motivation, altruism and tacit knowledge) in line with New Labour's agenda of improved skills in…

  6. Quality Self Assessment: A Process of Course Team Development or Contrived Collegiality and Impression Management?

    ERIC Educational Resources Information Center

    Boocock, Andrew

    2011-01-01

    Ethnographic research in an FE College (College X) between 2000 and 2005 was designed to uncover the extent to which quality self-assessment processes had effectively utilised productive motivational inputs (i.e. lecturer self-interest, intrinsic motivation, altruism and tacit knowledge) in line with New Labour's agenda of improved skills in…

  7. Semi-annual report of the Department of Energy, Office of Environmental Management, Quality Assessment Program

    SciTech Connect

    Greenlaw, P.D.; Minick, S.K.

    1998-07-01

    This Quality Assessment Program (QAP) is designed to test the quality of the environmental measurements being reported to the Department of Energy by its contractors. Since 1976, real or synthetic environmental samples that have been prepared and thoroughly analyzed at the Environmental Measurements Laboratory (EML) have been distributed at first quarterly and then semi-annually to these contractors. Their results, which are returned to EML within 90 days, are compiled with EML`s results and are reported back to the participating contractors 30 days later. This report presents the results from the analysis of the 48th set of environmental quality assessment samples (QAP XLVIII) that were received on or before June 1, 1998.

  8. Semi-annual report of the Department of Energy, Office of Environmental Management, Quality Assessment Program

    SciTech Connect

    Greenlaw, P.D.

    1998-01-01

    This Quality Assessment Program (QAP) is designed to test the quality of the environmental measurements being reported to the Department of Energy by its contractors. Since 1976, real or synthetic environmental samples that have been prepared and thoroughly analyzed at the Environmental Measurements Laboratory (EML) have been distributed at first quarterly and then semi-annually to these contractors. Their results, which are returned to EML within 90 days, are compiled with EML`s results and are reported back to the participating contractors 30 days later. A summary of the reported results is available to the participants 4 days after the reporting deadline via the Internet at www.eml.doe.gov. This report presents the results from the analysis of the 47th set of environmental quality assessment samples (QAP XLVII) that were received on or before December 1, 1997.

  9. Accepting uncertainty, assessing risk: decision quality in managing wildfire, forest resource values, and new technology

    Treesearch

    Jeffrey G. Borchers

    2005-01-01

    The risks, uncertainties, and social conflicts surrounding uncharacteristic wildfire and forest resource values have defied conventional approaches to planning and decision-making. Paradoxically, the adoption of technological innovations such as risk assessment, decision analysis, and landscape simulation models by land management organizations has been limited. The...

  10. Identification of sensitive indicators to assess the interrelationship between soil quality, management practices and human health

    NASA Astrophysics Data System (ADS)

    Zornoza, R.; Acosta, J. A.; Bastida, F.; Domínguez, S. G.; Toledo, D. M.; Faz, A.

    2015-02-01

    Soil quality (SQ) assessment has long been a challenging issue, since soils present high variability in properties and functions. This paper aims to increase the understanding of SQ through the review of SQ assessments in different scenarios providing evidence about the interrelationship between SQ, land use and human health. There is a general consensus that there is a need to develop methods to assess and monitor SQ for assuring sustainable land use with no prejudicial effects on human health. This review points out the importance of adopting indicators of different nature (physical, chemical and biological) to achieve a holistic image of SQ. Most authors use single indicators to assess SQ and its relationship with land uses - soil organic carbon and pH being the most used indicators. The use of nitrogen and nutrient content has resulted sensitive for agricultural and forest systems, together with physical properties such as texture, bulk density, available water and aggregate stability. These physical indicators have also been widely used to assess SQ after land use changes. The use of biological indicators is less generalized, with microbial biomass and enzyme activities being the most selected indicators. Although most authors assess SQ using independent indicators, it is preferable to combine some of them into models to create a soil quality index (SQI), since it provides integrated information about soil processes and functioning. The majority of revised articles used the same methodology to establish an SQI, based on scoring and weighting of different soil indicators, selected by means of multivariate analyses. The use of multiple linear regressions has been successfully used for forest land use. Urban soil quality has been poorly assessed, with a lack of adoption of SQIs. In addition, SQ assessments where human health indicators or exposure pathways are incorporated are practically inexistent. Thus, further efforts should be carried out to establish new

  11. Identification of sensitive indicators to assess the interrelationship between soil quality, management practices and human health

    NASA Astrophysics Data System (ADS)

    Zornoza, R.; Acosta, J. A.; Bastida, F.; Domínguez, S. G.; Toledo, D. M.; Faz, A.

    2014-09-01

    Soil quality (SQ) assessment has been a challenging issue since soils present high variability in properties and functions. This paper aims to increase understanding of SQ through review of SQ assessments in different scenarios providing evidence about the interrelationship between SQ, land use and human health. There is a general consensus that there is a need to develop methods to assess and monitor SQ for assuring sustainable land use with no prejudicial effects on human health. This review points out the importance of adopting indicators of different nature (physical, chemical and biological) to achieve a holistic image of SQ. Most authors use single indicators to assess SQ and its relationship with land uses, being the most used indicators soil organic carbon and pH. The use of nitrogen and nutrients content has resulted sensitive for agricultural and forest systems, together with physical properties such as texture, bulk density, available water and aggregate stability. These physical indicators have also been widely used to assess SQ after land use changes. The use of biological indicators is less generalized, being microbial biomass and enzyme activities the most selected indicators. Although most authors assess SQ using independent indicators, it is preferable to combine some of them into models to create a soil quality index (SQI), since it provides integrated information about soil processes and functioning. The majority of revised articles used the same methodology to establish a SQI, based on scoring and weighting of different soil indicators, selected by multivariate analyses. The use of multiple linear regressions has been successfully used under forest land use. Urban soil quality has been poorly assessed, with lack of adoption of SQIs. In addition, SQ assessments were human health indicators or exposure pathways are incorporated are practically inexistent. Thus, new efforts should be carried out to establish new methodologies not only to assess

  12. Assessing the value of information for water quality management in the North Sea.

    PubMed

    Bouma, J A; van der Woerd, H J; Kuik, O J

    2009-02-01

    Global Earth Observation (GEO) is one of the most important sources of information for environmental resource management and disaster prevention. With budgets for GEO increasingly under pressure, it is becoming important to be able to quantify the returns to informational investments. For this, a clear analytical framework is lacking. By combining Bayesian decision theory with an empirical, stakeholder-oriented approach, this paper attempts to develop such a framework. The analysis focuses on the use of satellite observations for Dutch water quality management in the North Sea. Dutch water quality management currently relies on information from 'in situ' measurements but is considering extending and deepening its information base with satellite observations. To estimate returns to additional investments in satellite observation, we analyze the added value of an extended monitoring system for the management of eutrophication, potentially harmful algal blooms and suspended sediment and turbidity in the North Sea. First, we develop a model to make the potential contribution of information to welfare explicit. Second, we use this model to develop a questionnaire and interpret the results. The results indicate that the expected welfare impact of investing in satellite observation is positive, but that outcomes strongly depend on the accuracy of the information system and the range of informational benefits perceived.

  13. IS0 9000 Implementation and Assessment: A Guide to Developing and Evaluating Quality Management Systems

    NASA Technical Reports Server (NTRS)

    Navarro, Robert J.; Grimm, Barry

    1996-01-01

    The agency has developed this reference publication to aid NASA organizations and their suppliers in the transition to IS0 9000. This guide focuses on the standard s intent, clarifies its requirements, offers implementation examples and highlights interrelated areas. It can assist anyone developing or evaluating NASA or supplier quality management systems. The IS0 9000 standards contain the basic elements for managing those processes that affect an organization's ability to consistently meet customer requirements. IS0 9000 was developed through the International Organization for Standardization and has been adopted as the US. national standard. These standards define a flexible foundation for customer focused process measurement, management and improvement that is the hallmark of world class enterprises.

  14. On neural network techniques in the secure management of communication systems through improving and quality assessing pseudorandom stream generators.

    PubMed

    Karras, D A; Zorkadis, V

    2003-01-01

    Random components play an especially important role in the management of secure communication systems, with emphasis on the key management of cryptographic protocols. For this reason, the existence of strong pseudo random number generators is highly required. This paper presents novel techniques, which rely on Artificial Neural Network (ANN) architectures, to strengthen traditional generators such as IDEA and ANSI X.9 based on 3DES and IDEA. Additionally, this paper proposes a non-linear test method for the quality assessment of the required non-predictability property, which relies on feedforward neural networks. This non-predictability test method along with commonly used empirical tests based on statistics is proposed as a methodology for quality assessing strong pseudorandom stream generators. By means of this methodology, traditional and Neural Network based pseudorandom stream generators are evaluated. The results show that the proposed generators behave significantly better than the traditional ones, in particular, in terms of non-predictability.

  15. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  16. Total Quality Management Simplified.

    ERIC Educational Resources Information Center

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  17. A Proposed Methodology to Assess the Quality of Public Use Management in Protected Areas

    NASA Astrophysics Data System (ADS)

    Muñoz-Santos, Maria; Benayas, Javier

    2012-07-01

    In recent years, the goal of nature preservation has faced, almost worldwide, an increase in the number of visitors who are interested in experiencing protected areas resources, landscapes and stories. Spain is a good example of this process. The rapidly increasing numbers of visitors have prompted administrations and managers to offer and develop a broad network of facilities and programs in order to provide these visitors with information, knowledge and recreation. But, are we doing it the best way? This research focuses on developing and applying a new instrument for evaluating the quality of visitor management in parks. Different areas are analyzed with this instrument (78 semi-quantitative indicators): planning and management capacity (planning, funding, human resources), monitoring, reception, information, interpretation, environmental education, training, participation and volunteer's programs. Thus, we attempt to gain a general impression of the development of the existing management model, detecting strengths and weaknesses. Although Spain's National Parks constituted the specific context within which to develop the evaluation instrument, the design thereof is intended to provide a valid, robust and flexible method for application to any system, network or set of protected areas in other countries. This paper presents the instrument developed, some results obtained following its application to Spanish National parks, along with a discussion on the limits and validity thereof.

  18. [Informatics data quality and management].

    PubMed

    Feng, Rung-Chuang

    2009-06-01

    While the quality of data affects every aspect of business, it is frequently overlooked in terms of customer data integration, data warehousing, business intelligence and enterprise applications. Regardless of which data terms are used, a high level of data quality is a critical base condition essential to satisfy user needs and facilitate the development of effective applications. In this paper, the author introduces methods, a management framework and the major factors involved in data quality assessment. Author also integrates expert opinions to develop data quality assessment tools.

  19. Assessing different agricultural managements with the use of soil quality indices in a Mediteranean calcareous soil

    NASA Astrophysics Data System (ADS)

    Morugán-Coronado, Alicia; García-Orenes, Fuensanta; Mataix-Solera, Jorge; Arcenegui, Vicky; Cerdà, Artemi

    2013-04-01

    Soil erosion is a major problem in the Mediterranean region due to the arid conditions and torrential rainfalls, which contribute to the degradation of agricultural land. New strategies must be developed to reduce soil losses and recover or maintain soil functionality in order to achieve a sustainable agriculture. An experiment was designed to evaluate the effect of different agricultural management on soil properties and soil quality. Ten different treatments (contact herbicide, systemic herbicide, ploughing, Oat mulch non-plough, Oats mulch plough, leguminous plant, straw rice mulch, chipped pruned branches, residual-herbicide and agro geo-textile, and three control plots including no tillage or control and long agricultural abandonment (shrub on marls and shrub on limestone) were established in 'El Teularet experimental station' located in the Sierra de Enguera (Valencia, Spain). The soil is a Typic Xerorthent developed over Cretaceous marls in an old agricultural terrace. The agricultural management can modify the soil equilibrium and affect its quality. In this work two soil quality indices (models) developed by Zornoza et al. (2007) are used to evaluate the effects of the different agricultural management along 4 years. The models were developed studying different soil properties in undisturbed forest soils in SE Spain, and the relationships between soil parameters were established using multiple linear regressions. Model 1, that explained 92% of the variance in soil organic carbon (SOC) showed that the SOC can be calculated by the linear combination of 6 physical, chemical and biochemical properties (acid phosphatase, water holding capacity (WHC), electrical conductivity (EC), available phosphorus (P), cation exchange capacity (CEC) and aggregate stability (AS). Model 2 explains 89% of the SOC variance, which can be calculated by means of 7 chemical and biochemical properties (urease, phosphatase, and ß-glucosidase activities, pH, EC, P and CEC). We use the

  20. Integrationof Remote Sensing and Geographic information system in Ground Water Quality Assessment and Management

    NASA Astrophysics Data System (ADS)

    Shakak, N.

    2015-04-01

    Spatial variations in ground water quality in the Khartoum state, Sudan, have been studied using geographic information system (GIS) and remote sensing technique. Gegraphical informtion system a tool which is used for storing, analyzing and displaying spatial data is also used for investigating ground water quality information. Khartoum landsat mosac image aquired in 2013was used, Arc/Gis software applied to extract the boundary of the study area, the image was classified to create land use/land cover map. The land use map,geological and soil map are used for correlation between land use , geological formations, and soil types to understand the source of natural pollution that can lower the ground water quality. For this study, the global positioning system (GPS), used in the field to identify the borehole location in a three dimentional coordinate (Latitude, longitude, and altitude), water samples were collected from 156 borehole wells, and analyzed for physico-chemical parameters like electrical conductivity, Total dissolved solid,Chloride, Nitrate, Sodium, Magnisium, Calcium,and Flouride, using standard techniques in the laboratory and compared with the standards.The ground water quality maps of the entire study area have been prepared using spatial interpolation technique for all the above parameters.then the created maps used to visualize, analyze, and understand the relationship among the measured points. Mapping was coded for potable zones, non-potable zones in the study area, in terms of water quality sutability for drinking water and sutability for irrigation. In general satellite remote sensing in conjunction with geographical information system (GIS) offers great potential for water resource development and management.

  1. Quality management in orthodontics.

    PubMed

    Prahl-Andersen, Birte

    2005-11-01

    The introduction of modern quality thinking to orthodontic care should be a continuing effort on the part of the orthodontic profession. The strategy for the development of a European quality management system in orthodontic care was developed from 1993 to 2000 during the EURO-QUAL project. During the project's first stage, the basic prerequisites were identified for a general model of quality management in orthodontic care. A supra-national agreement was reached on policy statements for orthodontic care in Europe. The essential components of an orthodontic quality management system are: linking orthodontic care to population need, patient partnership, clinical accountability, and containing costs.Value-based health care and "TQM", the philosophy of total quality management, are basic principles applied in accordance with the recommendations of the European Health Committee of September 1997 and the "Health-for-All" policy framework of the World Health Organization.

  2. Transforming air quality management

    SciTech Connect

    Janet McCabe

    2005-04-01

    Earlier this year, the Clean Air Act Advisory Committee submitted to EPA 38 recommendations intended to improve air quality management in the United States. This article summarizes the evaluation process leading up to the Committee's recommendations. 3 refs., 2 figs.

  3. Quality of case management of sexually transmitted diseases: comparison of the methods for assessing the performance of providers.

    PubMed Central

    Franco, L. M.; Daly, C. C.; Chilongozi, D.; Dallabetta, G.

    1997-01-01

    This article examines the reliability and validity of direct observation of patient-provider encounters, interviews with providers, and use of patients simulating sexually transmitted diseases (STD) as methods for assessing the quality of STD case management in developing countries. Data were collected during an STD health facility survey in Malawi; the performance of 49 providers was observed, and the providers were also interviewed; 20 of them were visited by a simulated patient complaining of urethral discharge. Agreement (based on the kappa statistic) was generally poor between direct observation and provider-interview data, and also between direct observation and simulated-patient data. In contrast, percentage agreements between direct observation and simulated-patient data were often high. Multiple observations on providers indicated that a provider's behaviour is not consistent across several patients. Simulated-patient data are probably the best in reflecting normal performance, but their feasibility for routine quality assessment is limited because the provider's behaviour is not consistent and would require multiple data points. Direct observation data are the best option for assessing quality if the results are assumed to reflect better than normal levels of quality of care. Data from interviews with providers should be viewed with caution, because they may reflect provider knowledge and not necessarily performance. PMID:9509624

  4. Assessment of the management of the Family Health Strategy via the tool Assessment for Quality Improvement in municipalities of Minas Gerais, Brazil.

    PubMed

    Cardoso, Andreza Viana Lopes; Chain, Ana Paula Nascimento; Mendes, Rafael Inácio Pompeu; Ferreira e Ferreira, Efigênia; Vargas, Andréa Maria Duarte; Martins, Andréa Maria Eleutério de Barros Lima; Ferreira, Raquel Conceição

    2015-04-01

    The self-assessment of the quality ofthe Family Health Strategy(FHS) was assessed in the context ofmanagement and its correlation with characteristics of FHS and of the municipality. Managers, coordinators and Family Health Unit managers of municipalities in the Northeast region of Minas Gerais replied with tools 1, 2 and 3 of the Assessment for Improving the Quality of Family Health Strategy (AIQ). Scores were defined for each subdimension, according to the number of features compliant with the standards of the AIQ. We tested the correlation of this score with coverage and the deployment time of the FHS, with the municipal population and the HDI (Human Development Index). The lowest scores were for Work Management, Permanent Education and Inputs, Immunobiologicals and Medicines. There was a positive correlation between the municipal population and Strengthening of Coordination, Support for Teams, Permanent Education Management and Standardization and a negative one with Infrastructure and Equipment. The use of the AIQ tools permitted the identification of subdimensions and municipalities which will require greater attention and intervention by the municipal management.

  5. Linking agricultural crop management and air quality models for regional to national-scale nitrogen assessments

    NASA Astrophysics Data System (ADS)

    Cooter, E. J.; Bash, J. O.; Benson, V.; Ran, L.

    2012-05-01

    While nitrogen (N) is an essential element for life, human population growth and demands for energy, transportation and food can lead to excess nitrogen in the environment. A modeling framework is described and implemented, to promote a more integrated, process-based and system-level approach to the estimation of ammonia (NH3) emissions resulting from the application of inorganic nitrogen fertilizers to agricultural soils in the United States. The United States Department of Agriculture (USDA) Environmental Policy Integrated Climate (EPIC) model is used to simulate plant demand-driven fertilizer applications to commercial cropland throughout the continental US. This information is coupled with a process-based air quality model to produce continental-scale NH3 emission estimates. Regional cropland NH3 emissions are driven by the timing and amount of fertilizer applied, local meteorology, and ambient air concentrations. An evaluation of EPIC-simulated crop management activities associated with fertilizer application at planting compared with similar USDA state-level event estimates shows temporally progressive spatial patterns that agree well with one another. EPIC annual inorganic fertilizer application amounts also agree well with reported spatial patterns produced by others, but domain-wide the EPIC values are biased about 6 % low. Preliminary application of the integrated fertilizer application and air quality modeling system produces a modified geospatial pattern of seasonal NH3 emissions that improves current simulations of observed atmospheric nitrate concentrations. This modeling framework provides a more dynamic, flexible, and spatially and temporally resolved estimate of NH3 emissions than previous factor-based NH3 inventories, and will facilitate evaluation of alternative nitrogen and air quality policy and adaptation strategies associated with future climate and land use changes.

  6. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions

    USGS Publications Warehouse

    Booth, N.L.; Everman, E.J.; Kuo, I.-L.; Sprague, L.; Murphy, L.

    2011-01-01

    The U.S. Geological Survey National Water Quality Assessment Program has completed a number of water-quality prediction models for nitrogen and phosphorus for the conterminous United States as well as for regional areas of the nation. In addition to estimating water-quality conditions at unmonitored streams, the calibrated SPAtially Referenced Regressions On Watershed attributes (SPARROW) models can be used to produce estimates of yield, flow-weighted concentration, or load of constituents in water under various land-use condition, change, or resource management scenarios. A web-based decision support infrastructure has been developed to provide access to SPARROW simulation results on stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via a graphical user interface with familiar controls. The SPARROW decision support system (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions and to describe, test, and share modeled scenarios of future conditions. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. ?? 2011 American Water Resources Association. This article is a U.S. Government work and is in the public domain in the USA.

  7. Quality Management for Schools.

    ERIC Educational Resources Information Center

    Mulligan, Dorothy

    1992-01-01

    W. Edwards Deming introduced management principles that helped Japan become a world economic power. Virginia is attempting to adapt these techniques to education with a grant that provides training and support for school personnel in several school districts. Describes a quality management program at Christa McAuliffe Elementary School that has…

  8. Toward utilization of data for program management and evaluation: quality assessment of five years of health management information system data in Rwanda

    PubMed Central

    Nisingizwe, Marie Paul; Iyer, Hari S.; Gashayija, Modeste; Hirschhorn, Lisa R.; Amoroso, Cheryl; Wilson, Randy; Rubyutsa, Eric; Gaju, Eric; Basinga, Paulin; Muhire, Andrew; Binagwaho, Agnès; Hedt-Gauthier, Bethany

    2014-01-01

    Background Health data can be useful for effective service delivery, decision making, and evaluating existing programs in order to maintain high quality of healthcare. Studies have shown variability in data quality from national health management information systems (HMISs) in sub-Saharan Africa which threatens utility of these data as a tool to improve health systems. The purpose of this study is to assess the quality of Rwanda's HMIS data over a 5-year period. Methods The World Health Organization (WHO) data quality report card framework was used to assess the quality of HMIS data captured from 2008 to 2012 and is a census of all 495 publicly funded health facilities in Rwanda. Factors assessed included completeness and internal consistency of 10 indicators selected based on WHO recommendations and priority areas for the Rwanda national health sector. Completeness was measured as percentage of non-missing reports. Consistency was measured as the absence of extreme outliers, internal consistency between related indicators, and consistency of indicators over time. These assessments were done at the district and national level. Results Nationally, the average monthly district reporting completeness rate was 98% across 10 key indicators from 2008 to 2012. Completeness of indicator data increased over time: 2008, 88%; 2009, 91%; 2010, 89%; 2011, 90%; and 2012, 95% (p<0.0001). Comparing 2011 and 2012 health events to the mean of the three preceding years, service output increased from 3% (2011) to 9% (2012). Eighty-three percent of districts reported ratios between related indicators (ANC/DTP1, DTP1/DTP3) consistent with HMIS national ratios. Conclusion and policy implications Our findings suggest that HMIS data quality in Rwanda has been improving over time. We recommend maintaining these assessments to identify remaining gaps in data quality and that results are shared publicly to support increased use of HMIS data. PMID:25413722

  9. Application of GPS data for benefits of air quality assessment and fleet management

    NASA Astrophysics Data System (ADS)

    Hao, Song; Fat Lam, Yun; Cheong Ying, Chi; Chan, Ka Lok

    2017-04-01

    In the modern digitizedsociety, traffic data can be easily collected for use in roadway development, urban planning and vehicle emission. These data are then further parameterized to support traffic simulation and roadside emission calculations. With the commercialization of AGPS/GPS technology, GPS data are widely utilized to study habit and travelling behaviors. GPS on franchised buses can provide not only positioning information for fleet management but also raw data to analyze traffic situations. In HK, franchised buses account for 6% of RSP and 20% of NOx emissions among the whole vehicle fleet. Being the most heavily means of public transport, the setting up of bus travelling trajectories and service frequency always raise concern from citizens. On this basis, there is an increasing interest and as well as to design and realize an effective cost benefit fleet management strategy. In this study, data collection analysis is carried out on all bus routes (i.e. 112) in Shatin district, one of the 18 districts in Hong Kong. The GPS/AGPS data through Esri ArcGIS investigate the potential benefit of GPS data in different emission scenarios (such as engine type over whole bus fleet). Building on the emission factors from EMFC-HK model, we accounted for factors like travelling distance, idling time, occupancy rate, service frequency, tire and break emissions. Through the simple emission developed model we demonstrate how GPS are data are utilized to assess bus fleet emissions. Further amelioration on the results involve tuning the model with field measurement so as to assess district level emission change after fleet optimization.

  10. Improving the quality of health information: a qualitative assessment of data management and reporting systems in Botswana

    PubMed Central

    2014-01-01

    Background Ensuring that data collected through national health information systems are of sufficient quality for meaningful interpretation is a challenge in many resource-limited countries. An assessment was conducted to identify strengths and weaknesses of the health data management and reporting systems that capture and transfer routine monitoring and evaluation (M&E) data in Botswana. Methods This was a descriptive, qualitative assessment. In-depth interviews were conducted at the national (n = 27), district (n = 31), and facility/community (n = 71) levels to assess i) M&E structures, functions, and capabilities; ii) indicator definitions and reporting guidelines; iii) data collection forms and tools; iv) data management processes; and v) links with the national reporting system. A framework analysis was conducted using ATLAS.ti v6.1. Results Health programs generally had standardized data collection and reporting tools and defined personnel for M&E responsibilities at the national and district levels. Best practices unique to individual health programs were identified and included a variety of relatively low-resource initiatives such as attention to staffing patterns, making health data more accessible for evidence-based decision-making, developing a single source of information related to indicator definitions, data collection tools, and management processes, and utilization of supportive supervision visits to districts and facilities. Weakness included limited ownership of M&E-related duties within facilities, a lack of tertiary training programs to build M&E skills, few standard practices related to confidentiality and document storage, limited dissemination of indicator definitions, and limited functionality of electronic data management systems. Conclusions Addressing fundamental M&E system issues, further standardization of M&E practices, and increasing health services management responsiveness to time-sensitive information are critical to

  11. Water-quality assessment and wastewater-management alternatives for Dardenne Creek in St Charles County, Missouri

    USGS Publications Warehouse

    Berkas, W.R.; Lodderhose, J.R.

    1985-01-01

    The quality of water in the 15 mile downstream reach of Dardenne Creek in St. Charles County, Missouri, was assessed to determine if it met the Missouri water quality standards. Concentrations of dissolved oxygen and total ammonia failed to meet water quality standards downstream from the Harvester-Dardenne and St. Peters Wastewater-Treatment Plants. The QUAL-II SEMCOG water quality model was calibrated and verified using two independent data sets from Dardenne Creek. Management alternatives using current, design capacity, and future expansion wastewater discharges from the St. Peters Wastewater-Treatment Plant were evaluated. Results of the computer simulation indicate that a nitrification-type advanced-treatment facility installed at the plant would produce a 5-day carbonaceous biochemical oxygen demand of 10 mg/L. An effluent limit of 5.0 mg/L of 5-day carbonaceous biochemical oxygen demand would further improve the water quality of Dardenne Creek; however, an additional treatment process, such as sand filtration, would be needed to meet this criterion. (USGS)

  12. Quality assessment of urban environment

    NASA Astrophysics Data System (ADS)

    Ovsiannikova, T. Y.; Nikolaenko, M. N.

    2015-01-01

    This paper is dedicated to the research applicability of quality management problems of construction products. It is offered to expand quality management borders in construction, transferring its principles to urban systems as economic systems of higher level, which qualitative characteristics are substantially defined by quality of construction product. Buildings and structures form spatial-material basis of cities and the most important component of life sphere - urban environment. Authors justify the need for the assessment of urban environment quality as an important factor of social welfare and life quality in urban areas. The authors suggest definition of a term "urban environment". The methodology of quality assessment of urban environment is based on integrated approach which includes the system analysis of all factors and application of both quantitative methods of assessment (calculation of particular and integrated indicators) and qualitative methods (expert estimates and surveys). The authors propose the system of indicators, characterizing quality of the urban environment. This indicators fall into four classes. The authors show the methodology of their definition. The paper presents results of quality assessment of urban environment for several Siberian regions and comparative analysis of these results.

  13. [Assessment of the quality of oral anticoagulation management in patients admitted to Amiens University Hospital].

    PubMed

    Gras-Champel, Valérie; Voyer, Annelise; Lematte, Céline; Pakula, Pauline; Roussel, Bertrand; Lefrère, Jean-Jacques; Andréjak, Michel

    2005-01-01

    Excessive or insufficient anticoagulation therapy and its associated risks are of major concern in patients receiving oral anticoagulants. Such complications can be avoided by more rigorous management. The aim of our study was to evaluate those patients receiving oral anticoagulant therapy on the day of hospitalisation among all patients admitted to the Amiens University Hospital during 14 days. We evaluated the quality of management of the treatment in these patients, taking into account the international normalised ratio (INR), as well as important parameters such as the summary of the product characteristics (SPCs), drug interactions, and the level of knowledge of anticoagulant treatment by the patients themselves (questionnaire). Of the 2498 adult patients hospitalised, 86 patients (30 female and 56 male aged between 26 and 95 years [mean 70 years]) treated with oral anticoagulants were evaluated. At admission, seven cases of haemorrhage and two of thrombosis were registered. One drug-related death occurred and one patient had sequelae. In 17.5% of the cases, the prescription was not fully in agreement with the SPCs. This percentage increased to 67% for patients with adverse effects. In 41% of the patients, the INR was outside the therapeutic zone. The dosage regimen was too complex in 11% of cases. Six drug combinations were labelled as not recommended in the SPCs: four with aspirin <3 g/day and two with nonsteroidal anti-inflammatory drugs. The analysis of questionnaires showed that patients had insufficient knowledge of their treatment: only 16 of 66 knew the risks resulting from overdose or an insufficient dose of the anticoagulant drug, 25 of 66 knew that anticoagulation induced by the treatment can be influenced by food, 10 of 66 knew the therapeutic range of the INR appropriate for them, and 8 of 66 knew that intramuscular injections were prohibited. These data confirm that anticoagulant treatment needs to be more strictly controlled in order to avoid

  14. Techniques for managing quality.

    PubMed

    Plsek, P E

    1995-01-01

    The science of quality management is an eclectic collection of concepts and methods primarily borrowed from other fields. Techniques roughly fall into three categories involving quality improvement, planning, and measurement. Improvement techniques include models to guide team-based efforts, tools for process description, and tools for data analysis. These methods are the most visible artifacts of CQI efforts in health care organizations today. Less widely known, but equally powerful, are the techniques of quality planning. There are models to guide both process design and strategic planning, methods for identifying customer needs, and tools to support these efforts. Finally, while measurement is a traditionally well-developed area in health care, industrial quality management science broadens our outlook about what is important to measure. It also provides the technique of benchmarking, which suggests that we look beyond our own organization when we measure performance.

  15. Quality management in a staff model HMO.

    PubMed

    Perry, B C; Kirz, H L

    1989-01-01

    Group Health Cooperative of Puget Sound is gradually developing a quality management approach to the delivery of health care. Derived from the strong commitment of its medical staff and operations management to providing optimal health care and building on the best aspects of traditional quality assurance, the quality management approach provides a realistic program that makes a meaningful difference to the quality of patient care. This paper describes the various components of the evolving approach including physician performance management, departmental activities, multidiciplinary review, and the activities of the centralized office of quality of care assessment and regional quality action committees.

  16. Assessment and Management of Groundwater Used in Aquacultural Fishponds Based on the Spatial Variability of Groundwater Quality and Quantity

    NASA Astrophysics Data System (ADS)

    Liang, C.-P.; Jang, C.-S.; Wang, S.-W.

    2012-04-01

    Aquaculture is a general landscape in western and southwestern coastal areas, Taiwan. Aquaculture industries frequently require the huge quantity of water resources. However, surface water resources are limited in the regions. Therefore, fishers abundantly pump groundwater to cultivate fish and shellfish, resulting in substantial decreases in groundwater levels and the occurrence of seawater intrusion over several decades. . To reduce adverse effects on fish growth and potential land subsidence due to pumping, this work combined the spatial variability of groundwater quality and quantity parameters to assess zones of suitable groundwater used in aquacultural fishponds in the Pingtung plain, Taiwan. First, according to an aquacultural water quality standard in Taiwan, two pollutants in groundwater - manganese and ammonium-nitrogen - were considered. Sequential indicator simulation (SIS) was adopted to characterize realizations of the pollutants and to probabilistically determine four roles in the groundwater utilization ratio (UR) - UR<0.1 (strictly limited), 0.1≦UR<0.5 (minor), 0.5≦UR<1 (major) and UR=1 (completely used). A safe groundwater UR was determined from the two pollutants based on dominant estimated probabilities. Then, SIS also was used to grade transmissivity fields representing the pumping capacity of aquifers. Finally, recommended combinations of different levels of groundwater quality and quantity in fishponds were spatially delineated based on estimated probabilities and provided decision makers with detailed information to wisely select a reliable scheme of groundwater management. The analyzed results indicate that the recommended pumping zones for aquaculture are mainly distributed in the northeastern, southwestern and partial southeastern aquifers. The factor of groundwater quantity is more important than that of groundwater quality for aquaculture in this plain. Therefore, a development and management scheme of groundwater resources in

  17. Quality management under current conditions

    NASA Astrophysics Data System (ADS)

    Vasiliev, V. A.; Aleksandrova, S. V.

    2015-12-01

    The diversity of the concept of quality is defined. Modern quality management methods and tools are considered. The global components of quality management and quality management system ISO 9000 are discussed. Education requirements for specialists in the field of quality are formulated.

  18. Assessing risks to ecosystem quality

    SciTech Connect

    Barnthouse, L.W.

    1995-12-31

    Ecosystems are not organisms. Because ecosystems do not reproduce, grow old or sick, and die, the term ecosystem health is somewhat misleading and perhaps should not be used. A more useful concept is ``ecosystem quality,`` which denotes a set of desirable ecosystem characteristics defined in terms of species composition, productivity, size/condition of specific populations, or other measurable properties. The desired quality of an ecosystem may be pristine, as in a nature preserve, or highly altered by man, as in a managed forest or navigational waterway. ``Sustainable development`` implies that human activities that influence ecosystem quality should be managed so that high-quality ecosystems are maintained for future generations. In sustainability-based environmental management, the focus is on maintaining or improving ecosystem quality, not on restricting discharges or requiring particular waste treatment technologies. This approach requires management of chemical impacts to be integrated with management of other sources of stress such as erosion, eutrophication, and direct human exploitation. Environmental scientists must (1) work with decision makers and the public to define ecosystem quality goals, (2) develop corresponding measures of ecosystem quality, (3) diagnose causes for departures from desired states, and (4) recommend appropriate restoration actions, if necessary. Environmental toxicology and chemical risk assessment are necessary for implementing the above framework, but they are clearly not sufficient. This paper reviews the state-of-the science relevant to sustaining the quality of aquatic ecosystems. Using the specific example of a reservoir in eastern Tennessee, the paper attempts to define roles for ecotoxicology and risk assessment in each step of the management process.

  19. Data Management and the National Climate Assessment: Best Practices, Lessons Learned, and Future Applications: A Data Quality Solution

    NASA Astrophysics Data System (ADS)

    Kunkel, K.; Champion, S.

    2015-12-01

    Data Management and the National Climate Assessment: A Data Quality Solution Sarah M. Champion and Kenneth E. Kunkel Cooperative Institute for Climate and Satellites, Asheville, NC The Third National Climate Assessment (NCA), anticipated for its authoritative climate change analysis, was also a vanguard in climate communication. From the cutting-edge website to the organization of information, the Assessment content appealed to, and could be accessed by, many demographics. One such pivotal presentation of information in the NCA was the availability of complex metadata directly connected to graphical products. While the basic metadata requirement is federally mandated through a series of federal guidelines as a part of the Information Quality Act, the NCA is also deemed a Highly Influential Scientific Assessment, which requires demonstration of the transparency and reproducibility of the content. To meet these requirements, the Technical Support Unit (TSU) for the NCA embarked on building a system for collecting and presenting metadata that not only met these requirements, but one that has since been employed in support of additional Assessments. The metadata effort for this NCA proved invaluable for many reasons, one of which being that it showcased that there is a critical need for a culture change within the scientific community to support collection and transparency of data and methods to the level produced with the NCA. Irregardless of being federally mandated, it proves to simply be a good practice in science communication. This presentation will detail the collection system built by the TSU, the improvements employed with additional Assessment products, as well as illustrate examples of successful transparency. Through this presentation, we hope to impel the discussion in support of detailed metadata becoming the cultural norm within the scientific community to support influential and highly policy-relevant documents such as the NCA.

  20. Quality of care assessment in geriatric evaluation and management units: construction of a chart review tool for a tracer condition.

    PubMed

    Kergoat, Marie-Jeanne; Leclerc, Bernard-Simon; Leduc, Nicole; Latour, Judith; Berg, Katherine; Bolduc, Aline

    2009-07-29

    The number of elderly people requiring hospital care is growing, so, quality and assessment of care for elders are emerging and complex areas of research. Very few validated and reliable instruments exist for the assessment of quality of acute care in this field. This study's objective was to create such a tool for Geriatric Evaluation and Management Units (GEMUs). The methodology involved a reliability and feasibility study of a retrospective chart review on 934 older inpatients admitted in 49 GEMUs during the year 2002-2003 for fall-related trauma as a tracer condition. Pertinent indicators for a chart abstraction tool, the Geriatric Care Tool (GCT), were developed and validated according to five dimensions: access to care, comprehensiveness, continuity of care, patient-centred care and appropriateness. Consensus methods were used to develop the content. Participants were experts representing eight main health care professions involved in GEMUs from 19 different sites. Items associated with high quality of care at each step of the multidisciplinary management of patients admitted due to falls were identified. The GCT was tested for intra- and inter-rater reliability using 30 medical charts reviewed by each of three independent and blinded trained nurses. Kappa and agreement measures between pairs of chart reviewers were computed on an item-by-item basis. Three quarters of 169 items identifying the process of care, from the case history to discharge planning, demonstrated good agreement (kappa greater than 0.40 and agreement over 70%). Indicators for the appropriateness of care showed less reliability. Content validity and reliability results, as well as the feasibility of the process, suggest that the chart abstraction tool can gather standardized and pertinent clinical information for further evaluating quality of care in GEMU using admission due to falls as a tracer condition. However, the GCT should be evaluated in other models of acute geriatric units and new

  1. Quality of care assessment in geriatric evaluation and management units: construction of a chart review tool for a tracer condition

    PubMed Central

    Kergoat, Marie-Jeanne; Leclerc, Bernard-Simon; Leduc, Nicole; Latour, Judith; Berg, Katherine; Bolduc, Aline

    2009-01-01

    Background The number of elderly people requiring hospital care is growing, so, quality and assessment of care for elders are emerging and complex areas of research. Very few validated and reliable instruments exist for the assessment of quality of acute care in this field. This study's objective was to create such a tool for Geriatric Evaluation and Management Units (GEMUs). Methods The methodology involved a reliability and feasibility study of a retrospective chart review on 934 older inpatients admitted in 49 GEMUs during the year 2002–2003 for fall-related trauma as a tracer condition. Pertinent indicators for a chart abstraction tool, the Geriatric Care Tool (GCT), were developed and validated according to five dimensions: access to care, comprehensiveness, continuity of care, patient-centred care and appropriateness. Consensus methods were used to develop the content. Participants were experts representing eight main health care professions involved in GEMUs from 19 different sites. Items associated with high quality of care at each step of the multidisciplinary management of patients admitted due to falls were identified. The GCT was tested for intra- and inter-rater reliability using 30 medical charts reviewed by each of three independent and blinded trained nurses. Kappa and agreement measures between pairs of chart reviewers were computed on an item-by-item basis. Results Three quarters of 169 items identifying the process of care, from the case history to discharge planning, demonstrated good agreement (kappa greater than 0.40 and agreement over 70%). Indicators for the appropriateness of care showed less reliability. Conclusion Content validity and reliability results, as well as the feasibility of the process, suggest that the chart abstraction tool can gather standardized and pertinent clinical information for further evaluating quality of care in GEMU using admission due to falls as a tracer condition. However, the GCT should be evaluated in other

  2. Quality-of-Life Assessment After Palliative Interventions to Manage Malignant Ureteral Obstruction

    SciTech Connect

    Monsky, Wayne Laurence; Molloy, Chris; Jin, Bedro; Nolan, Timothy; Fernando, Dayantha; Loh, Shaun; Li, Chin-Shang

    2013-10-15

    Purpose: Malignancies may cause urinary tract obstruction, which is often relieved with placement of a percutaneous nephrostomy tube, an internal double J nephro-ureteric stent (double J), or an internal external nephroureteral stent (NUS). We evaluated the affect of these palliative interventions on quality of life (QoL) using previously validated surveys. Methods: Forty-six patients with malignancy related ureteral obstruction received nephrostomy tubes (n = 16), double J stents (n = 15), or NUS (n = 15) as determined by a multidisciplinary team. QoL surveys were administered at 7, 30, and 90 days after the palliative procedure to evaluate symptoms and physical, social, functional, and emotional well-being. Number of related procedures, fluoroscopy time, and complications were documented. Kruskal-Wallis and Friedman's test were used to compare patients at 7, 30, and 90 days. Spearman's rank correlation coefficient was used to assess correlations between clinical outcomes/symptoms and QoL. Results: Responses to QoL surveys were not significantly different for patients receiving nephrostomies, double J stents, or NUS at 7, 30, or 90 days. At 30 and 90 days there were significantly higher reported urinary symptoms and pain in those receiving double J stents compared with nephrostomies (P = 0.0035 and P = 0.0189, respectively). Significantly greater fluoroscopy time was needed for double J stent-related procedures (P = 0.0054). Nephrostomy tubes were associated with more frequent minor complications requiring additional changes. Conclusion: QoL was not significantly different. However, a greater incidence of pain in those receiving double J stents and more frequent tube changes in those with nephrostomy tubes should be considered when choosing palliative approaches.

  3. Groundwater quality assessment plan for single-shell tank waste management Area U at the Hanford Site

    SciTech Connect

    FN Hodges; CJ Chou

    2000-03-21

    Waste Management Area U (WMA U) includes the U Tank Farm, is currently regulated under RCRA interim-status regulations, and is scheduled for closure probably post-2030. Groundwater monitoring has been under an evaluation program that compared general contaminant indicator parameters from downgradient wells to background values established from upgradient wells. One of the indicator parameters, specific conductance, exceeded its background value in one downgradient well triggering a change from detection monitoring to a groundwater quality assessment program. The objective of the first phase of this assessment program is to determine whether the increased concentrations of nitrate and chromium in groundwater are from WMA U or from an upgradient source. Based on the results of the first determination, if WMA U is not the source of contamination, then the site will revert to detection monitoring. If WMA U is the source, then a second part of the groundwater quality assessment plan will be prepared to define the rate and extent of migration of contaminants in the groundwater and their concentrations.

  4. Assessment of the quality of fall detection and management in primary care in the Netherlands based on the ACOVE quality indicators.

    PubMed

    Askari, M; Eslami, S; van Rijn, M; Medlock, S; Moll van Charante, E P; van der Velde, N; de Rooij, S E; Abu-Hanna, A

    2016-02-01

    We determined adherence to nine fall-related ACOVE quality indicators to investigate the quality of management of falls in the elderly population by general practitioners in the Netherlands. Our findings demonstrate overall low adherence to these indicators, possibly indicating insufficiency in the quality of fall management. Most indicators showed a positive association between increased risk for functional decline and adherence, four of which with statistical significance. This study aims to investigate the quality of detection and management of falls in the elderly population by general practitioners in the Netherlands, using the Assessing Care of Vulnerable Elders (ACOVE) quality indicators. Community-dwelling persons aged 70 years or above, registered in participating general practices, were asked to fill in a questionnaire designed to determine general practitioner (GP) adherence to fall-related indicators. We used logistic regression to estimate the association between increased risk for functional decline-quantified by the Identification of Seniors At Risk for Primary Care score-and adherence. We then cross-validated the self-reported falls with medical records. Of the 950 elders responding to our questionnaire, only 10.6 % reported that their GP proactively asked them about falls. Of the 160 patients who reported two or more falls, or one fall for which they visited the GP, only 23.1 % had fall documentation in their records. Adherence ranged between 13.6 and 48.6 %. There was a significant positive association between the ISAR-PC scores and adherence in four QIs. Documentation of falls was highest (36.7 %) in patients whom the GP had proactively asked about falls. Based on patient self-reports, adherence to the ACOVE fall-related indicators was poor, suggesting that the quality of evaluation and management of falls in community-dwelling older persons in the Netherlands is poor. The documentation of falls and fall-related risk factors was also poor

  5. Total Quality Management.

    ERIC Educational Resources Information Center

    Focus in Change, 1992

    1992-01-01

    The philosophy known as Total Quality Management (TQM) is frequently presented as a way to change and improve public education. This issue of "Focus in Change" examines Deming's original 14 TQM points and their application to education. Myron Tribus lays out the core philosophy of the movement and discusses its possible application to…

  6. Total Quality Management Seminar.

    ERIC Educational Resources Information Center

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management…

  7. Using the web for recruitment, screen, tracking, data management, and quality control in a dietary assessment clinical validation trial.

    PubMed

    Arab, Lenore; Hahn, Harry; Henry, Judith; Chacko, Sara; Winter, Ashley; Cambou, Mary C

    2010-03-01

    Screening and tracking subjects and data management in clinical trials require significant investments in manpower that can be reduced through the use of web-based systems. To support a validation trial of various dietary assessment tools that required multiple clinic visits and eight repeats of online assessments, we developed an interactive web-based system to automate all levels of management of a biomarker-based clinical trial. The "Energetics System" was developed to support 1) the work of the study coordinator in recruiting, screening and tracking subject flow, 2) the need of the principal investigator to review study progress, and 3) continuous data analysis. The system was designed to automate web-based self-screening into the trial. It supported scheduling tasks and triggered tailored messaging for late and non-responders. For the investigators, it provided real-time status overviews on all subjects, created electronic case reports, supported data queries and prepared analytic data files. Encryption and multi-level password protection were used to insure data privacy. The system was programmed iteratively and required six months of a web programmer's time along with active team engagement. In this study the enhancement in speed and efficiency of recruitment and quality of data collection as a result of this system outweighed the initial investment. Web-based systems have the potential to streamline the process of recruitment and day-to-day management of clinical trials in addition to improving efficiency and quality. Because of their added value they should be considered for trials of moderate size or complexity.

  8. Self-assessment of all the health centres of a public health service through the European Model of total quality management.

    PubMed

    Arcelay, A; Sánchez, E; Hernández, L; Inclán, G; Bacigalupe, M; Letona, J; González, R M; Martínez-Conde, A E

    1999-01-01

    The Basque Country Public Health Service has moved in the last years from considering quality as an attribute of patient care to thinking that all management can be subject to improvement. Consequently, its general management team has promoted and supported a self-assessment experience of all their centres by means of the European Quality Model. This strategy has been facilitated by the Basque Country Government, which has strongly encouraged total quality management in companies, and has created the Basque Foundation for Quality Promotion, a key institution in this whole process. A total of 26 centres of the Public Health Service concluded a self-assessment process. As the main result of this, different improvement areas were detected, and various necessary actions were implemented in the centres assessed. Advantages, troubles and future work lines to extend and improve the use of the EFQM model in the health sector are discussed.

  9. Assessment of air quality management policies in China with integrated model framework: Case study for Hebei province

    NASA Astrophysics Data System (ADS)

    Zhang, Q.; Zhao, Q.; Zheng, B.; Hong, C.; Tong, D.; Yang, W.; He, K.

    2015-12-01

    The Chinese government has pledged to clean urban air within five years from 2013 to 2017, to promote annual average PM2.5 concentration decline by 25%, 20% and 15% in the North China Plain, Yangtze River Delta and Pearl River Delta, respectively. The national targets are disaggregated into provinces, where region-specific action plan is designed and implemented by local government. It is particularly important to timely assess the effectiveness of local emission control measures and guarantee local efforts are in line with the national goal. We develop an integrated model framework for air quality management and policy evaluation, by integrating a dynamic high-resolution emission model, an emission scenarios analysis tool, and a 3-D air quality model. We then put the model system into pilot use in Hebei province for policy making to achieve the air quality target of 2017. We first integrate over 3000 point source facilities into this system to develop a high-resolution emission inventory. Upon the base emission dataset, the efforts to mitigate emissions with current and enacted measures are tracked and quantified to dynamic account of emission changes monthly. Strict policies are designed within the model framework through analyzing the potential to cut emissions for each point source. The finalized policy package can reduce emissions of major air pollutants by 20%-40%, respectively, leading to large decrease of ambient PM2.5 concentration.

  10. Quality Management of Biorepositories

    PubMed Central

    Gunter, Elaine W.; Sexton, Katherine C.; Bell, Walter C.

    2015-01-01

    Biomedical investigators require high quality human tissue to support their research; thus, an important aspect of the provision of tissues by biorepositories is the assurance of high quality and consistency of processing specimens. This is best accomplished by a quality management system (QMS). This article describes the basis of a QMS program designed to aid biorepositories that want to improve their operations. In 1983, the UAB Tissue Collection and Biobanking Facility (TCBF) introduced a QMS program focused on providing solid tissues to support a wide range of research; this QMS included a quality control examination of the specific specimens provided for research. Similarly, the Division of Laboratory Sciences at the Centers for Disease Control and Prevention (CDC) introduced a QMS program for their laboratory analyses, focused primarily on bodily fluids. The authors of this article bring together the experience of the QMS programs at these two sites to facilitate the development or improvement of quality management systems of a wide range of biorepositories. PMID:26035008

  11. Quality Management Program

    SciTech Connect

    Not Available

    1991-10-01

    According to {section} 35.32, Quality Management Program,'' of 10 CFR Part 35, Medical Use of Byproduct Material,'' applicants or licensees, as applicable, are required to establish a quality management (QM) program. This regulatory guide provides guidance to licensees and applicants for developing policies and procedures for the QM program. This guide does not restrict or limit the licensee from using other guidance that may be equally useful in developing a QM program, e.g., information available from the Joint Commission on Accreditation of Healthcare Organizations or the American College of Radiology. Any information collection activities mentioned in this regulatory guide are contained as requirements in 10 CFR Part 35, which provides the regulatory basis for this guide. This information collection requirements in 10 CFR Part 35 have been cleared under OMB Clearance No. 3150-0010.

  12. Market-Based Approaches to Quality Assessment and Management of Higher Education in the Republic of Kazakhstan

    ERIC Educational Resources Information Center

    Valikhanova, Zarina

    2015-01-01

    This article considers the problems of the definition of quality in the educational sphere. Alternative approaches to the concept of quality of education and its evaluation are determined given the different approaches of scientists and experts. The most important criteria in assessing the quality is distinguished and formed in the matrix for…

  13. Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia

    PubMed Central

    Sisay, Abay; Mindaye, Tedla; Tesfaye, Abrham; Abera, Eyob; Desale, Adino

    2015-01-01

    Introduction Strengthening Laboratory Management Toward Accreditation (SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in Addis Ababa, Ethiopia. Methods The study used an Institutional based cross sectional study design that employed a secondary and primary data collection approach on the participated institution of medical laboratory in SLMTA. The study was conducted in Addis Ababa city government and the data was collected from February ‘April 2014 and data was entered in to EPI-data version 3.1 and was analyzed by SPSS version 20. Results The assessment finding indicate that there was a significant improvement in average scores (141.4; range of 65-196, 95%CI =86.275-115.5, p = 0.000) at final with 3 laboratories become 3 star, 6 laboratories were at 2 star, 11 were 1 star. Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR= 2.501, 95% CI= 1.109-4.602) than which did not get it. Conclusion At the end of SLMTA implementation,3 laboratories score 3 star, 6 laboratories were at 2 star, 11 were at 1 star. The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories. PMID:26175805

  14. Assessing the outcome of Strengthening Laboratory Management Towards Accreditation (SLMTA) on laboratory quality management system in city government of Addis Ababa, Ethiopia.

    PubMed

    Sisay, Abay; Mindaye, Tedla; Tesfaye, Abrham; Abera, Eyob; Desale, Adino

    2015-01-01

    Strengthening Laboratory Management Toward Accreditation (SLMTA) is a competency-based management training programme designed to bring about immediate and measurable laboratory improvement. The aim of this study is to assess the outcome of SLMTA on laboratory quality management system in Addis Ababa, Ethiopia. The study used an Institutional based cross sectional study design that employed a secondary and primary data collection approach on the participated institution of medical laboratory in SLMTA. The study was conducted in Addis Ababa city government and the data was collected from February 'April 2014 and data was entered in to EPI-data version 3.1 and was analyzed by SPSS version 20. The assessment finding indicate that there was a significant improvement in average scores (141.4; range of 65-196, 95%CI=86.275-115.5, p=0.000) at final with 3 laboratories become 3 star, 6 laboratories were at 2 star, 11 were 1 star. Laboratory facilities respondents which thought getting adequate and timely manner mentorship were found 2.5 times more likely to get good success in the final score(AOR=2.501, 95% CI=1.109-4.602) than which did not get it. At the end of SLMTA implementation,3 laboratories score 3 star, 6 laboratories were at 2 star, 11 were at 1 star. The most important contributing factor for not scoring star in the final outcome of SLMTA were not conducting their customer satisfaction survey, poor staff motivation, and lack of regular equipment service maintenance. Mentorship, onsite and offsite coaching and training activities had shown a great improvement on laboratory quality management system in most laboratories.

  15. Design of Cycle 3 of the National Water-Quality Assessment Program, 2013-23: Part 2: Science plan for improved water-quality information and management

    USGS Publications Warehouse

    Rowe, Gary L.; Belitz, Kenneth; Demas, Charlie R.; Essaid, Hedeff I.; Gilliom, Robert J.; Hamilton, Pixie A.; Hoos, Anne B.; Lee, Casey J.; Munn, Mark D.; Wolock, David W.

    2013-01-01

    This report presents a science strategy for the third decade of the National Water-Quality Assessment (NAWQA) Program, which since 1991, has been responsible for providing nationally consistent information on the quality of the Nation's streams and groundwater; how water quality is changing over time; and the major natural and human factors that affect current water quality conditions and trends. The strategy is based on an extensive evaluation of the accomplishments of NAWQA over its first two decades, the current status of water-quality monitoring activities by USGS and its partners, and an updated analysis of stakeholder priorities. The plan is designed to address priority issues and national needs identified by NAWQA stakeholders and the National Research Council (2012) irrespective of budget constraints. This plan describes four major goals for the third decade (Cycle 3), the approaches for monitoring, modeling, and scientific studies, key partnerships required to achieve these goals, and products and outcomes that will result from planned assessment activities. The science plan for 2013–2023 is a comprehensive approach to meet stakeholder priorities for: (1) rebuilding NAWQA monitoring networks for streams, rivers, and groundwater, and (2) upgrading models used to extrapolate and forecast changes in water-quality and stream ecosystem condition in response to changing climate and land use. The Cycle 3 plan continues approaches that have been central to the Program’s long-term success, but adjusts monitoring intensities and study designs to address critical information needs and identified data gaps. Restoration of diminished monitoring networks and new directions in modeling and interpretative studies address growing and evolving public and stakeholder needs for water-quality information and improved management, particularly in the face of increasing challenges related to population growth, increasing demands for water, and changing land use and climate

  16. Assessing the Quality of the Business and Management Education in Higher Education

    ERIC Educational Resources Information Center

    Lee, Lung-Sheng; Ko, Hui-Min; Wang, Mei-Tyng; Pan, Ying-Ju

    2014-01-01

    As the third-party planner and implementer of higher education institutional and program evaluations, the Higher Education Evaluation and Accreditation Council of Taiwan (HEEACT) completed program evaluations for all 145 undergraduate business and management (B&M) programs in 43 universities/colleges from 2006 to 2010. In the 145 programs…

  17. Assessment of runoff water quality for an integrated best-management practice system in an agricultural watershed

    USDA-ARS?s Scientific Manuscript database

    To better understand, implement and integrate best management practices (BMPs) in agricultural watersheds, critical information on their effectiveness is required. A representative agricultural watershed, Beasley Lake, was used to compare runoff water quality draining through an integrated system of...

  18. Managing quality and compliance.

    PubMed

    McNeil, Alice; Koppel, Carl

    2015-01-01

    Critical care nurses assume vital roles in maintaining patient care quality. There are distinct facets to the process including standard setting, regulatory compliance, and completion of reports associated with these endeavors. Typically, multiple niche software applications are required and user interfaces are varied and complex. Although there are distinct quality indicators that must be tracked as well as a list of serious or sentinel events that must be documented and reported, nurses may not know the precise steps to ensure that information is properly documented and actually reaches the proper authorities for further investigation and follow-up actions. Technology advances have permitted the evolution of a singular software platform, capable of monitoring quality indicators and managing all facets of reporting associated with regulatory compliance.

  19. Water quality impact assessment of agricultural Beneficial Management Practices (BMPs) simulated for a regional catchment in Quebec, Eastern Canada

    NASA Astrophysics Data System (ADS)

    Rousseau, Alain N.; Hallema, Dennis W.; Gumiere, Silvio J.; Savary, Stéphane; Hould Gosselin, Gabriel

    2014-05-01

    Water quality has become a matter of increasing concern over the past four decades as a result of the intensification of agriculture, and more particularly so in Canada where agriculture has evolved into the largest non-point source of surface water pollution. The Canadian WEBs project (Watershed Evaluation of Beneficial Management Practices, BMPs) was initiated in order to determine the efficiency of BMPs in improving the surface water quality of rural catchments, and the economic aspects related to their implementation on the same scale. In this contribution we use the integrated watershed modelling platform GIBSI (Gestion Intégrée des Bassins versants à l'aide d'un Système Informatisé) to evaluate the effects of various BMPs on sediment and nutrient yields and, in close relation to this, the surface water quality for the Beaurivage River catchment (718 km2) in Quebec, eastern Canada. A base scenario of the catchment is developed by calibrating the different models of the GIBSI platform, namely HYDROTEL for hydrology, the Revised Universal Soil Loss Equation (RUSLE) for soil erosion, the Erosion-Productivity Impact Calculator (EPIC) of the Soil and Water Assessment Tool (SWAT) for contaminant transport and fate, and QUAL2E for stream water quality. Four BMPs were analysed: (1) vegetated riparian buffer strips, (2) precision slurry application, (3) transition of all cereal and corn fields to grassland (grassland conversion), and (4) no-tillage on corn fields. Simulations suggest that riparian buffer strips and grassland conversion are more effective in terms of phosphorus, nitrogen and sediment load reduction than precision slurry application and no-tillage on corn fields. The results furthermore indicate the need for a more profound understanding of sediment dynamics in streams and on riparian buffer strips.

  20. Assessing Drinking Water Quality and Water Safety Management in Sub-Saharan Africa Using Regulated Monitoring Data.

    PubMed

    Kumpel, Emily; Peletz, Rachel; Bonham, Mateyo; Khush, Ranjiv

    2016-10-18

    Universal access to safe drinking water is prioritized in the post-2015 Sustainable Development Goals. Collecting reliable and actionable water quality information in low-resource settings, however, is challenging, and little is known about the correspondence between water quality data collected by local monitoring agencies and global frameworks for water safety. Using 42 926 microbial water quality test results from 32 surveillance agencies and water suppliers in seven sub-Saharan African countries, we determined the degree to which water sources were monitored, how water quality varied by source type, and institutional responses to results. Sixty-four percent of the water samples were collected from piped supplies, although the majority of Africans rely on nonpiped sources. Piped supplies had the lowest levels of fecal indicator bacteria (FIB) compared to any other source type: only 4% of samples of water piped to plots and 2% of samples from water piped to public taps/standpipes were positive for FIB (n = 14 948 and n = 12 278, respectively). Among other types of improved sources, samples from harvested rainwater and boreholes were less often positive for FIB (22%, n = 167 and 31%, n = 3329, respectively) than protected springs or protected dug wells (39%, n = 472 and 65%, n = 505). When data from different settings were aggregated, the FIB levels in different source types broadly reflected the source-type water safety framework used by the Joint Monitoring Programme. However, the insufficient testing of nonpiped sources relative to their use indicates important gaps in current assessments. Our results emphasize the importance of local data collection for water safety management and measurement of progress toward universal safe drinking water access.

  1. Assessing and Managing All Aspects of Migraine: Migraine Attacks, Migraine-Related Functional Impairment, Common Comorbidities, and Quality of Life

    PubMed Central

    Buse, Dawn C.; Rupnow, Marcia F. T.; Lipton, Richard B.

    2009-01-01

    Migraine can be characterized as a chronic disorder with episodic attacks and the potential for progression to chronic migraine. We conducted a PubMed literature search (January 1, 1970 through May 31, 2008) for studies on the impact of migraine, including disability, health-related quality of life (HRQoL), comorbidities, and instruments used by health care professionals to treat patients with migraine. Numerous studies have shown that migraine substantially impairs a person's functions during attacks and diminishes HRQoL during and between attacks. Despite its impact, migraine remains underestimated, underdiagnosed, and undertreated. Several tools are available to help physicians assess the impact of migraine on the daily activities and HRQoL of their patients, such as the 36-Item Short-Form Health Survey and the Headache Impact Test. Improving communication during the office visit through active listening, use of open-ended questions, and use of the “ask-tell-ask” strategy can also help in assessing migraine-related impairment. Together, these tools and communication techniques can lead to a more complete assessment of how migraine affects patients' lives and can aid in the development of the optimal treatment plan for each patient. Both pharmacotherapy (acute and preventive treatment strategies) and nonpharmacological therapies play important roles in the management of migraine. PMID:19411439

  2. It's not what you do it's the way that it's measured: quality assessment of minor ailment management in community pharmacies.

    PubMed

    Inch, Jackie; Porteous, Terry; Maskrey, Vivienne; Blyth, Annie; Burr, Jackie; Cleland, Jennifer; Wright, David J; Holland, Richard; Bond, Christine M; Watson, Margaret C

    2017-08-01

    Effective management of minor ailments in community pharmacies could reduce the burden on alternative high-cost services (general practices, Emergency Departments). Evidence is needed regarding the appropriateness of management of these conditions in community pharmacies. To explore the appropriateness of minor ailment management in community pharmacies. Prospective, observational study of simulated patient (SP) visits to community pharmacies in Grampian (Scotland) and East Anglia (England). Eighteen pharmacies (nine per centre) were recruited within a 25-mile radius of Aberdeen or Norwich. Consultations for four minor ailments were evaluated: back pain; vomiting/diarrhoea; sore throat; and eye discomfort. Each pharmacy received one SP visit per ailment (four visits/pharmacy; 72 visits total). Visits were audio-recorded and SPs completed a data collection form immediately after each visit. Each SP consultation was assessed for appropriateness against product licence, practice guidelines and study-specific consensus standards developed by a multi-disciplinary consensus panel. Evaluable data were available for 68/72 (94.4%) visits. Most (96%) visits resulted in the sale of a product; advice alone was the outcome of three visits. All product sales complied with the product licence, 52 (76%) visits complied with practice guidelines and seven visits achieved a 'basic' standard according to the consensus standard. Appropriateness of care varied according to the standard used. Pharmacy-specific quality standards are needed which are realistic and relevant to the pharmacy context and which reflect legal and clinical guidelines to promote the safe and effective management of minor ailments in this setting. © 2016 The Authors. International Journal of Pharmacy Practice published by John Wiley & Sons Ltd on behalf of Royal Pharmaceutical Society.

  3. Region 7 Quality Management Plan

    EPA Pesticide Factsheets

    To document adherence to EPA Order 5360.1 A2, EPA requires each organizational unitto develop a quality management plan per the specifications in EPA Requirements for QualityManagement Plans, EPA QA R-2.

  4. Air Quality Management Process Cycle

    EPA Pesticide Factsheets

    Air quality management are activities a regulatory authority undertakes to protect human health and the environment from the harmful effects of air pollution. The process of managing air quality can be illustrated as a cycle of inter-related elements.

  5. Linking agricultural crop management and air quality models for regional to national-scale nitrogen assessments

    NASA Astrophysics Data System (ADS)

    Cooter, E. J.; Bash, J. O.; Benson, V.; Ran, L.

    2012-10-01

    While nitrogen (N) is an essential element for life, human population growth and demands for energy, transportation and food can lead to excess nitrogen in the environment. A modeling framework is described and implemented to promote a more integrated, process-based and system-level approach to the estimation of ammonia (NH3) emissions which result from the application of inorganic nitrogen fertilizers to agricultural soils in the United States. The United States Department of Agriculture (USDA) Environmental Policy Integrated Climate (EPIC) model is used to simulate plant demand-driven fertilizer applications to commercial cropland throughout the continental US. This information is coupled with a process-based air quality model to produce continental-scale NH3 emission estimates. Regional cropland NH3 emissions are driven by the timing and amount of inorganic NH3 fertilizer applied, soil processes, local meteorology, and ambient air concentrations. Initial fertilizer application often occurs when crops are planted. A state-level evaluation of EPIC-simulated, cumulative planted area compares well with similar USDA reported estimates. EPIC-annual, inorganic fertilizer application amounts also agree well with reported spatial patterns produced by others, but domain-wide the EPIC values are biased about 6% low. Preliminary application of the integrated fertilizer application and air quality modeling system produces a modified geospatial pattern of seasonal NH3 emissions that improves current simulations of observed atmospheric particle nitrate concentrations. This modeling framework provides a more dynamic, flexible, and spatially and temporally resolved estimate of NH3 emissions than previous factor-based NH3 inventories, and will facilitate evaluation of alternative nitrogen and air quality policy and adaptation strategies associated with future climate and land use changes.

  6. Healthcare quality maturity assessment model based on quality drivers.

    PubMed

    Ramadan, Nadia; Arafeh, Mazen

    2016-04-18

    Purpose - Healthcare providers differ in their readiness and maturity levels regarding quality and quality management systems applications. The purpose of this paper is to serve as a useful quantitative quality maturity-level assessment tool for healthcare organizations. Design/methodology/approach - The model proposes five quality maturity levels (chaotic, primitive, structured, mature and proficient) based on six quality drivers: top management, people, operations, culture, quality focus and accreditation. Findings - Healthcare managers can apply the model to identify the status quo, quality shortcomings and evaluating ongoing progress. Practical implications - The model has been incorporated in an interactive Excel worksheet that visually displays the quality maturity-level risk meter. The tool has been applied successfully to local hospitals. Originality/value - The proposed six quality driver scales appear to measure healthcare provider maturity levels on a single quality meter.

  7. Assessment of a University-Based Distance Education Mentoring Program from a Quality Management Perspective

    ERIC Educational Resources Information Center

    Barczyk, Casimir; Buckenmeyer, Janet; Feldman, Lori; Hixon, Emily

    2011-01-01

    This study describes assessment results from the Distance Education Mentoring Program (DEMP) at Purdue University Calumet, Indiana, USA. The program, sponsored by the university's Vice Chancellor for Academic Affairs, was made available to all teaching faculty who wished to become proteges and develop their skills at teaching online courses. The…

  8. Assessment of a University-Based Distance Education Mentoring Program from a Quality Management Perspective

    ERIC Educational Resources Information Center

    Barczyk, Casimir; Buckenmeyer, Janet; Feldman, Lori; Hixon, Emily

    2011-01-01

    This study describes assessment results from the Distance Education Mentoring Program (DEMP) at Purdue University Calumet, Indiana, USA. The program, sponsored by the university's Vice Chancellor for Academic Affairs, was made available to all teaching faculty who wished to become proteges and develop their skills at teaching online courses. The…

  9. Osteoporosis risk assessment and management in primary care: focus on quantity and quality.

    PubMed

    Blazkova, Sarka; Vytrisalova, Magda; Palicka, Vladimir; Stepan, Jan; Byma, Svatopluk; Kubena, Ales A; Hala, Tomas; Vlcek, Jiri

    2010-12-01

    Early identification of high-risk patients by general practitioners (GPs) plays the key role in the management of osteoporosis (OP). We conducted a postal questionnaire survey among 1500 Czech GPs to examine their behaviour related to OP. The overall questionnaire return rate was 38%. The respondents (mean age 52 years; 61.5% women) did not differ from non-respondents. OP knowledge correlated negatively with age (P<0.001). The most common reason for both suspicion of OP and referral for suspected OP is the patient's complaints. When the initial skeletal examination for suspected OP is conducted on the GP's initiative, it is most often X-ray (76%) followed by osteodensitometry (61%). The respondents address five patients (median) per month about this issue. The number of referrals to a specialist for suspected OP during the last quarter was 5 (median). The most commonly reported barriers to OP management were financial limits set by the health insurance agency (71%) and lack of authorization to prescribe selected drugs (71%). The GPs should pay greater attention to risk factors and be more active in the detection of at-risk patients. It is necessary to motivate the GPs and to overcome the barriers to effective clinical practice. © 2010 Blackwell Publishing Ltd.

  10. Impacts of agricultural management practices on soil quality in Europe and China - an assessment within the framework of the EU iSQAPER project

    NASA Astrophysics Data System (ADS)

    Alaoui, Abdallah; Schwilch, Gudrun; Barão, Lúcia; Basch, Gottlieb; Sukkel, Wijnand; Lemesle, Julie; Ferreira, Carla; Garcia-Orenes, Fuensanta; Morugan, Alicia; Mataix, Jorge; Kosmas, Costas; Glavan, Matjaž; Tóth, Brigitta; Petrutza Gate, Olga; Lipiec, Jerzy; Reintam, Endla; Xu, Minggang; Di, Jiaying; Fan, Hongzhu; Geissen, Violette

    2017-04-01

    Agricultural soils are under a wide variety of pressures, including from increasing global demand for food associated with population growth, changing diets, land degradation, and associated productivity reductions potentially exacerbated by climate change. To manage the use of agricultural soils well, decision-makers need science-based, easily applicable, and cost-effective tools for assessing soil quality and soil functions. Since a practical assessment of soil quality requires the integrated consideration of key soil properties and their variations in space and time, providing such tools remains a challenging task. This study aims to assess the impact of innovative agricultural management practices on soil quality in 14 study sites across Europe (10) and China (4), covering the major pedo-climatic zones. The study is part of the European H2020 project iSQAPER, which involves 25 partners across Europe and China and is coordinated by Wageningen University, The Netherlands. iSQAPER is aimed at interactive soil quality assessment in Europe and China for agricultural productivity and environmental resilience. The study began with a thorough literature analysis to inform the selection of indicators for the assessment of soil structure and soil functions. A manual was then developed in order to standardize and facilitate the task of inventorying soil quality and management practices at the case study sites. The manual provides clear and precise instructions on how to assess the 11 selected soil quality indicators based on a visual soil assessment methodology. A newly developed infiltrometer was used to easily assess the soil infiltration capacity in the field and investigate hydrodynamic flow processes. Based on consistent calibration, the infiltrometer enables reliable prediction of key soil hydraulic properties. The main aim of this inventory is to link agricultural management practices to the soil quality status at the case study sites, and to identify innovative

  11. Evaluating Quality Management in University Departments

    ERIC Educational Resources Information Center

    Becket, Nina; Brookes, Maureen

    2006-01-01

    Purpose: Despite the abundance of research on quality management there is no universal consensus on how best to measure quality in higher education. This paper undertakes a critical evaluation of the different methods used to assess the quality of provision in higher education departments in the UK. Design/methodology/approach: Drawing on relevant…

  12. Evaluating Quality Management in University Departments

    ERIC Educational Resources Information Center

    Becket, Nina; Brookes, Maureen

    2006-01-01

    Purpose: Despite the abundance of research on quality management there is no universal consensus on how best to measure quality in higher education. This paper undertakes a critical evaluation of the different methods used to assess the quality of provision in higher education departments in the UK. Design/methodology/approach: Drawing on relevant…

  13. Assessment of management and basic beef quality assurance practices on Idaho dairies.

    PubMed

    Glaze, J B; Chahine, M

    2009-03-01

    In 2004 a mail-in survey was conducted to establish a baseline level of awareness and knowledge related to dairy beef quality assurance (BQA) issues in Idaho. A 30-question survey was mailed to every (n = 736) registered Idaho dairy. Two-hundred seventy-three (37%) dairies participated and were categorized as small (n <201 cows; 53.5%), medium-sized (n = 201 to 1,000 cows; 27.1%) or large (n >1,000 cows; 19.4%). The majority of respondents were dairy owners (83%). Eighty-nine percent of respondents indicated they followed BQA recommendations for animal care. The neck region in cows was used by 68% of respondents for i.m. injections and by 80% for s.c. injections. In calves, the values were 61 and 78%, respectively. Seventy-four percent of respondents indicated they had been trained for injections. Training methods cited included veterinarians (19.8%), dairy owners (16.8%), experience (9.9%), and BQA events or schools (4.5%). The importance of BQA in the dairy industry was rated 2.6 on a 5-point scale (0 = low; 4 = high). Participants rated the effect of dairy animals on the beef industry at 2.5. Plastic ear tags were the preferred method of animal identification, with 100% of large dairies, 97.3% of medium-sized dairies, and 84% of small dairies citing their use. Less than 10% used electronic identification for their animals. Almost half (48%) of large and medium-sized (49%) dairies and 32% of small dairies supported a national animal identification program. A mandatory identification program was supported by 41, 69, and 59% for small, medium-sized, and large dairies, respectively. The percentage of dairies keeping records was similar between small (93%), medium-sized (99%), and large (100%) dairies. Most small dairies (58%) used some form of paper records, whereas most medium-sized (85%) and large (100%) dairies used computers for record keeping. The preferred method to market cull cows by Idaho dairies was the auction market (64%), followed by order buyers (17

  14. Total Quality Management in Construction

    DTIC Science & Technology

    1993-08-01

    Non M-M to TOTAL QUALITY MANAGEMENT IN CONSTRUCTION Icc I FCHARLES C. MILLER I A REPORT PRESENTED TO THE GRADUATE COMMIITTEE OF THE DEPARTMENT OF...Ii I I TOTAL QUALITY MANAGEMENT IN CONSTRUCTION I I BY CHARLES C. MILLER A REPORT PRESENTED TO THE GRADUATE COMMITTEE OF THE DEPARTMENT OF CIVIL...Figures iii Introduction 1 Chapter 1 - Defining Total Quality Management 4 Philosophy 4 The Team Concept 20 Quality Improvement Process 27 Chapter 2

  15. Assessing quality in volcanic ash soils

    Treesearch

    Terry L. Craigg; Steven W. Howes

    2007-01-01

    Forest managers must understand how changes in soil quality resulting from project implementation affect long-term productivity and watershed health. Volcanic ash soils have unique properties that affect their quality and function; and which may warrant soil quality standards and assessment techniques that are different from other soils. We discuss the concept of soil...

  16. A management-oriented framework for selecting metrics used to assess habitat- and path-specific quality in spatially structured populations

    USGS Publications Warehouse

    Sam Nicol,; Ruscena Wiederholt,; Diffendorfer, James E.; Brady Mattsson,; Thogmartin, Wayne E.; Semmens, Darius J.; Laura Lopez-Hoffman,; Ryan Norris,

    2016-01-01

    Mobile species with complex spatial dynamics can be difficult to manage because their population distributions vary across space and time, and because the consequences of managing particular habitats are uncertain when evaluated at the level of the entire population. Metrics to assess the importance of habitats and pathways connecting habitats in a network are necessary to guide a variety of management decisions. Given the many metrics developed for spatially structured models, it can be challenging to select the most appropriate one for a particular decision. To guide the management of spatially structured populations, we define three classes of metrics describing habitat and pathway quality based on their data requirements (graph-based, occupancy-based, and demographic-based metrics) and synopsize the ecological literature relating to these classes. Applying the first steps of a formal decision-making approach (problem framing, objectives, and management actions), we assess the utility of metrics for particular types of management decisions. Our framework can help managers with problem framing, choosing metrics of habitat and pathway quality, and to elucidate the data needs for a particular metric. Our goal is to help managers to narrow the range of suitable metrics for a management project, and aid in decision-making to make the best use of limited resources.

  17. Quality of life and type 1 diabetes: a study assessing patients’ perceptions and self-management needs

    PubMed Central

    Alvarado-Martel, Dácil; Velasco, Rebeca; Sánchez-Hernández, Rosa M; Carrillo, Armando; Nóvoa, Francisco Javier; Wägner, Ana María

    2015-01-01

    Purpose The main objective of this study was to assess quality of life (QoL) and treatment satisfaction in a group of patients with type 1 diabetes (T1D) and explore their needs regarding and their perception of QoL living with diabetes. Materials and methods Patients with type 1 diabetes attending the outpatient endocrinology clinics of a reference hospital were invited to participate in a cross-sectional study. Clinical and sociodemographic data were obtained (interview and clinical records), and diabetes-related QoL was assessed using a standardized questionnaire. In 67 participants, satisfaction with treatment was also assessed, and an open interview was performed, assessing the impact of diabetes, long-term worries, flexibility, restrictions, and self-perception of QoL. Descriptive statistical analysis, bivariate analysis, and multivariate analysis were performed in order to find factors associated with QoL. Interviews were analyzed and summarized questionwise. Results Mean patient age was 31.4±11.6 years, diabetes duration 14.2±9.3 years, and glycated hemoglobin (HbA1c) 8.5%±1.9% (69±20.8 mmol/mol International Federation of Clinical Chemistry [IFCC]). The questionnaires showed good average QoL scores (94.6+22.9) and treatment satisfaction scores (25.7±6.7). QoL worsened with increasing HbA1c, female sex, severity of complications, and lower education (r2=0.283, P<0.005). In the open interview, 68.5% of the patients reported that diabetes had changed their lives, 83.5% identified complications as their most important long-term concern, and 59.7% said that they needed more training to manage the disease. Conclusion Poor glycemic control, lower education, complications, and female sex are associated with worse QoL. Semi-structured interviews identified aspects not included in the standardized questionnaires. PMID:26396503

  18. Total Quality Management (TQM) Bibliography

    DTIC Science & Technology

    1990-04-01

    GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

  19. Assessing the Effects of Grassland Management on Forage Production and Environmental Quality to Identify Paths to Ecological Intensification in Mountain Grasslands.

    PubMed

    Loucougaray, Grégory; Dobremez, Laurent; Gos, Pierre; Pauthenet, Yves; Nettier, Baptiste; Lavorel, Sandra

    2015-11-01

    Ecological intensification in grasslands can be regarded as a process for increasing forage production while maintaining high levels of ecosystem functions and biodiversity. In the mountain Vercors massif, where dairy cattle farming is the main component of agriculture, how to achieve forage autonomy at farm level while sustaining environmental quality for tourism and local dairy products has recently stimulated local debate. As specific management is one of the main drivers of ecosystem functioning, we assessed the response of forage production and environmental quality at grassland scale across a wide range of management practices. We aimed to determine which components of management can be harnessed to better match forage production and environmental quality. We sampled the vegetation of 51 grasslands stratified across 13 grassland types. We assessed each grassland for agronomic and environmental properties, measuring forage production, forage quality, and indices based on the abundance of particular plant species such as timing flexibility, apiarian potential, and aromatic plants. Our results revealed an expected trade-off between forage production and environmental quality, notably by stressing the contrasts between sown and permanent grasslands. However, strong within-type variability in both production and environmental quality as well as in flexibility of timing of use suggests possible ways to improve this trade-off at grassland and farm scales. As achieving forage autonomy relies on increasing both forage production and grassland resilience, our results highlight the critical role of the ratio between sown and permanent grasslands as a major path for ecological intensification in mountain grasslands.

  20. Assessing the Effects of Grassland Management on Forage Production and Environmental Quality to Identify Paths to Ecological Intensification in Mountain Grasslands

    NASA Astrophysics Data System (ADS)

    Loucougaray, Grégory; Dobremez, Laurent; Gos, Pierre; Pauthenet, Yves; Nettier, Baptiste; Lavorel, Sandra

    2015-11-01

    Ecological intensification in grasslands can be regarded as a process for increasing forage production while maintaining high levels of ecosystem functions and biodiversity. In the mountain Vercors massif, where dairy cattle farming is the main component of agriculture, how to achieve forage autonomy at farm level while sustaining environmental quality for tourism and local dairy products has recently stimulated local debate. As specific management is one of the main drivers of ecosystem functioning, we assessed the response of forage production and environmental quality at grassland scale across a wide range of management practices. We aimed to determine which components of management can be harnessed to better match forage production and environmental quality. We sampled the vegetation of 51 grasslands stratified across 13 grassland types. We assessed each grassland for agronomic and environmental properties, measuring forage production, forage quality, and indices based on the abundance of particular plant species such as timing flexibility, apiarian potential, and aromatic plants. Our results revealed an expected trade-off between forage production and environmental quality, notably by stressing the contrasts between sown and permanent grasslands. However, strong within-type variability in both production and environmental quality as well as in flexibility of timing of use suggests possible ways to improve this trade-off at grassland and farm scales. As achieving forage autonomy relies on increasing both forage production and grassland resilience, our results highlight the critical role of the ratio between sown and permanent grasslands as a major path for ecological intensification in mountain grasslands.

  1. [Using routine data for quality of care assessments: a critical review, taking quality indicators for the "National Disease Management Guideline for Chronic Heart Failure" as an example].

    PubMed

    Laux, Gunter; Nothacker, Monika; Weinbrenner, Susanne; Störk, Stefan; Blozik, Eva; Peters-Klimm, Frank; Szecsenyi, Jürgen; Scherer, Martin

    2011-01-01

    In December 2009, the first version of the German Disease Management Guideline (DM-CPG) for chronic heart failure was completed, including a set of proposed quality indicators for heart failure. This article explores whether proposed indicators can be derived from data collected routinely in general practices. For this purpose, previous experiences and data from the research project CONTENT (CONTinuous morbidity registration Epidemiologic NeTwork) conducted under guidance of the Department of General Medicine and Health Services Research at the University of Heidelberg, Germany, were applied. The availability of numerators and denominators needed for calculating the four quality indicators for diagnosis and pharmacotherapy proposed in the DM-CPG was checked within so-called "routine data" from the existing dataset of the CONTENT project. Within the given context, routine data are defined as data that are periodically transmitted from health care providers to cost units within the health care system. A thorough assessment has revealed that within the given context only one indicator could be deduced from routine data collection. This was the indicator measuring the proportion of patients receiving beta receptor antagonists, compared to all patients with heart failure NYHA class II to IV. Indeed, this single indicator will only be computable if the NYHA grade of heart failure severity and the presence or absence of contraindications to beta receptor antagonist therapy are routinely collected and the data merged into a central database. Against the background of these results it is obvious that a fully developed, transsectoral concept for data collection and data transfer needs to be implemented.

  2. Integrated groundwater quality management in urban areas

    NASA Astrophysics Data System (ADS)

    Swartjes, F. A.; Otte, P. F.

    2012-04-01

    Traditionally, groundwater assessments and remediations are approached at the scale of individual groundwater plumes. In urban areas, however, this management of individual groundwater plumes is often problematic for technical, practical or financial reasons, since the groundwater quality is often affected by a combination of sources, including (former) industrial activities, spills and leachate from uncontrolled landfills and building materials. As a result, often a whole series of intermingling contamination plumes is found in large volumes of groundwater. In several countries in the world, this led to stagnation of groundwater remediation in urban areas. Therefore, in the Netherlands there is a tendency managing groundwater in urban areas from an integrated perspective and on a larger scale. This so-called integrated groundwater quality management is often more efficient and hence, cheaper, since the organisation of the management of a cluster of groundwater plumes is much easier than it would be if all individual groundwater plumes were managed at different points in time. Integrated groundwater quality management should follow a tailor-made approach. However, to facilitate practical guidance was developed. This guidance relates to the delineation of the domain, the management of sources for groundwater contamination, procedures for monitoring, and (risk-based) assessment of the groundwater quality. Function-specific risk-based groundwater quality criteria were derived to support the assessment of the groundwater quality.

  3. Management: Total Army Quality Management

    DTIC Science & Technology

    2002-03-15

    meet current and future customer needs . 3–2. Strategic planning a. Strategic planning is the process by which managers at higher levels envision their...framework for all Army organizations to measure how well they are meeting their stated goals and customer needs . It provides a systematic review that...business. (2) Customer-Driven – The organization’s focus is on its customers – ensuring its operations meet customer needs in the most efficient manner

  4. Application of the MERIT survey in the multi-criteria quality assessment of occupational health and safety management

    PubMed Central

    Korban, Zygmunt

    2015-01-01

    Occupational health and safety management systems apply audit examinations as an integral element of these systems. The examinations are used to verify whether the undertaken actions are in compliance with the accepted regulations, whether they are implemented in a suitable way and whether they are effective. One of the earliest solutions of that type applied in the mining industry in Poland involved the application of audit research based on the MERIT survey (Management Evaluation Regarding Itemized Tendencies). A mathematical model applied in the survey facilitates the determination of assessment indexes WOPi for each of the assessed problem areas, which, among other things, can be used to set up problem area rankings and to determine an aggregate (synthetic) assessment. In the paper presented here, the assessment indexes WOPi were used to calculate a development measure, and the calculation process itself was supplemented with sensitivity analysis. PMID:26414772

  5. Assessing the influence of farm fertility amendments, field management, and sorghum genotypes on soil microbial communities and grain quality

    USDA-ARS?s Scientific Manuscript database

    Four genotypes of grain sorghum (two commercial hybrids and two open-pollinated cultivars) were assessed for grain production, protein and mineral concentrations, grain physical properties, and starch quality characteristics. Genotypes were also characterized for their influence on soil microbial co...

  6. [Total quality management in healthcare. The European Foundation for Quality Management Model].

    PubMed

    Parente, S; Loureiro, R

    1998-11-01

    After presenting the quality model adapted by the health authorities, the authors refer to the development of quality methodology to the present day, and the importance of the self assessment of Quality focusing on the one according to the European Foundation For Quality Management (EFQM) adapted by healthcare organisations. Each criteria of the EFQM model is presented and its potential as a motivation for change by means of self assessment is discussed.

  7. [Quality assurance and total quality management in residential home care].

    PubMed

    Nübling, R; Schrempp, C; Kress, G; Löschmann, C; Neubart, R; Kuhlmey, A

    2004-02-01

    Quality, quality assurance, and quality management have been important topics in residential care homes for several years. However, only as a result of reform processes in the German legislation (long-term care insurance, care quality assurance) is a systematic discussion taking place. Furthermore, initiatives and holistic model projects, which deal with the assessment and improvement of service quality, were developed in the field of care for the elderly. The present article gives a critical overview of essential developments. Different comprehensive approaches such as the implementation of quality management systems, nationwide expert-based initiatives, and developments towards professionalizing care are discussed. Empirically based approaches, especially those emphasizing the assessment of outcome quality, are focused on in this work. Overall, the authors conclude that in the past few years comprehensive efforts have been made to improve the quality of care. However, the current situation still requires much work to establish a nationwide launch and implementation of evidence-based quality assurance and quality management.

  8. Internal versus External Quality Management

    ERIC Educational Resources Information Center

    Hofman, Roelande H.; Dijkstra, Nynke J.; Hofman, W. H. Adriaan

    2008-01-01

    This article presents the findings of research into quality management in Dutch elementary schools using theories of school accountability and school improvement as fundamentals. The study is based on data gathered from almost 1000 school leaders. It attempts to determine whether different types of quality management exist in primary schools.…

  9. Internal versus External Quality Management

    ERIC Educational Resources Information Center

    Hofman, Roelande H.; Dijkstra, Nynke J.; Hofman, W. H. Adriaan

    2008-01-01

    This article presents the findings of research into quality management in Dutch elementary schools using theories of school accountability and school improvement as fundamentals. The study is based on data gathered from almost 1000 school leaders. It attempts to determine whether different types of quality management exist in primary schools.…

  10. EVERGLADES ECOSYSTEM ASSESSMENT: WATER MANAGEMENT AND QUALITY, EUTROPHICATION, MERCURY CONTAMINATION, SOILS AND HABITAT: MONITORING FOR ADAPTIVE MANAGEMENT: A R-EMAP STATUS REPORT

    EPA Science Inventory

    The United States Environmental Protection Agency’s Everglades Ecosystem Assessment Program is a long-term research, monitoring and assessment effort. Its goal is to provide critical, timely, scientific information needed for management decisions on the Everglades ecosystem and i...

  11. EVERGLADES ECOSYSTEM ASSESSMENT: WATER MANAGEMENT AND QUALITY, EUTROPHICATION, MERCURY CONTAMINATION, SOILS AND HABITAT: MONITORING FOR ADAPTIVE MANAGEMENT: A R-EMAP STATUS REPORT

    EPA Science Inventory

    The United States Environmental Protection Agency’s Everglades Ecosystem Assessment Program is a long-term research, monitoring and assessment effort. Its goal is to provide critical, timely, scientific information needed for management decisions on the Everglades ecosystem and i...

  12. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  13. Total Quality Management for Schools.

    ERIC Educational Resources Information Center

    Greenwood, Malcolm S.; Gaunt, Helen J.

    Education in the United Kingdom has been shaped by the advent of local school management and the rapid growth of grant-maintained schools. Total Quality Management (TQM) offers a new way of looking at management principles and structures by identifying the needs of both internal and external customers. This book applies principles of TQM…

  14. Uncertainty assessment in watershed-scale water quality modeling and management: 1. Framework and application of generalized likelihood uncertainty estimation (GLUE) approach

    NASA Astrophysics Data System (ADS)

    Zheng, Yi; Keller, Arturo A.

    2007-08-01

    Watershed-scale water quality models involve substantial uncertainty in model output because of sparse water quality observations and other sources of uncertainty. Assessing the uncertainty is very important for those who use the models to support management decision making. Systematic uncertainty analysis for these models has rarely been done and remains a major challenge. This study aimed (1) to develop a framework to characterize all important sources of uncertainty and their interactions in management-oriented watershed modeling, (2) to apply the generalized likelihood uncertainty estimation (GLUE) approach for quantifying simulation uncertainty for complex watershed models, and (3) to investigate the influence of subjective choices (especially the likelihood measure) in a GLUE analysis, as well as the availability of observational data, on the outcome of the uncertainty analysis. A two-stage framework was first established as the basis for uncertainty assessment and probabilistic decision-making. A watershed model (watershed analysis risk management framework (WARMF)) was implemented using data from the Santa Clara River Watershed in southern California. A typical catchment was constructed on which a series of experiments was conducted. The results show that GLUE can be implemented with affordable computational cost, yielding insights into the model behavior. However, in complex watershed water quality modeling, the uncertainty results highly depend on the subjective choices made by the modeler as well as the availability of observational data. The importance of considering management concerns in the uncertainty estimation was also demonstrated. Overall, this study establishes guidance for uncertainty assessment in management-oriented watershed modeling. The study results have suggested future efforts we could make in a GLUE-based uncertainty analysis, which has led to the development of a new method, as will be introduced in a companion paper. Eventually, the

  15. Mask industry quality assessment

    NASA Astrophysics Data System (ADS)

    Strott, Al; Bassist, Larry

    1994-12-01

    Product quality and timely delivery are two of the most important parameters in determining the success of a mask manufacturing facility. Because of the sensitivity of this data, very little was known about industry performance in these areas until an assessment was authored and presented at the 1993 BACUS Symposium by Larry Regis of Intel Corporation, Neil Paulsen of Intel Corporation, and James A. Reynolds of Reynolds Consulting. This data has been updated and will be published and presented at this year's BACUS Symposium. Contributor identities will again remain protected by utilizing Arthur Andersen & Company to compile the submittals. Participation was consistent with last year's representation of over 75% of the total merchant and captive mask volume in the United States. The data compiled includes shipments, customer return rate, customer return reasons from 1988 through Q2, 1994, performance to schedule, plate survival yield, and throughput time (TPT).

  16. Drinking water quality assessment.

    PubMed

    Aryal, J; Gautam, B; Sapkota, N

    2012-09-01

    Drinking water quality is the great public health concern because it is a major risk factor for high incidence of diarrheal diseases in Nepal. In the recent years, the prevalence rate of diarrhoea has been found the highest in Myagdi district. This study was carried out to assess the quality of drinking water from different natural sources, reservoirs and collection taps at Arthunge VDC of Myagdi district. A cross-sectional study was carried out using random sampling method in Arthunge VDC of Myagdi district from January to June,2010. 84 water samples representing natural sources, reservoirs and collection taps from the study area were collected. The physico-chemical and microbiological analysis was performed following standards technique set by APHA 1998 and statistical analysis was carried out using SPSS 11.5. The result was also compared with national and WHO guidelines. Out of 84 water samples (from natural source, reservoirs and tap water) analyzed, drinking water quality parameters (except arsenic and total coliform) of all water samples was found to be within the WHO standards and national standards.15.48% of water samples showed pH (13) higher than the WHO permissible guideline values. Similarly, 85.71% of water samples showed higher Arsenic value (72) than WHO value. Further, the statistical analysis showed no significant difference (P<0.05) of physico-chemical parameters and total coliform count of drinking water for collection taps water samples of winter (January, 2010) and summer (June, 2010). The microbiological examination of water samples revealed the presence of total coliform in 86.90% of water samples. The results obtained from physico-chemical analysis of water samples were within national standard and WHO standards except arsenic. The study also found the coliform contamination to be the key problem with drinking water.

  17. Total quality management implementation guidelines

    SciTech Connect

    Not Available

    1993-12-01

    These Guidelines were designed by the Energy Quality Council to help managers and supervisors in the Department of Energy Complex bring Total Quality Management to their organizations. Because the Department is composed of a rich mixture of diverse organizations, each with its own distinctive culture and quality history, these Guidelines are intended to be adapted by users to meet the particular needs of their organizations. For example, for organizations that are well along on their quality journeys and may already have achieved quality results, these Guidelines will provide a consistent methodology and terminology reference to foster their alignment with the overall Energy quality initiative. For organizations that are just beginning their quality journeys, these Guidelines will serve as a startup manual on quality principles applied in the Energy context.

  18. The NCC project: A quality management perspective

    NASA Technical Reports Server (NTRS)

    Lee, Raymond H.

    1993-01-01

    The Network Control Center (NCC) Project introduced the concept of total quality management (TQM) in mid-1990. The CSC project team established a program which focused on continuous process improvement in software development methodology and consistent deliveries of high quality software products for the NCC. The vision of the TQM program was to produce error free software. Specific goals were established to allow continuing assessment of the progress toward meeting the overall quality objectives. The total quality environment, now a part of the NCC Project culture, has become the foundation for continuous process improvement and has resulted in the consistent delivery of quality software products over the last three years.

  19. The NCC project: A quality management perspective

    NASA Astrophysics Data System (ADS)

    Lee, Raymond H.

    1993-11-01

    The Network Control Center (NCC) Project introduced the concept of total quality management (TQM) in mid-1990. The CSC project team established a program which focused on continuous process improvement in software development methodology and consistent deliveries of high quality software products for the NCC. The vision of the TQM program was to produce error free software. Specific goals were established to allow continuing assessment of the progress toward meeting the overall quality objectives. The total quality environment, now a part of the NCC Project culture, has become the foundation for continuous process improvement and has resulted in the consistent delivery of quality software products over the last three years.

  20. Combining natural background levels (NBLs) assessment with indicator kriging analysis to improve groundwater quality data interpretation and management.

    PubMed

    Ducci, Daniela; de Melo, M Teresa Condesso; Preziosi, Elisabetta; Sellerino, Mariangela; Parrone, Daniele; Ribeiro, Luis

    2016-11-01

    The natural background level (NBL) concept is revisited and combined with indicator kriging method to analyze the spatial distribution of groundwater quality within a groundwater body (GWB). The aim is to provide a methodology to easily identify areas with the same probability of exceeding a given threshold (which may be a groundwater quality criteria, standards, or recommended limits for selected properties and constituents). Three case studies with different hydrogeological settings and located in two countries (Portugal and Italy) are used to derive NBL using the preselection method and validate the proposed methodology illustrating its main advantages over conventional statistical water quality analysis. Indicator kriging analysis was used to create probability maps of the three potential groundwater contaminants. The results clearly indicate the areas within a groundwater body that are potentially contaminated because the concentrations exceed the drinking water standards or even the local NBL, and cannot be justified by geogenic origin. The combined methodology developed facilitates the management of groundwater quality because it allows for the spatial interpretation of NBL values.

  1. Total Quality Management in a Knowledge Management Perspective.

    ERIC Educational Resources Information Center

    Johannsen, Carl Gustav

    2000-01-01

    Presents theoretical considerations on both similarities and differences between information management and knowledge management and presents a conceptual model of basic knowledge management processes. Discusses total quality management and quality control in the context of information management. (Author/LRW)

  2. Total Quality Management in a Knowledge Management Perspective.

    ERIC Educational Resources Information Center

    Johannsen, Carl Gustav

    2000-01-01

    Presents theoretical considerations on both similarities and differences between information management and knowledge management and presents a conceptual model of basic knowledge management processes. Discusses total quality management and quality control in the context of information management. (Author/LRW)

  3. Total quality environmental management: Integrating environmental and quality management systems

    SciTech Connect

    Carley, J.A.; Kubala, G.; Hudson, T.

    1996-11-01

    As the oilfield industry strives to globally sustain continuous movement of environmental and quality performance, companies have come to realize Total Quality Environmental Management (TQEM) is essential in product research, development manufacturing and services. As our industry endeavors to continuously improve, more emphasis is being placed upon the management systems we apply such as ISO 14000 and ISO 9000. These standards are tools for improving environmental and quality performance, meeting customer requirements, and increasing profitability. lbs paper presents actual examples of the successful integration of environmental and quality management systems into an operational TQEM system. Also presented are pilot study evaluations of the draft ISO 14000 standards by two certified ISO 9000 facilities. Examples of continuous improvement and cross-functional teams as means to merge environment and quality management into the functions of process control, corrective and preventive action, document control, and waste management are presented. Results and improvements from facilities involved with TQEM discussed along with their strategies and progress in consolidating the environmental and quality programs into a single, viable management system. The case histories from various facilities demonstrate the implementation of TQEM and in TQEM promotes a cleaner environment, reduces costs, con- serves energy and raw materials, minimizes pollutants and wastes, and reduces redundant paperwork.

  4. Drinking water quality management: a holistic approach.

    PubMed

    Rizak, S; Cunliffe, D; Sinclair, M; Vulcano, R; Howard, J; Hrudey, S; Callan, P

    2003-01-01

    A growing list of water contaminants has led to some water suppliers relying primarily on compliance monitoring as a mechanism for managing drinking water quality. While such monitoring is a necessary part of drinking water quality management, experiences with waterborne disease threats and outbreaks have shown that compliance monitoring for numerical limits is not, in itself, sufficient to guarantee the safety and quality of drinking water supplies. To address these issues, the Australian National Health and Medical Research Council (NHMRC) has developed a Framework for Management of Drinking Water Quality (the Framework) for incorporation in the Australian Drinking Water Guidelines, the primary reference on drinking water quality in Australia. The Framework was developed specifically for drinking water supplies and provides a comprehensive and preventive risk management approach from catchment to consumer. It includes holistic guidance on a range of issues considered good practice for system management. The Framework addresses four key areas: Commitment to Drinking Water Quality Management, System Analysis and System Management, Supporting Requirements, and Review. The Framework represents a significantly enhanced approach to the management and regulation of drinking water quality and offers a flexible and proactive means of optimising drinking water quality and protecting public health. Rather than the primary reliance on compliance monitoring, the Framework emphasises prevention, the importance of risk assessment, maintaining the integrity of water supply systems and application of multiple barriers to assure protection of public health. Development of the Framework was undertaken in collaboration with the water industry, regulators and other stakeholder, and will promote a common and unified approach to drinking water quality management throughout Australia. The Framework has attracted international interest.

  5. Orion Entry Handling Qualities Assessments

    NASA Technical Reports Server (NTRS)

    Bihari, B.; Tiggers, M.; Strahan, A.; Gonzalez, R.; Sullivan, K.; Stephens, J. P.; Hart, J.; Law, H., III; Bilimoria, K.; Bailey, R.

    2011-01-01

    The Orion Command Module (CM) is a capsule designed to bring crew back from the International Space Station (ISS), the moon and beyond. The atmospheric entry portion of the flight is deigned to be flown in autopilot mode for nominal situations. However, there exists the possibility for the crew to take over manual control in off-nominal situations. In these instances, the spacecraft must meet specific handling qualities criteria. To address these criteria two separate assessments of the Orion CM s entry Handling Qualities (HQ) were conducted at NASA s Johnson Space Center (JSC) using the Cooper-Harper scale (Cooper & Harper, 1969). These assessments were conducted in the summers of 2008 and 2010 using the Advanced NASA Technology Architecture for Exploration Studies (ANTARES) six degree of freedom, high fidelity Guidance, Navigation, and Control (GN&C) simulation. This paper will address the specifics of the handling qualities criteria, the vehicle configuration, the scenarios flown, the simulation background and setup, crew interfaces and displays, piloting techniques, ratings and crew comments, pre- and post-fight briefings, lessons learned and changes made to improve the overall system performance. The data collection tools, methods, data reduction and output reports will also be discussed. The objective of the 2008 entry HQ assessment was to evaluate the handling qualities of the CM during a lunar skip return. A lunar skip entry case was selected because it was considered the most demanding of all bank control scenarios. Even though skip entry is not planned to be flown manually, it was hypothesized that if a pilot could fly the harder skip entry case, then they could also fly a simpler loads managed or ballistic (constant bank rate command) entry scenario. In addition, with the evaluation set-up of multiple tasks within the entry case, handling qualities ratings collected in the evaluation could be used to assess other scenarios such as the constant bank angle

  6. Cropland CEAP soil quality assessment update

    USDA-ARS?s Scientific Manuscript database

    One goal for the USDA cropland Conservation Effects Assessment Project (CEAP) was to assess the effects of various conservation practices on soil quality, which is a proactive process for quantifying the long-term impact of crop and soil management practices within agricultural watersheds. Our objec...

  7. Total Quality Management and Cost of Quality

    NASA Astrophysics Data System (ADS)

    Hadjicostas, Evsevios

    Before we start analysing the philosophy of Total Quality Management it is worthwhile going back to the early days of quality and the quality movement. In fact, the quality concept dates back to the creation of Adam and Eve: “And God saw every thing that he had made, and, behold, it was very good”. (Genesis A 31). It is remarkable that at the end of each day, looking at his creations God was saying, “This is good”. However, at the end of the sixth day, after he finished the creation of human beings, he said, “This is very good”. It is amazing that he did not say, “This is excellent”. This is because excellence is something that we gain after tireless effort. God left room for improvement in order to challenge us and make our life more attractive, which has really happened!

  8. [Quality assurance and quality management in intensive care].

    PubMed

    Notz, K; Dubb, R; Kaltwasser, A; Hermes, C; Pfeffer, S

    2015-11-01

    Treatment success in hospitals, particularly in intensive care units, is directly tied to quality of structure, process, and outcomes. Technological and medical advancements lead to ever more complex treatment situations with highly specialized tasks in intensive care nursing. Quality criteria that can be used to describe and correctly measure those highly complex multiprofessional situations have only been recently developed and put into practice.In this article, it will be shown how quality in multiprofessional teams can be definded and assessed in daily clinical practice. Core aspects are the choice of a nursing theory, quality assurance measures, and quality management. One possible option of quality assurance is the use of standard operating procedures (SOPs). Quality can ultimately only be achieved if professional groups think beyond their boundaries, minimize errors, and establish and live out instructions and SOPs.

  9. Managing Air Quality - Emissions Inventories

    EPA Pesticide Factsheets

    This page describes the role of emission inventories in the air quality management process, a description of how emission inventories are developed, and where U.S. emission inventory information can be found.

  10. A Web-Based Decision Support System for Assessing Regional Water-Quality Conditions and Management Actions

    NASA Astrophysics Data System (ADS)

    Booth, N. L.; Everman, E.; Kuo, I.; Sprague, L.; Murphy, L.

    2011-12-01

    A new web-based decision support system has been developed as part of the U.S. Geological Survey (USGS) National Water Quality Assessment Program's (NAWQA) effort to provide ready access to Spatially Referenced Regressions On Watershed attributes (SPARROW) results of stream water-quality conditions and to offer sophisticated scenario testing capabilities for research and water-quality planning via an intuitive graphical user interface with a map-based display. The SPARROW Decision Support System (DSS) is delivered through a web browser over an Internet connection, making it widely accessible to the public in a format that allows users to easily display water-quality conditions, distribution of nutrient sources, nutrient delivery to downstream waterbodies, and simulations of altered nutrient inputs including atmospheric and agricultural sources. The DSS offers other features for analysis including various background map layers, model output exports, and the ability to save and share prediction scenarios. SPARROW models currently supported by the DSS are based on the modified digital versions of the 1:500,000-scale River Reach File (RF1) and 1:100,000-scale National Hydrography Dataset (medium-resolution, NHDPlus) stream networks. The underlying modeling framework and server infrastructure illustrate innovations in the information technology and geosciences fields for delivering SPARROW model predictions over the web by performing intensive model computations and map visualizations of the predicted conditions within the stream network.

  11. Total Quality Management Implementation Plan.

    DTIC Science & Technology

    1989-06-01

    E 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Continuous Process Improvement,_________ Depot Operations, Supply Support 16... Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Defense General...Reduction PrOtect (O704.Ot8SL Wasilngton, OC 20503j. .EPORT DATE 3. REPORT TYPE AND DATES COVERED June 19891 4. TITLE AND SUBTITLE S. FUNDING NUMBERS Total

  12. Assessing Receiving Water Quality Impacts due to Flow Path Alteration in Residential Catchments, using the Stormwater and Wastewater Management Model

    NASA Astrophysics Data System (ADS)

    Wolosoff, S. E.; Duncan, J.; Endreny, T.

    2001-05-01

    The Croton water supply system, responsible for supplying approximately 10% of New York City's water, provides an opportunity for exploration into the impacts of significant terrestrial flow path alteration upon receiving water quality. Natural flow paths are altered during residential development in order to allow for construction at a given location, reductions in water table elevation in low lying areas and to provide drainage of increased overland flow volumes. Runoff conducted through an artificial drainage system, is prevented from being attenuated by the natural environment, thus the pollutant removal capacity inherent in most natural catchments is often limited to areas where flow paths are not altered by development. By contrasting the impacts of flow path alterations in two small catchments in the Croton system, with different densities of residential development, we can begin to identify appropriate limits to the re-routing of runoff in catchments draining into surface water supplies. The Stormwater and Wastewater Management Model (SWMM) will be used as a tool to predict the runoff quantity and quality generated from two small residential catchments and to simulate the potential benefits of changes to the existing drainage system design, which may improve water quality due to longer residence times.

  13. Portfolio Assessment and Quality Teaching

    ERIC Educational Resources Information Center

    Kim, Youb; Yazdian, Lisa Sensale

    2014-01-01

    Our article focuses on using portfolio assessment to craft quality teaching. Extant research literature on portfolio assessment suggests that the primary purpose of assessment is to serve learning, and portfolio assessments facilitate the process of making linkages among assessment, curriculum, and student learning (Asp, 2000; Bergeron, Wermuth,…

  14. Portfolio Assessment and Quality Teaching

    ERIC Educational Resources Information Center

    Kim, Youb; Yazdian, Lisa Sensale

    2014-01-01

    Our article focuses on using portfolio assessment to craft quality teaching. Extant research literature on portfolio assessment suggests that the primary purpose of assessment is to serve learning, and portfolio assessments facilitate the process of making linkages among assessment, curriculum, and student learning (Asp, 2000; Bergeron, Wermuth,…

  15. Spatial and seasonal toxicity in a stormwater management facility: evidence obtained by adapting an integrated sediment quality assessment approach.

    PubMed

    Tixier, Guillaume; Rochfort, Quintin; Grapentine, Lee; Marsalek, Jiri; Lafont, Michel

    2012-12-15

    Stormwater ponds have been widely used to control increased surface runoff resulting from urbanization, and to enhance runoff quality. As receiving waters, they are impacted by intermittent stormwater pollution while also serving as newly created aquatic habitats, which partly offset changes of aquatic ecosystems and their biodiversity by urbanization. Thus, determining ecological risks in stormwater ponds is important for the preservation and rehabilitation of biodiversity in urban areas. Limitations of the conventional toxicity assessment techniques in stormwater ponds have led us to use the sediment quality triad approach with the specific analyses of oligochaetes. The latter analyses build on the earlier work by the Cemagref (Lyon, France) and use the oligochaetes as bioindicators of the sediment quality. This integrative approach was tested at eight sites in the Terraview-Willowfield stormwater facility in Toronto, Ontario, in all four seasons (summer 2008-spring 2009). The facility receives direct runoff from the MacDonald-Cartier freeway with a traffic intensity of 340,000 vehicles/d. Sediment chemistry results indicate that several heavy metals and PAH compounds exceeded the Ontario sediment quality guidelines in the facility. Regardless of the season, laboratory bioassays revealed a strong spatial variation in sediment toxicity along the flow path from the inlet to the outlet, agreeing with decreasing concentrations of contaminants in sediment, especially of heavy metals. However, in situ assessments of the benthic macroinvertebrate community structure and in particular of the oligochaete community revealed an overriding influence of seasonally varying toxicity. This seasonal pattern was described as high toxicity in spring and recovery in fall and corresponded to the influx and flushing-out of road salts and of several heavy metals within the facility. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  16. Managing Quality: TQM in Libraries.

    ERIC Educational Resources Information Center

    Riggs, Donald E.

    1993-01-01

    Discusses the use of total quality management (TQM) principles in libraries. Topics addressed include commitment from the library director; strategic planning; training needs for library staff; the identification and selection of targeted areas that would benefit from TQM; quality improvement teams; analysis; proposed solutions; and evaluation…

  17. Hydrological and water quality impact assessment of a Mediterranean limno-reservoir under climate change and land use management scenarios

    NASA Astrophysics Data System (ADS)

    Molina-Navarro, Eugenio; Trolle, Dennis; Martínez-Pérez, Silvia; Sastre-Merlín, Antonio; Jeppesen, Erik

    2014-02-01

    Water scarcity and water pollution constitute a big challenge for water managers in the Mediterranean region today and will exacerbate in a projected future warmer world, making a holistic approach for water resources management at the catchment scale essential. We expanded the Soil and Water Assessment Tool (SWAT) model developed for a small Mediterranean catchment to quantify the potential effects of various climate and land use change scenarios on catchment hydrology as well as the trophic state of a new kind of waterbody, a limno-reservoir (Pareja Limno-reservoir), created for environmental and recreational purposes. We also checked for the possible synergistic effects of changes in climate and land use on water flow and nutrient exports from the catchment. Simulations showed a noticeable impact of climate change in the river flow regime and consequently the water level of the limno-reservoir, especially during summer, complicating the fulfillment of its purposes. Most of the scenarios also predicted a deterioration of trophic conditions in the limno-reservoir. Fertilization and soil erosion were the main factors affecting nitrate and total phosphorus concentrations. Combined climate and land use change scenarios showed noticeable synergistic effects on nutrients exports, relative to running the scenarios individually. While the impact of fertilization on nitrate export is projected to be reduced with warming in most cases, an additional 13% increase in the total phosphorus export is expected in the worst-case combined scenario compared to the sum of individual scenarios. Our model framework may help water managers to assess and manage how these multiple environmental stressors interact and ultimately affect aquatic ecosystems.

  18. Resource, quality and safety management.

    PubMed

    Hovenga, Evelyn J S

    2010-01-01

    This chapter gives an educational overview of: * Resource management relative to sustainability and the use casemix systems * Types of resources and their information system needs to support their optimal management * Quality, performance measurement options and associated information needs * Casemix systems' characteristics, usage and need for enterprise systems.

  19. Leadership and Total Quality Management

    DTIC Science & Technology

    1992-04-15

    Quality Management when combine with good leadership and management skills yields increased productivity. This paper will focus on the skills required of...The leadership of large and complex organizations in today’s environment of shrinking resources requires a strong commitment by the leader. Total

  20. What is Total Quality Management?

    ERIC Educational Resources Information Center

    Bryan, William A.

    1996-01-01

    Provides a general overview of Total Quality Management (TQM) and explains why there is pressure for change in higher education institutions. Defines TQM and the various themes, tools, and beliefs that make it different from other management approaches. Presents 14 principles and how they might be applied to student affairs. (RJM)

  1. A water quality management strategy for regionally protected water through health risk assessment and spatial distribution of heavy metal pollution in 3 marine reserves.

    PubMed

    Zhang, Yinan; Chu, Chunli; Li, Tong; Xu, Shengguo; Liu, Lei; Ju, Meiting

    2017-12-01

    Severe water pollution and resource scarcity is a major problem in China, where it is necessary to establish water quality-oriented monitoring and intelligent watershed management. In this study, an effective watershed management method is explored, in which water quality is first assessed using the heavy metal pollution index and the human health risk index, and then by classifying the pollution and management grade based on cluster analysis and GIS visualization. Three marine reserves in Tianjin were selected and analyzed, namely the Tianjin Ancient Coastal Wetland National Nature Reserve (Qilihai Natural Reserve), the Tianjin DaShentang Oyster Reef National Marine Special Reserve (DaShentang Reserve), and the Tianjin Coastal Wetland National Marine Special Reserve (BinHai Wetland Reserve) which is under construction. The water quality and potential human health risks of 5 heavy metals (Pb, As, Cd, Hg, Cr) in the three reserves were assessed using the Nemerow index and USEPA methods. Moreover, ArcGIS10.2 software was used to visualize the heavy metal index and display their spatial distribution. Cluster analysis enabled classification of the heavy metals into 4 categories, which allowed for identification of the heavy metals whose pollution index and health risks were highest, and, thus, whose control in the reserve is a priority. Results indicate that heavy metal pollution exists in the Qilihai Natural Reserve and in the north and east of the DaShentang Reserve; furthermore, human health risks exist in the Qilihai Natural Reserve and in the BinHai Wetland Reserve. In each reserve, the main factor influencing the pollution and health risk were high concentrations of As and Pb that exceed the corresponding standards. Measures must be adopted to control and remediate the pollutants. Furthermore, to protect the marine reserves, management policies must be implemented to improve water quality, which is an urgent task for both local and national governments. Copyright

  2. Management self assessment plan

    SciTech Connect

    Debban, B.L.

    1998-01-30

    Duke Engineering and Services Hanford Inc., Spent Nuclear Fuel Project is responsible for the operation of fuel storage facilities. The SNF project mission includes the safe removal, processing and transportation of Spent Nuclear Fuel from 100 K Area fuel storage basins to a new Storage facility in the Hanford 200 East Area. Its mission is the modification of the 100 K area fuel storage facilities and the construction of two new facilities: the 100 K Area Cold Vacuum Drying Facility, and the 200 East Area Canister Storage Building. The management self assessment plan described in this document is scheduled to begin in April of 1999 and be complete in May of 1999. The management self assessment plan describes line management preparations for declaring that line management is ready to commence operations.

  3. The Southeast Stream Quality Assessment

    USGS Publications Warehouse

    Van Metre, Peter C.; Journey, Celeste

    2014-01-01

    In 2014, the U.S. Geological Survey (USGS) National Water-Quality Assessment Program (NAWQA) is assessing stream quality across the Piedmont and southern Appalachian Mountains in the southeastern United States. The goal of the Southeast Stream Quality Assessment (SESQA) is to characterize multiple water-quality factors that are stressors to aquatic life—contaminants, nutrients, sediment, and streamflow alteration—and the relation of these stressors to ecological conditions in streams throughout the region. Findings will provide communities and policymakers with information on which human and environmental factors are the most critical in controlling stream quality and, thus, provide insights about possible approaches to protect or improve stream quality. The SESQA study will be the second regional study by the NAWQA program, and it will be of similar design and scope as the Midwest Stream Quality Assessment conducted in 2013 (Van Metre and others, 2012).

  4. [Quality management in intensive care medicine. Indispensable for daily routine].

    PubMed

    Martin, J; Braun, J-P

    2012-05-01

    In areas requiring maximum safety like intensive care units or operating room departments, modern quality management and risk management are essential. Treatment of critically ill patients is associated with high risk and, therefore, demands risk management and quality management. External quality assessment in intensive care medicine has been developed based on a core data set and quality indicators. A peer review procedure has been established. In addition, regional networks of intensive care physicians result in improved local networking. In intensive care medicine, this innovative modular system of quality management and risk management is pursued more consequently than in any other specialty.

  5. Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa.

    PubMed

    Bartlett, Linda; Cantor, David; Lynam, Pamela; Kaur, Gurpreet; Rawlins, Barbara; Ricca, Jim; Tripathi, Vandana; Rosen, Heather E

    2015-11-01

    To assess the quality of facility-based active management of the third stage of labour in Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and the United Republic of Tanzania. Between 2009 and 2012, using a cross-sectional design, 2317 women in 390 health facilities were directly observed during the third stage of labour. Observers recorded the use of uterotonic medicines, controlled cord traction and uterine massage. Facility infrastructure and supplies needed for active management were audited and relevant guidelines reviewed. Most (94%; 2173) of the women observed were given oxytocin (2043) or another uterotonic (130). The frequencies of controlled cord traction and uterine massage and the timing of uterotonic administration showed considerable between-country variation. Of the women given a uterotonic, 1640 (76%) received it within three minutes of the birth. Uterotonics and related supplies were generally available onsite. Although all of the study countries had national policies and/or guidelines that supported the active management of the third stage of labour, the presence of guidelines in facilities varied across countries and only 377 (36%) of 1037 investigated providers had received relevant training in the previous three years. In the study countries, quality and coverage of the active management of the third stage of labour were high. However, to improve active management, there needs to be more research on optimizing the timing of uterotonic administration. Training on the use of new clinical guidelines and implementation research on the best methods to update such training are also needed.

  6. The importance of quality-of-life assessment in the management of patients with multiple sclerosis. Recommendations from the Middle East MS Advisory Group.

    PubMed

    Al-Tahan, Abdelrahman M; Al-Jumah, Mohammed A; Bohlega, Saeed M; Al-Shammari, Suhail N; Al-Sharoqi, Isa A; Dahdaleh, Maurice P; Hosny, Hassan M; Yamout, Bassem I

    2011-04-01

    Multiple sclerosis (MS) has a major negative impact on patients` health-related quality of life (QoL). A group of MS experts in the Middle East met to develop recommendations for the routine assessment of QoL in patients with MS. The group recommended that patients need to be assessed once a year using the multiple sclerosis international QoL questionnaire (MusiQoL), which is available in Arabic. Assessments should be made when patients are relapse-free to avoid confounding factors. At other clinic visits, patients` QoL should also be monitored, alongside their physical assessment, using open and structured questions on disease features that are likely to affect their QoL. This approach should allow long-term monitoring of key features of MS that are important to patients` well being, and aid decision-making regarding their management, including the use of disease-modifying drugs.

  7. Verification of a Quality Management Theory: Using a Delphi Study

    PubMed Central

    Mosadeghrad, Ali Mohammad

    2013-01-01

    Background: A model of quality management called Strategic Collaborative Quality Management (SCQM) model was developed based on the quality management literature review, the findings of a survey on quality management assessment in healthcare organisations, semi-structured interviews with healthcare stakeholders, and a Delphi study on healthcare quality management experts. The purpose of this study was to verify the SCQM model. Methods: The proposed model was further developed using feedback from thirty quality management experts using a Delphi method. Further, a guidebook for its implementation was prepared including a road map and performance measurement. Results: The research led to the development of a context-specific model of quality management for healthcare organisations and a series of guidelines for its implementation. Conclusion: A proper model of quality management should be developed and implemented properly in healthcare organisations to achieve business excellence. PMID:24596883

  8. Air quality management in Mexico.

    PubMed

    Fernández-Bremauntz, Adrián

    2008-01-01

    Several significant program and policy measures have been implemented in Mexico over the past 15 yr to improve air quality. This article provides an overview of air quality management strategies in Mexico, including (1) policy initiatives such as vehicle use restrictions, air quality standards, vehicle emissions, and fuel quality standards, and (2) supporting programs including establishment of a national emission inventory, an air pollution episodes program, and the implementation of exposure and health effects studies. Trends in air pollution episodes and ambient air pollutant concentrations are described.

  9. Total quality management issues in managed care.

    PubMed

    McLaughlin, C P; Kaluzny, A D

    1997-01-01

    The implementation of total quality management (TQM) in health care has gone on in parallel with the growth of managed care. What is the interaction between the two? Key issues are the ascendance of cost control over quality in many areas, erosion of employee commitment and loyalty, and a short-run orientation. Associated with this is an emphasis on organizational learning rather than learning by autonomous professionals. Both TQM and managed care acknowledge the dynamic nature of clinical processes and the ability and responsibility of both institutions and clinicians to improve their processes. Both are consistent with efforts to identify and implement best practices. However, these similarities should not mask fundamental differences. Continuous improvement must shift its focus from avoiding unnecessary variation to facilitating rapid organizational learning and institutionalizing mass customization into the delivery of health services.

  10. Community-Based Soil Quality Assessment As a Tool for Designing an Urban Green Infrastructure Network to Manage Runoff.

    NASA Astrophysics Data System (ADS)

    Klimas, C.; Montgomery, J.

    2014-12-01

    Green infrastructure (GI) may be the most practical approach for reducing contaminated runoff, providing ecosystem services, mitigating food deserts and creating community open spaces in urban areas. This project was funded by the USEPA's People-Prosperity-Planet (P3) program and was a partnership between a team of DePaul University undergraduates (the P3 team) and high school interns (Green Teens) and staff from the Gary Comer Youth Center (GCYC). GCYC is located in a low-income African-American community on Chicago's south side characterized by high crime, abandoned buildings, lack of green space and a food desert. The overaching project goal was to develop a network of Green Teens qualified to conduct soil quality assessment using USDA-NRCS protocols in order to let them develop GI plans to minimize storm water runoff and contaminant loadings, improve community and environmental health, and provide more equitable access to green space. Working with a USDA-ARS soil scientist from Washington State University, the P3 team conducted soil quality assessment on 116 soil samples collected among four abandoned residential lots owned by GCYC. Analytes included infiltration, bulk density, texture, pH, conductivity, aggregate stability, available nutrients, and total and bioavailable (PBET) lead. Soil pH on all lots is greater than 8.0, are low in organic matter, have little microbial respiration activity, are enriched in available phosphorus, and have average total lead values ranging from 24-2,700 mg/kg. PBET lead was less than 40% on most lots. Regardless, these soils will need to be remediated by adding carbon-rich materials such as biosolids prior to GI installation. Students enrolled in a landscape design course at DePaul developed 3-D models representing potential GI designs for one of the vacant lots that include strategies for immobilizing heavy metals, reducing runoff, and which are tied into an educational module for neighborhood school children.

  11. Quality Management and Calibration

    NASA Astrophysics Data System (ADS)

    Merkus, Henk G.

    Good specification of a product’s performance requires adequate characterization of relevant properties. Particulate products are usually characterized by some PSD, shape or porosity parameter(s). For proper characterization, adequate sampling, dispersion, and measurement procedures should be available or developed and skilful personnel should use appropriate, well-calibrated/qualified equipment. The characterization should be executed, in agreement with customers, in a wellorganized laboratory. All related aspects should be laid down in a quality handbook. The laboratory should provide proof for its capability to perform the characterization of stated products and/or reference materials within stated confidence limits. This can be done either by internal validation and audits or by external GLP accreditation.

  12. An ecosystem approach to assess soil quality in organically and conventionally managed farms in Iceland and Austria

    NASA Astrophysics Data System (ADS)

    van Leeuwen, J. P.; Lehtinen, T.; Lair, G. J.; Bloem, J.; Hemerik, L.; Ragnarsdóttir, K. V.; Gísladóttir, G.; Newton, J. S.; de Ruiter, P. C.

    2015-01-01

    Intensive agricultural production can be an important driver for the loss of long-term soil quality. For this reason, the European Critical Zone Observatory (CZO) network adopted four pairs of agricultural CZO sites that differ in their management: conventional or organic. The CZO sites include two pairs of grassland farms in Iceland and two pairs of arable farms in Austria. Conventional fields differed from the organic fields in the use of artificial fertilisers and pesticides. Soils of these eight farms were analysed in terms of their physical, chemical, and biological properties, including soil aggregate size distribution, soil organic matter contents, abundance of soil microbes and soil fauna, and taxonomic diversity of soil microarthropods. In Icelandic grasslands, organically farmed soils had larger mean weight diameters of soil aggregates than the conventional farms, while there were no differences on the Austrian farms. Organic farming did not systematically influence organic matter contents or composition, nor soil carbon and nitrogen contents. Also, soil food web structures, in terms of presence of trophic groups of soil organisms, were highly similar among all farms, indicating a low sensitivity of trophic structure to land use or climate. However, soil organism biomass, especially of bacteria and nematodes, was consistently higher on organic farms than on conventional farms. Within the microarthropods, taxonomic diversity was systematically higher in the organic farms compared to the conventional farms. This difference was found across countries and farm, crop, and soil types. The results do not show systematic differences in physical and chemical properties between organic and conventional farms, but confirm that organic farming can enhance soil biomass and that microarthropod diversity is a sensitive and consistent indicator for land management.

  13. An ecosystem approach to assess soil quality in organically and conventionally managed farms in Iceland and Austria

    NASA Astrophysics Data System (ADS)

    van Leeuwen, J. P.; Lehtinen, T.; Lair, G. J.; Bloem, J.; Hemerik, L.; Ragnarsdóttir, K. V.; Gísladóttir, G.; Newton, J. S.; de Ruiter, P. C.

    2014-06-01

    Intensive agricultural production can be an important driver for the loss of long-term soil quality. For this reason, the European Critical Zone Observatory (CZO) network adopted four pairs of agricultural CZO sites that differ in their management: conventional or organic. The CZO sites include two pairs of grassland farms in Iceland and two pairs of arable farms in Austria. Conventional fields differed from the organic fields in the use of artificial fertilizers and pesticides. Soils of these eight farms were analysed in terms of their physical, chemical, and biological properties, including soil aggregate size distribution, soil organic matter contents, abundance of soil microbes and soil fauna, and taxonomic diversity of soil microarthropods. In Icelandic grasslands, organically farmed soils had larger mean weight diameters than the conventional farms, while there were no differences in the Austrian farms. Organic farming did neither systematically influence organic matter contents or composition, nor soil carbon and nitrogen contents. Also soil food web structures, in terms of presence of trophic groups of soil organisms, were highly similar among all farms, indicating a low sensitivity of trophic structure to land use or climate. However, soil organism biomass, especially of bacteria and nematodes, was consistently higher in organic farms than in conventional farms. Within the microarthropods, also taxonomic diversity was systematically higher in the organic farms compared to the conventional farms. This difference was found across countries, farm-, crop- and soil-types. The results do not show systematic differences in physical and chemical properties between organic and conventional farms, but confirm that organic farming can enhance soil organism biomass, and that microarthropod diversity is a sensitive and consistent indicator for land management.

  14. Project Hanford management contract quality improvement project management plan

    SciTech Connect

    ADAMS, D.E.

    1999-03-25

    On July 13, 1998, the U.S. Department of Energy, Richland Operations Office (DOE-RL) Manager transmitted a letter to Fluor Daniel Hanford, Inc. (FDH) describing several DOE-RL identified failed opportunities for FDH to improve the Quality Assurance (QA) Program and its implementation. In addition, DOE-RL identified specific Quality Program performance deficiencies. FDH was requested to establish a periodic reporting mechanism for the corrective action program. In a July 17, 1998 response to DOE-RL, FDH agreed with the DOE concerns and committed to perform a comprehensive review of the Project Hanford Management Contract (PHMC) QA Program during July and August, 1998. As a result, the Project Hanford Management Contract Quality Improvement Plan (QIP) (FDH-3508) was issued on October 21, 1998. The plan identified corrective actions based upon the results of an in-depth Quality Program Assessment. Immediately following the scheduled October 22, 1998, DOE Office of Enforcement and Investigation (EH-10) Enforcement Conference, FDH initiated efforts to effectively implement the QIP corrective actions. A Quality Improvement Project (QI Project) leadership team was assembled to prepare a Project Management Plan for this project. The management plan was specifically designed to engage a core team and the support of representatives from FDH and the major subcontractors (MSCs) to implement the QIP initiatives; identify, correct, and provide feedback as to the root cause for deficiency; and close out the corrective actions. The QI Project will manage and communicate progress of the process.

  15. Total Quality Management (TQM): Group Dynamics Workshop

    DTIC Science & Technology

    1990-05-15

    TOTAL QUALITY MANAGEMENT (TQM) Group Dynamics Workshop © Copyright 1990 Booz*Allen & Hamilton... QUALITY MANAGEMENT (TQM) GROUP DYNAMICS COURSE -’ Total Quality Management * This course has been designed under the direction and approval of OASD (P...participants’ use of group dynamics skills as leaders and members of OSD TQM groups. Total Quality Management " Examples of such groups include

  16. Results of Phase I groundwater quality assessment for single-shell tank waste management areas T and TX-TY at the Hanford Site

    SciTech Connect

    Hodges, F.N.

    1998-01-01

    Pacific Northwest National Laboratory (PNNL) conducted a Phase I, Resource Conservation and Recovery Act of 1976 (RCRA) groundwater quality assessment for the Richland Field Office of the U.S. Department of Energy (DOE-RL) under the requirements of the Federal Facility Compliance Agreement. The purpose of the investigation was to determine if the Single-Shell Tank Waste Management Areas (WMAs) T and TX-TY have impacted groundwater quality. Waste Management Areas T and TX-TY, located in the northern part of the 200 West Area of the Hanford Site, contain the 241-T, 241-TX, and 241-TY tank farms and ancillary waste systems. These two units are regulated under RCRA interim-status regulations (under 40 CFR 265.93) and were placed in assessment groundwater monitoring because of elevated specific conductance in downgradient wells. Anomalous concentrations of technetium-99, chromium, nitrate, iodine-129, and cobalt-60 also were observed in some downgradient wells. Phase I assessment, allowed under 40 CFR 265, provides the owner-operator of a facility with the opportunity to show that the observed contamination has a source other than the regulated unit. For this Phase I assessment, PNNL evaluated available information on groundwater chemistry and past waste management practices in the vicinity of WMAs T and TX-TY. Background contaminant concentrations in the vicinity of WMAs T and TX-TY are the result of several overlapping contaminant plumes resulting from past-practice waste disposal operations. This background has been used as baseline for determining potential WMA impacts on groundwater.

  17. Illinois water quality management plan

    SciTech Connect

    Not Available

    1992-12-01

    The report describes the purpose of the plan to consolidate and streamline portions of approved state and areawide water quality management (WQM) plans in order to facilitate their usage in the operations of all designated WQM agencies. The report identifies both point and nonpoint pollution sources, reviews policies and regulations already in place and makes recommendations for pollution prevention and control. Information on the plan's management structure is also included.

  18. Continuous quality improvement, total quality management, and reengineering: one hospital's continuous quality improvement journey.

    PubMed

    Klein, D; Motwani, J; Cole, B

    1998-01-01

    In recent years, there has been significantly increasing interest in the application of continuous quality improvement (CQI) and total quality management (TQM) in the health care arena. This case analysis is designed to identify and assess the strategies and processes that led to the successful implementation of CQI in the Emergency Care Center at St. Mary's Hospital in Grand Rapids, MI.

  19. Irrigation water quality assessments

    USDA-ARS?s Scientific Manuscript database

    Increasing demands on fresh water supplies by municipal and industrial users means decreased fresh water availability for irrigated agriculture in semi arid and arid regions. There is potential for agricultural use of treated wastewaters and low quality waters for irrigation but this will require co...

  20. Using the soil and water assessment tool to estimate achievable water quality targets through implementation of beneficial management practices in an agricultural watershed.

    PubMed

    Yang, Qi; Benoy, Glenn A; Chow, Thien Lien; Daigle, Jean-Louis; Bourque, Charles P-A; Meng, Fan-Rui

    2012-01-01

    Runoff from crop production in agricultural watersheds can cause widespread soil loss and degradation of surface water quality. Beneficial management practices (BMPs) for soil conservation are often implemented as remedial measures because BMPs can reduce soil erosion and improve water quality. However, the efficacy of BMPs may be unknown because it can be affected by many factors, such as farming practices, land-use, soil type, topography, and climatic conditions. As such, it is difficult to estimate the impacts of BMPs on water quality through field experiments alone. In this research, the Soil and Water Assessment Tool was used to estimate achievable performance targets of water quality indicators (sediment and soluble P loadings) after implementation of combinations of selected BMPs in the Black Brook Watershed in northwestern New Brunswick, Canada. Four commonly used BMPs (flow diversion terraces [FDTs], fertilizer reductions, tillage methods, and crop rotations), were considered individually and in different combinations. At the watershed level, the best achievable sediment loading was 1.9 t ha(-1) yr(-1) (89% reduction compared with default scenario), with a BMP combination of crop rotation, FDT, and no-till. The best achievable soluble P loading was 0.5 kg ha(-1) yr(-1) (62% reduction), with a BMP combination of crop rotation and FDT and fertilizer reduction. Targets estimated through nonpoint source water quality modeling can be used to evaluate BMP implementation initiatives and provide milestones for the rehabilitation of streams and rivers in agricultural regions.

  1. Michigan lakes: An assessment of water quality

    USGS Publications Warehouse

    Minnerick, R.J.

    2004-01-01

    Michigan has more than 11,000 inland lakes, that provide countless recreational opportunities and are an important resource that makes tourism and recreation a $15-billion-dollar per-year industry in the State (Stynes, 2002). Knowledge of the water-quality characteristics of inland lakes is essential for the current and future management of these resources.Historically the U. S. Geological Survey (USGS) and the Michigan Department of Environmental Quality (MDEQ) jointly have monitored water quality in Michigan's lakes and rivers. During the 1990's, however, funding for surface-water-quality monitoring was reduced greatly. In 1998, the citizens of Michigan passed the Clean Michigan Initiative to clean up, protect, and enhance Michigan's environmental infrastructure. Because of expanding water-quality-data needs, the MDEQ and the USGS jointly redesigned and implemented the Lake Water-Quality Assessment (LWQA) Monitoring Program (Michigan Department of Environmental Quality, 1997).

  2. Leadership and management for quality.

    PubMed

    Gillam, Steve; Siriwardena, A Niroshan

    2013-01-01

    This is the third in a series of articles about the science of quality improvement. Leadership and management are required for change and are therefore important for all quality improvement initiatives. We describe the differences between and features of each, and how they support change in individuals, groups and organisations according to the culture and characteristics of the latter. Finally, we see that leadership competencies are conceptualised in the NHS Leadership Framework and how this can be applied to quality improvement in general practice and healthcare more generally.

  3. Dynamic rating curve assessment for hydrometric stations and computation of the associated uncertainties: Quality and station management indicators

    NASA Astrophysics Data System (ADS)

    Morlot, Thomas; Perret, Christian; Favre, Anne-Catherine; Jalbert, Jonathan

    2014-09-01

    A rating curve is used to indirectly estimate the discharge in rivers based on water level measurements. The discharge values obtained from a rating curve include uncertainties related to the direct stage-discharge measurements (gaugings) used to build the curves, the quality of fit of the curve to these measurements and the constant changes in the river bed morphology. Moreover, the uncertainty of discharges estimated from a rating curve increases with the “age” of the rating curve. The level of uncertainty at a given point in time is therefore particularly difficult to assess. A “dynamic” method has been developed to compute rating curves while calculating associated uncertainties, thus making it possible to regenerate streamflow data with uncertainty estimates. The method is based on historical gaugings at hydrometric stations. A rating curve is computed for each gauging and a model of the uncertainty is fitted for each of them. The model of uncertainty takes into account the uncertainties in the measurement of the water level, the quality of fit of the curve, the uncertainty of gaugings and the increase of the uncertainty of discharge estimates with the age of the rating curve computed with a variographic analysis (Jalbert et al., 2011). The presented dynamic method can answer important questions in the field of hydrometry such as “How many gaugings a year are required to produce streamflow data with an average uncertainty of X%?” and “When and in what range of water flow rates should these gaugings be carried out?”. The Rocherousse hydrometric station (France, Haute-Durance watershed, 946 [km2]) is used as an example throughout the paper. Others stations are used to illustrate certain points.

  4. Modeling water quality to improve agricultural practices and land management in a tunisian catchment using the soil and water assessment tool.

    PubMed

    Aouissi, Jalel; Benabdallah, Sihem; Chabaâne, Zohra Lili; Cudennec, Christophe

    2014-01-01

    Agriculture intensification has impaired water quality. In this study, the risk of pollution by nitrates was assessed by experimental monitoring, spatial integration of farm census, and modeling of water quality using the Soil and Water Assessment Tool (SWAT), version 2009, over the period of 1990 to 2006 for a catchment located northern Tunisia. Under a semiarid climate, the water quality is influenced by the predominating agriculture activities. The hydrological results are compared with the observed flows derived from measurements at the outlet of the Joumine watershed. Model performance showed good statistical agreements, with a Nash-Sutcliffe efficiency of 0.9 and a value of 0.92 after monthly calibration. The model predicted the timing of monthly peak flow values reasonably well. During the validation period, SWAT simulations were nearly as accurate, with Nash-Sutcliffe efficiency and values of 0.89 and 0.92, respectively. The model was used to simulate NO concentrations. The predicted NO concentration values were compared with in situ measured concentrations. The simulated and measured NO-N concentrations varied in the same range of 0 to 5 mg L at the E3 and E5 locations. The calibrated model was then used for simulating the impact of the best management practice scenarios to reduce NO loads to the river. The first set-up consisted of reducing the N fertilizer application by 20 and 100% from the current state. These two scenarios induced a reduction in NO loads by 22 and 72%, respectively. The second set-up consisted of using vegetation filter strips. The last scenario combined filter strips and a reduction of 20% in N fertilizer application. Results showed NO reduction rates of 20 and 36%, respectively. The SWAT model allowed managers to have several options to improve the water quality in the Joumine watershed. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  5. Assessing concentrations and health impacts of air quality management strategies: Framework for Rapid Emissions Scenario and Health impact ESTimation (FRESH-EST).

    PubMed

    Milando, Chad W; Martenies, Sheena E; Batterman, Stuart A

    2016-09-01

    In air quality management, reducing emissions from pollutant sources often forms the primary response to attaining air quality standards and guidelines. Despite the broad success of air quality management in the US, challenges remain. As examples: allocating emissions reductions among multiple sources is complex and can require many rounds of negotiation; health impacts associated with emissions, the ultimate driver for the standards, are not explicitly assessed; and long dispersion model run-times, which result from the increasing size and complexity of model inputs, limit the number of scenarios that can be evaluated, thus increasing the likelihood of missing an optimal strategy. A new modeling framework, called the "Framework for Rapid Emissions Scenario and Health impact ESTimation" (FRESH-EST), is presented to respond to these challenges. FRESH-EST estimates concentrations and health impacts of alternative emissions scenarios at the urban scale, providing efficient computations from emissions to health impacts at the Census block or other desired spatial scale. In addition, FRESH-EST can optimize emission reductions to meet specified environmental and health constraints, and a convenient user interface and graphical displays are provided to facilitate scenario evaluation. The new framework is demonstrated in an SO2 non-attainment area in southeast Michigan with two optimization strategies: the first minimizes emission reductions needed to achieve a target concentration; the second minimizes concentrations while holding constant the cumulative emissions across local sources (e.g., an emissions floor). The optimized strategies match outcomes in the proposed SO2 State Implementation Plan without the proposed stack parameter modifications or shutdowns. In addition, the lower health impacts estimated for these strategies suggest that FRESH-EST could be used to identify potentially more desirable pollution control alternatives in air quality management planning

  6. Total Quality Management Implementation Strategy: Directorate of Quality Assurance

    DTIC Science & Technology

    1989-05-01

    Directorate of Quality Assurance Total Quality Management Implementation Strategy 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADORESS(ES) 8...that job. DTIC 7: t-I ECTE I SEP29 1989 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Quality Assurance, Continuous Process...Prescribed by ANSI Std Z39-18 29d- 102 DEFENSE LOGISTICS AGENCY DIRECTORATE OF QUALITY ASSURANCE 0 TOTAL QUALITY MANAGEMENT IMPLEMENTATION STRATEGY 0 89 9

  7. Indoor Air Quality Management Program.

    ERIC Educational Resources Information Center

    Anne Arundel County Public Schools, Annapolis, MD.

    In an effort to provide Indoor Air Quality (IAQ) management guidance, Anne Arundel County Public Schools was selected by the Maryland State Department of Education to develop a program that could be used by other school systems. A major goal was to produce a handbook that was "user friendly." Hence, its contents are a mix of history,…

  8. Indoor Air Quality Management Program.

    ERIC Educational Resources Information Center

    Anne Arundel County Public Schools, Annapolis, MD.

    In an effort to provide Indoor Air Quality (IAQ) management guidance, Anne Arundel County Public Schools was selected by the Maryland State Department of Education to develop a program that could be used by other school systems. A major goal was to produce a handbook that was "user friendly." Hence, its contents are a mix of history,…

  9. E-Service Quality Management

    ERIC Educational Resources Information Center

    Batagan, Lorena; Pocovnicu, Adrian; Capisizu, Sergiu

    2009-01-01

    A characteristic of today's society is the increasing use of modern information and communication technologies in all areas. Computer applications, called e-services, are being developed to provide efficient access to services, electronically. Quality management systems are needed to provide a consistent way to select, evaluate, prioritize and…

  10. Total Quality Management in Education.

    ERIC Educational Resources Information Center

    Johnson, James H.

    1993-01-01

    Ways to apply the concepts and processes of Total Quality Management (TQM) to education are discussed in this document. Following the introduction and the preface, chapter 1 provides a historical overview and describes the four cornerstones of TQM--an understanding of systems, psychology, knowledge, and statistics. Chapter 2 describes some of the…

  11. Comprehensive assessment of chronic pain management in primary care: a first phase of a quality improvement initiative at a multisite Community Health Center.

    PubMed

    Anderson, Daren; Wang, Sissi; Zlateva, Ianita

    2012-01-01

    The objective of this study was to conduct a comprehensive formative assessment of chronic pain management in a large, multisite community health centre and use the results to design a quality improvement initiative based on an evidence-based practice model developed by the Veterans Health Administration. Improving quality and safety by incorporating evidence-based practices (EBP) is challenging, particularly in busy clinical practices such as Federally Qualified Health Centers (FQHCs). FQHCs grapple with financial constraints, lack of resources and complex patient populations. The Promoting Action on Research Implementation in Health Services (PARIHS) Framework served as a basis for the comprehensive assessment. We used a range of measures and tools to examine pain care from a variety of perspectives. Patients with chronic pain were identified using self-reported pain scores and opioid prescription records. We employed multiple data collection strategies, including querying our electronic health records system, manual chart reviews and staff surveys. We found that patients with chronic pain had extremely high primary care utilisation rates while referral rates to pain-related specialties were low for these patients. Large gaps existed in primary care provider adherence to standards for pain care documentation and practice. There was wide provider variability in the prescription of opioids to treat pain. Staff surveys found substantial variation in both pain care knowledge and readiness to change, as well as low confidence in providers' ability to manage pain, and dissatisfaction with the resources available to support chronic pain care. Improving chronic pain management at this Community Health Center requires a multifaceted intervention aimed at addressing many of the problems identified during the assessment phase. During the intervention we will put a greater emphasis on increasing options for behavioural health and complementary medicine support, increasing

  12. [Quality management in cardiovascular echography].

    PubMed

    Gullace, Giuseppe

    2002-12-01

    The quality management of an organization can be defined as the ability to identify, plan and implement programs of measure, analysis, verification and control that allow to monitor management, resources, activities, processes and output/outcome of the same organization, including the satisfaction of the customers. Whatever the model used, it is demonstrated that the management-quality system, either for professional quality or for organization, turns out to be effective even in the health organizations within and to any level of organizational-structural complexity. The present paper concerns the experience of the Italian Society of Cardiovascular Echography (SIEC) on quality certification, both as a scientific society compared to other health organizations and to cardiovascular echo laboratories, and the definition of minimum requirements for the accreditation of the same laboratories. The model most frequently used for quality management is represented by the ISO 9000: Vision 2000, that is a management model with specific reference to the organization and the customer satisfaction. The model applied to the health structure needs a rapid change in mentality that addresses the operators to define, share and achieve objectives to be brought on by means of an active collaboration, group activity and deep sense of belonging necessary to the attainment of expected objectives. When the model is applied by a scientific society, it is necessary to take into account the different structural and functional organization, the constitution and the operators differing on the point of view of origin, experiences, mentality, and roles. The ISO 9000: Vision 2000 model can be applied also to the cardiovascular echo laboratory which may be compared to a simple organization; for its corrected functioning, SIEC has defined minimal requirements for the accreditation, realization and modalities to carry out and manage quality. The quality system represents a new way of operating of an

  13. A modeling approach to assess coastal management effects on benthic habitat quality: A case study on coastal defense and navigability

    NASA Astrophysics Data System (ADS)

    Cozzoli, Francesco; Smolders, Sven; Eelkema, Menno; Ysebaert, Tom; Escaravage, Vincent; Temmerman, Stijn; Meire, Patrick; Herman, Peter M. J.; Bouma, Tjeerd J.

    2017-01-01

    The natural coastal hydrodynamics and morphology worldwide is altered by human interventions such as embankments, shipping and dredging, which may have consequences for ecosystem functionality. To ensure long-term ecological sustainability, requires capability to predict long-term large-scale ecological effects of altered hydromorphology. As empirical data sets at relevant scales are missing, there is need for integrating ecological modeling with physical modeling. This paper presents a case study showing the long-term, large-scale macrozoobenthic community response to two contrasting human alterations of the hydromorphological habitat: deepening of estuarine channels to enhance navigability (Westerschelde) vs. realization of a storm surge barrier to enhance coastal safety (Oosterschelde). A multidisciplinary integration of empirical data and modeling of estuarine morphology, hydrodynamics and benthic ecology was used to reconstruct the hydrological evolution and resulting long-term (50 years) large-scale ecological trends for both estuaries over the last. Our model indicated that hydrodynamic alterations following the deepening of the Westerschelde had negative implications for benthic life, while the realization of the Oosterschelde storm surge barriers had mixed and habitat-dependent responses, that also include unexpected improvement of environmental quality. Our analysis illustrates long-term trends in the natural community caused by opposing management strategies. The divergent human pressures on the Oosterschelde and Westerschelde are examples of what could happen in a near future for many global coastal ecosystems. The comparative analysis of the two basins is a valuable source of information to understand (and communicate) the future ecological consequences of human coastal development.

  14. Quality of Life Assessment.

    ERIC Educational Resources Information Center

    Gore, Peter H.

    Explaining the use of overlay methodology in the assessment of rural social service this paper describes a technique of visual juxtaposition wherein information is matched with geographic location. To ascertain whether senior citizen centers are located in areas of client concentration, for example, this model superimposes the location of senior…

  15. Quality Assessment in Action.

    ERIC Educational Resources Information Center

    Hawk, Thomas R.

    In 1985, an ad hoc committee was appointed to conduct a comprehensive examination of the educational effectiveness of the Community College of Philadelphia (CCP). The principles governing the assessment emphasized students' educational goals; cognitive and non-cognitive outcomes; differences among subgroups within the student population;…

  16. Institutional Consequences of Quality Assessment

    ERIC Educational Resources Information Center

    Joao Rosa, Maria; Tavares, Diana; Amaral, Alberto

    2006-01-01

    This paper analyses the opinions of Portuguese university rectors and academics on the quality assessment system and its consequences at the institutional level. The results obtained show that university staff (rectors and academics, with more of the former than the latter) held optimistic views of the positive consequences of quality assessment…

  17. Facility-based active management of the third stage of labour: assessment of quality in six countries in sub-Saharan Africa

    PubMed Central

    Cantor, David; Lynam, Pamela; Kaur, Gurpreet; Rawlins, Barbara; Ricca, Jim; Tripathi, Vandana; Rosen, Heather E

    2015-01-01

    Abstract Objective To assess the quality of facility-based active management of the third stage of labour in Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and the United Republic of Tanzania. Methods Between 2009 and 2012, using a cross-sectional design, 2317 women in 390 health facilities were directly observed during the third stage of labour. Observers recorded the use of uterotonic medicines, controlled cord traction and uterine massage. Facility infrastructure and supplies needed for active management were audited and relevant guidelines reviewed. Findings Most (94%; 2173) of the women observed were given oxytocin (2043) or another uterotonic (130). The frequencies of controlled cord traction and uterine massage and the timing of uterotonic administration showed considerable between-country variation. Of the women given a uterotonic, 1640 (76%) received it within three minutes of the birth. Uterotonics and related supplies were generally available onsite. Although all of the study countries had national policies and/or guidelines that supported the active management of the third stage of labour, the presence of guidelines in facilities varied across countries and only 377 (36%) of 1037 investigated providers had received relevant training in the previous three years. Conclusion In the study countries, quality and coverage of the active management of the third stage of labour were high. However, to improve active management, there needs to be more research on optimizing the timing of uterotonic administration. Training on the use of new clinical guidelines and implementation research on the best methods to update such training are also needed. PMID:26549903

  18. Waste Management Quality Assurance Plan

    SciTech Connect

    Waste Management Group

    2006-08-14

    The WMG QAP is an integral part of a management system designed to ensure that WMG activities are planned, performed, documented, and verified in a manner that assures a quality product. A quality product is one that meets all waste acceptance criteria, conforms to all permit and regulatory requirements, and is accepted at the offsite treatment, storage, and disposal facility. In addition to internal processes, this QA Plan identifies WMG processes providing oversight and assurance to line management that waste is managed according to all federal, state, and local requirements for waste generator areas. A variety of quality assurance activities are integral to managing waste. These QA functions have been identified in the relevant procedures and in subsequent sections of this plan. The WMG QAP defines the requirements of the WMG quality assurance program. These requirements are derived from Department of Energy (DOE) Order 414.1C, Quality Assurance, Contractor Requirements Document, the LBNL Operating and Assurance Program Plan (OAP), and other applicable environmental compliance documents. The QAP and all associated WMG policies and procedures are periodically reviewed and revised, as necessary, to implement corrective actions, and to reflect changes that have occurred in regulations, requirements, or practices as a result of feedback on work performed or lessons learned from other organizations. The provisions of this QAP and its implementing documents apply to quality-affecting activities performed by the WMG; WMG personnel, contractors, and vendors; and personnel from other associated LBNL organizations, except where such contractors, vendors, or organizations are governed by their own WMG-approved QA programs.

  19. TQM (Total Quality Management) SPARC (Special Process Action Review Committees) Handbook

    DTIC Science & Technology

    1989-08-01

    improvement; Logistics information; Process analysis; Quality control; Quality assurance; Total Quality Management ; Statistical processes; Management Planning and control; Management training; Management information systems.... Quality Management (TQM). It includes concepts and definitions, checklists, sample formats, and assessment criteria. Keywords: Continuous process...This document describes the techniques used to support and guide the Special Process Action Review Committees for accomplishing their goals for Total

  20. The Northeast Stream Quality Assessment

    USGS Publications Warehouse

    Van Metre, Peter C.; Riva-Murray, Karen; Coles, James F.

    2016-04-22

    In 2016, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) is assessing stream quality in the northeastern United States. The goal of the Northeast Stream Quality Assessment (NESQA) is to assess the quality of streams in the region by characterizing multiple water-quality factors that are stressors to aquatic life and evaluating the relation between these stressors and biological communities. The focus of NESQA in 2016 will be on the effects of urbanization and agriculture on stream quality in all or parts of eight states: Connecticut, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.Findings will provide the public and policymakers with information about the most critical factors affecting stream quality, thus providing insights about possible approaches to protect the health of streams in the region. The NESQA study will be the fourth regional study conducted as part of NAWQA and will be of similar design and scope to the first three, in the Midwest in 2013, the Southeast in 2014, and the Pacific Northwest in 2015 (http://txpub.usgs.gov/RSQA/).

  1. Relationships between structure, process and outcome to assess quality of integrated chronic disease management in a rural South African setting: applying a structural equation model.

    PubMed

    Ameh, Soter; Gómez-Olivé, Francesc Xavier; Kahn, Kathleen; Tollman, Stephen M; Klipstein-Grobusch, Kerstin

    2017-03-23

    South Africa faces a complex dual burden of chronic communicable and non-communicable diseases (NCDs). In response, the Integrated Chronic Disease Management (ICDM) model was initiated in primary health care (PHC) facilities in 2011 to leverage the HIV/ART programme to scale-up services for NCDs, achieve optimal patient health outcomes and improve the quality of medical care. However, little is known about the quality of care in the ICDM model. The objectives of this study were to: i) assess patients' and operational managers' satisfaction with the dimensions of ICDM services; and ii) evaluate the quality of care in the ICDM model using Avedis Donabedian's theory of relationships between structure (resources), process (clinical activities) and outcome (desired result of healthcare) constructs as a measure of quality of care. A cross-sectional study was conducted in 2013 in seven PHC facilities in the Bushbuckridge municipality of Mpumalanga Province, north-east South Africa - an area underpinned by a robust Health and Demographic Surveillance System (HDSS). The patient satisfaction questionnaire (PSQ-18), with measures reflecting structure/process/outcome (SPO) constructs, was adapted and administered to 435 chronic disease patients and the operational managers of all seven PHC facilities. The adapted questionnaire contained 17 dimensions of care, including eight dimensions identified as priority areas in the ICDM model - critical drugs, equipment, referral, defaulter tracing, prepacking of medicines, clinic appointments, waiting time, and coherence. A structural equation model was fit to operationalise Donabedian's theory, using unidirectional, mediation, and reciprocal pathways. The mediation pathway showed that the relationships between structure, process and outcome represented quality systems in the ICDM model. Structure correlated with process (0.40) and outcome (0.75). Given structure, process correlated with outcome (0.88). Of the 17 dimensions of care in

  2. The California stream quality assessment

    USGS Publications Warehouse

    Van Metre, Peter C.; Egler, Amanda L.; May, Jason T.

    2017-03-06

    In 2017, the U.S. Geological Survey (USGS) National Water-Quality Assessment (NAWQA) project is assessing stream quality in coastal California, United States. The USGS California Stream Quality Assessment (CSQA) will sample streams over most of the Central California Foothills and Coastal Mountains ecoregion (modified from Griffith and others, 2016), where rapid urban growth and intensive agriculture in the larger river valleys are raising concerns that stream health is being degraded. Findings will provide the public and policy-makers with information regarding which human and natural factors are the most critical in affecting stream quality and, thus, provide insights about possible approaches to protect the health of streams in the region.

  3. Waste Management Quality Assurance Plan

    SciTech Connect

    Not Available

    1993-11-30

    Lawrence Berkeley Laboratory`s Environment Department addresses its responsibilities through activities in a variety of areas. The need for a comprehensive management control system for these activities has been identified by the Department of Energy (DOE). The WM QA (Waste Management Quality Assurance) Plan is an integral part of a management system that provides controls necessary to ensure that the department`s activities are planned, performed, documented, and verified. This WM QA Plan defines the requirements of the WM QA program. These requirements are derived from DOE Order 5700.6C, Quality Assurance, the LBL Operating and Assurance Program Plan (OAP, LBL PUB-3111), and other environmental compliance documents applicable to WM activities. The requirements presented herein, as well as the procedures and methodologies that direct the implementation of these requirements, will undergo review and revisions as necessary. The provisions of this QA Plan and its implementing documents apply to quality-affecting activities performed by and for WM. It is also applicable to WM contractors, vendors, and other LBL organizations associated with WM activities, except where such contractors, vendors, or organizations are governed by their own WM-approved QA programs. References used in the preparation of this document are (1) ASME NQA-1-1989, (2) ANSI/ASQC E4 (Draft), (3) Waste Management Quality Assurance Implementing Management Plan (LBL PUB-5352, Rev. 1), (4) LBL Operating and Assurance Program Plan (OAP), LBL PUB-3111, 2/3/93. A list of terms and definitions used throughout this document is included as Appendix A.

  4. Engaging with quality improvement in anticoagulation management.

    PubMed

    Barnes, Geoffrey D; Kline-Rogers, Eva

    2015-04-01

    Anticoagulants are highly effective at preventing thrombosis across a variety of clinical indications. However, their use can also lead to devastating effects, including major bleeding and death. Anticoagulation providers strive to balance the benefits of anticoagulant therapy with the risks of major bleeding. A measure of quality care can be used to assess the strengths and potential weaknesses in any system of coordinated care delivery. Quality measures in anticoagulation include patient-centered outcomes (e.g. major bleeding, time in the therapeutic range) and provider- or process-focused outcomes (e.g. compliance with guideline recommendations and response times to out-of-range laboratory values). Engaging in quality improvement activities allows anticoagulation providers to assess their own performance and identify areas for targeted interventions. This review summarizes the justification for engaging in quality improvement for anticoagulation management and describes a number of example programs. Interventions benefiting the management of both warfarin and the direct oral anticoagulants are included. The review also details potential quality measures and resources for any anticoagulation provider looking to begin a quality improvement process.

  5. Engaging with quality improvement in anticoagulation management

    PubMed Central

    Barnes, Geoffrey D.; Kline-Rogers, Eva

    2016-01-01

    Anticoagulants are highly effective at preventing thrombosis across a variety of clinical indications. However, their use can also lead to devastating effects, including major bleeding and death. Anticoagulation providers strive to balance the benefits of anticoagulant therapy with the risks of major bleeding. A measure of quality care can be used to assess the strengths and potential weaknesses in any system of coordinated care delivery. Quality measures in anticoagulation include patient-centered outcomes (e.g. major bleeding, time in the therapeutic range) and provider- or process-focused outcomes (e.g. compliance with guideline recommendations and response times to out-of-range laboratory values). Engaging in quality improvement activities allows anticoagulation providers to assess their own performance and identify areas for targeted interventions. This review summarizes the justification for engaging in quality improvement for anticoagulation management and describes a number of example programs. Interventions benefiting the management of both warfarin and the direct oral anticoagulants are included. The review also details potential quality measures and resources for any anticoagulation provider looking to begin a quality improvement process. PMID:25772116

  6. Application of sediment quality guidelines in the assessment and management of contaminated surficial sediments in Port Jackson (Sydney Harbour), Australia.

    PubMed

    Birch, Gavin F; Taylor, Stuart E

    2002-06-01

    Sediments in the Port Jackson estuary are polluted by a wide range of toxicants and concentrations are among the highest reported for any major harbor in the world. Sediment quality guidelines (SQGs), developed by the National Oceanographic and Atmospheric Administration (NOAA) in the United States are used to estimate possible adverse biological effects of sedimentary contaminants in Port Jackson to benthic animals. The NOAA guidelines indicate that Pb, Zn, DDD, and DDE are the most likely contaminants to cause adverse biological effects in Port Jackson. On an individual chemical basis, the detrimental effects due to these toxicants may occur over extensive areas of the harbor, i.e., about 40%, 30%, 15% and 50%, respectively. The NOAA SQGs can also be used to estimate the probability of sediment toxicity for contaminant mixtures by determining the number of contaminants exceeding an upper guideline value (effects range medium, or ERM), which predicts probable adverse biological effects. The exceedence approach is used in the current study to estimate the probability of sediment toxicity and to prioritize the harbour in terms of possible adverse effects on sediment-dwelling animals. Approximately 1% of the harbor is mantled with sediment containing more than ten contaminants exceeding their respective ERM concentrations and, based on NOAA data, these sediments have an 80% probability of being toxic. Sediment with six to ten contaminants exceeding their respective ERM guidelines extend over approximately 4% of the harbor and have a 57% probability of toxicity. These areas are located in the landward reaches of embayments in the upper and central harbor in proximity to the most industrialised and urbanized part of the catchment. Sediment in a further 17% of the harbor has between one and five exceedences and has a 32% probability of being toxic. The application of SQGs developed by NOAA has not been tested outside North America, and the validity of using them in Port

  7. Defense Depot Tracy Total Quality Management Plan

    DTIC Science & Technology

    1989-07-01

    PAGES TQM ( Total Quality Management ), Depot Operations, Continuous Process Improvement 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY...make up our pcrceptions of Total Quality Management . Our goal is to improve those proven management processes that have brought us success while being...MANIAGEMENT F. QUALITY AUDITS OF PRODUCTS AND OPERATIONS ASSETS MANAGEMENT 00 i .......... / ~899 29 03 1 EFENSE DEPOT TACY TOTAL QUALITY MANAGEMENT PLAN

  8. A proposed adaptation of the European Foundation for Quality Management Excellence Model to physical activity programmes for the elderly - development of a quality self-assessment tool using a modified Delphi process

    PubMed Central

    2011-01-01

    Background There has been a growing concern in designing physical activity (PA) programmes for elderly people, since evidence suggests that such health promotion interventions may reduce the deleterious effects of the ageing process. Complete programme evaluations are a necessary prerequisite to continuous quality improvements. Being able to refine, adapt and create tools that are suited to the realities and contexts of PA programmes for the elderly in order to support its continuous improvement is, therefore, crucial. Thus, the aim of this study was to develop a self-assessment tool for PA programmes for the elderly. Methods A 3-round Delphi process was conducted via the Internet with 43 national experts in PA for the elderly, management and delivery of PA programmes for the elderly, sports management, quality management and gerontology, asking experts to identify the propositions that they considered relevant for inclusion in the self-assessment tool. Experts reviewed a list of proposed statements, based on the criteria and sub-criteria from the European Foundation for Quality Management Excellence Model (EFQM) and PA guidelines for older adults and rated each proposition from 1 to 8 (disagree to agree) and modified and/or added propositions. Propositions receiving either bottom or top scores of greater than 70% were considered to have achieved consensus to drop or retain, respectively. Results In round 1, of the 196 originally-proposed statements (best practice principles), the experts modified 41, added 1 and achieved consensus on 93. In round 2, a total of 104 propositions were presented, of which experts modified 39 and achieved consensus on 53. In the last round, of 51 proposed statements, the experts achieved consensus on 19. After 3 rounds of rating, experts had not achieved consensus on 32 propositions. The resulting tool consisted of 165 statements that assess nine management areas involved in the development of PA programmes for the elderly. Conclusion

  9. Evaluation of the quality of care of a multi-disciplinary Risk Factor Assessment and Management Programme for Hypertension (RAMP-HT).

    PubMed

    Yu, Esther Yee Tak; Wan, Eric Yuk Fai; Chan, Karina Hiu Yen; Wong, Carlos King Ho; Kwok, Ruby Lai Ping; Fong, Daniel Yee Tak; Lam, Cindy Lo Kuen

    2015-06-19

    There is some evidence to support a risk-stratified, multi-disciplinary approach to manage patients with hypertension in primary care. The aim of this study is to evaluate the quality of care (QOC) of a multi-disciplinary Risk Assessment and Management Programme for Hypertension (RAMP-HT) for hypertensive patients in busy government-funded primary care clinics in Hong Kong. The objectives are to develop an evidence-based, structured and comprehensive evaluation framework on quality of care, to enhance the QOC of the RAMP-HT through an audit spiral of two evaluation cycles and to determine the effectiveness of the programme in reducing cardiovascular disease (CVD) risk. A longitudinal study is conducted using the Action Learning and Audit Spiral methodologies to measure whether pre-set target standards of care intended by the RAMP-HT are achieved. A structured evaluation framework on the quality of structure, process and outcomes of care has been developed based on the programme objectives and literature review in collaboration with the programme workgroup and health service providers. Each participating clinic is invited to complete a structure of care evaluation questionnaire in each evaluation cycle. The data of all patients who have enrolled into the RAMP-HT in the pre-defined evaluation periods are used for the evaluation of the process and outcomes of care in each evaluation cycle. For evaluation of the effectiveness of RAMP-HT, the primary outcomes including blood pressure (both systolic and diastolic), low-density lipoprotein cholesterol and estimated 10-year CVD risk of RAMP-HT participants are compared to those of hypertensive patients in usual care without RAMP-HT. The QOC and effectiveness of the RAMP-HT in improving clinical and patient-reported outcomes for patients with hypertension in normal primary care will be determined. Possible areas for quality enhancement and standards of good practice will be established to inform service planning and policy

  10. Evaluation of ß-Glucosidase Activity as a Soil Quality Indicator for the Soil Management Assessment Framework (SMAF)

    USDA-ARS?s Scientific Manuscript database

    Soil quality cannot be measured directly because it is a broad, integrative concept. Instead, a variety of proxy measurements are analyzed, which together provide clues about how the soil is functioning. These measurements are called soil quality indicators. Currently, as part of the Conservation...

  11. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  12. Total Quality Management in Education. Second Edition.

    ERIC Educational Resources Information Center

    Sallis, Edward

    Quality is at the top of most agendas, and improving quality is probably the most important task facing any institution. In addition, quality is difficult to define or measure. This book, the second edition of "Total Quality Management in Education," introduces the key concepts of Total Quality Management (TQM) and demonstrates how they…

  13. Performance assessment of a programmable five degrees-of-freedom motion platform for quality assurance of motion management techniques in radiotherapy.

    PubMed

    Huang, Chen-Yu; Keall, Paul; Rice, Adam; Colvill, Emma; Ng, Jin Aun; Booth, Jeremy T

    2017-07-17

    Inter-fraction and intra-fraction motion management methods are increasingly applied clinically and require the development of advanced motion platforms to facilitate testing and quality assurance program development. The aim of this study was to assess the performance of a 5 degrees-of-freedom (DoF) programmable motion platform HexaMotion (ScandiDos, Uppsala, Sweden) towards clinically observed tumor motion range, velocity, acceleration and the accuracy requirements of SABR prescribed in AAPM Task Group 142. Performance specifications for the motion platform were derived from literature regarding the motion characteristics of prostate and lung tumor targets required for real time motion management. The performance of the programmable motion platform was evaluated against (1) maximum range, velocity and acceleration (5 DoF), (2) static position accuracy (5 DoF) and (3) dynamic position accuracy using patient-derived prostate and lung tumor motion traces (3 DoF). Translational motion accuracy was compared against electromagnetic transponder measurements. Rotation was benchmarked with a digital inclinometer. The static accuracy and reproducibility for translation and rotation was <0.1 mm or <0.1°, respectively. The accuracy of reproducing dynamic patient motion was <0.3 mm. The motion platform's range met the need to reproduce clinically relevant translation and rotation ranges and its accuracy met the TG 142 requirements for SABR. The range, velocity and acceleration of the motion platform are sufficient to reproduce lung and prostate tumor motion for motion management. Programmable motion platforms are valuable tools in the investigation, quality assurance and commissioning of motion management systems in radiation oncology.

  14. EPA Region 3 Quality Management Plans

    EPA Pesticide Factsheets

    Has links to resources that describe the Region's Quality Assurance Program, which is a collection of the Region's ongoing quality assurance (QA) policies, procedures, responsibilities and management systems.

  15. ISO 9000 Quality Management System

    NASA Astrophysics Data System (ADS)

    Hadjicostas, Evsevios

    The ISO 9000 series describes a quality management system applicable to any organization. In this chapter we present the requirements of the standard in a way that is as close as possible to the needs of analytical laboratories. The sequence of the requirements follows that in the ISO 9001:2008 standard. In addition, the guidelines for performance improvement set out in the ISO 9004 are reviewed. Both standards should be used as a reference as well as the basis for further elaboration.

  16. Evaluation of the quality of care of a multi-disciplinary risk factor assessment and management programme (RAMP) for diabetic patients.

    PubMed

    Fung, Colman S C; Chin, Weng Yee; Dai, Daisy S K; Kwok, Ruby L P; Tsui, Eva L H; Wan, Yuk Fai; Wong, Wendy; Wong, Carlos K H; Fong, Daniel Y T; Lam, Cindy L K

    2012-12-05

    Type 2 Diabetes Mellitus (DM) is a common chronic disease associated with multiple clinical complications. Management guidelines have been established which recommend a risk-stratified approach to managing these patients in primary care. This study aims to evaluate the quality of care (QOC) and effectiveness of a multi-disciplinary risk assessment and management programme (RAMP) for type 2 diabetic patients attending government-funded primary care clinics in Hong Kong. The evaluation will be conducted using a structured and comprehensive evidence-based evaluation framework. For evaluation of the quality of care, a longitudinal study will be conducted using the Action Learning and Audit Spiral methodologies to measure whether the pre-set target standards for criteria related to the structure and process of care are achieved. Each participating clinic will be invited to complete a Structure of Care Questionnaire evaluating pre-defined indicators which reflect the setting in which care is delivered, while process of care will be evaluated against the pre-defined indicators in the evaluation framework.Effectiveness of the programme will be evaluated in terms of clinical outcomes, service utilization outcomes, and patient-reported outcomes. A cohort study will be conducted on all eligible diabetic patients who have enrolled into RAMP for more than one year to compare their clinical and public service utilization outcomes of RAMP participants and non-participants. Clinical outcome measures will include HbA1c, blood pressure (both systolic and diastolic), lipids (low-density lipoprotein cholesterol) and future cardiovascular diseases risk prediction; and public health service utilization rate will include general and specialist outpatient, emergency department attendances, and hospital admissions annually within 5 years. For patient-reported outcomes, a total of 550 participants and another 550 non-participants will be followed by telephone to monitor quality of life

  17. Total quality management in American industry.

    PubMed

    Widtfeldt, A K; Widtfeldt, J R

    1992-07-01

    The definition of total quality management is conformance to customer requirements and specifications, fitness for use, buyer satisfaction, and value at an affordable price. The three individuals who have developed the total quality management concepts in the United States are W.E. Deming, J.M. Juran, and Philip Crosby. The universal principles of total quality management are (a) a customer focus, (b) management commitment, (c) training, (d) process capability and control, and (e) measurement through quality improvement tools. Results from the National Demonstration Project on Quality Improvement in Health Care showed the principles of total quality management could be applied to healthcare.

  18. Assessing the Total Economic Value of Improving Water Quality to Inform Water Resources Management: Evidence and Challenges from Southeast Asia

    NASA Astrophysics Data System (ADS)

    Jalilov, S.; Fukushi, K.

    2016-12-01

    Population growth, high rates of economic development and rapid urbanization in the developing countries of Southeast Asia (SEA) have resulted in degradation and depletion of natural resources, including water resources and related ecosystem services. Many urban rivers in the region are highly polluted with domestic, industrial and agricultural wastes. Policymakers are often aware of the direct value of water resources for domestic and industrial consumption, but they often underestimate the indirect value of these functions, since they are not exchanged in the market and do not appear in national income accounts. Underestimation of pollution and over-exploitation of water resources result in a loss of these benefits and have adverse impacts on nearby residents, threatening the long-term sustainable development of natural resources in the region. Behind these constraints lies a lack of knowledge (ignorance) from governments that a clean water environment could bring significant economic benefits. This study has been initiated to tackle this issue and to foster a more rational approach for sustainable urban development in Metro Manila in the Philippines. We applied a Contingent Valuation Method (CVM) based on Computer-Assisted Personal Interviewing (CAPI) technique. Results show that users are willing to pay up to PHP 102.42 (2.18) monthly to improve quality of urban waterbodies whereas nonusers are willing to pay up to PHP 366.53 (7.80) as one-time payment towards water quality improvement. The estimated monetary value of water quality improvements would be a useful variable in cost-benefit analyses of various water quality-related policies, in both public and private sectors in Metro Manila. This survey design could serve as a useful template for similar water quality studies in other SEA countries.

  19. A Framework to Assist Health Professionals in Recommending High-Quality Apps for Supporting Chronic Disease Self-Management: Illustrative Assessment of Type 2 Diabetes Apps

    PubMed Central

    Capra, Sandra; Bauer, Judith

    2015-01-01

    Background This paper presents an approach to assist health professionals in recommending high quality apps for supporting chronic disease self-management. Most app reviews focus on popularity, aesthetics, functionality, usability, and information quality. There is no doubt these factors are important in selecting trustworthy apps which are appealing to users, but behavioral theory may be also be useful in matching the apps to user needs. Objective The framework developed aims to be methodologically sound, capable of selecting popular apps which include content covered by evidence-based programs, consistent with behavioral theory, as well as a patient-centered approach for matching apps to patients’ individual needs. Methods A single disease—type 2 diabetes—was selected to illustrate how the framework can be applied as this was deemed to represent the types of strategies used in many chronic diseases. A systematic approach based on behavioral theory and recommendations from best practice guidelines was developed for matching apps to patients’ needs. In March 2014, a series of search strategies was used to identify top-rated iPhone and Android health apps, representing 29 topics from five categories of type 2 diabetes self-management strategies. The topics were chosen from published international guidelines for the management of diabetes. The senior author (KH) assessed the most popular apps found that addressed these topics using the Behavioral Theory Content Survey (BTS), which is based on traditional behavioral theory. A tool to assist decision making when using apps was developed and trialed with health professionals for ease of use and understanding. Results A total of 14 apps were assessed representing all five topic categories of self-management. Total theoretical scores (BTS scores) were less than 50 on a 100-point scale for all apps. Each app scored less than 50% of the total possible BTS score for all four behavioral theories and for most of the 20

  20. A Framework to Assist Health Professionals in Recommending High-Quality Apps for Supporting Chronic Disease Self-Management: Illustrative Assessment of Type 2 Diabetes Apps.

    PubMed

    Hale, Kelli; Capra, Sandra; Bauer, Judith

    2015-09-14

    This paper presents an approach to assist health professionals in recommending high quality apps for supporting chronic disease self-management. Most app reviews focus on popularity, aesthetics, functionality, usability, and information quality. There is no doubt these factors are important in selecting trustworthy apps which are appealing to users, but behavioral theory may be also be useful in matching the apps to user needs. The framework developed aims to be methodologically sound, capable of selecting popular apps which include content covered by evidence-based programs, consistent with behavioral theory, as well as a patient-centered approach for matching apps to patients' individual needs. A single disease-type 2 diabetes-was selected to illustrate how the framework can be applied as this was deemed to represent the types of strategies used in many chronic diseases. A systematic approach based on behavioral theory and recommendations from best practice guidelines was developed for matching apps to patients' needs. In March 2014, a series of search strategies was used to identify top-rated iPhone and Android health apps, representing 29 topics from five categories of type 2 diabetes self-management strategies. The topics were chosen from published international guidelines for the management of diabetes. The senior author (KH) assessed the most popular apps found that addressed these topics using the Behavioral Theory Content Survey (BTS), which is based on traditional behavioral theory. A tool to assist decision making when using apps was developed and trialed with health professionals for ease of use and understanding. A total of 14 apps were assessed representing all five topic categories of self-management. Total theoretical scores (BTS scores) were less than 50 on a 100-point scale for all apps. Each app scored less than 50% of the total possible BTS score for all four behavioral theories and for most of the 20 behavioral strategies; however, apps scored

  1. Evaluation and Assessment of Conservation Management Practice Effects on Water Quality – AnnAGNPS Watershed Modeling Studies

    USDA-ARS?s Scientific Manuscript database

    The United States Department of Agriculture (USDA)–Annualized Agricultural Non-Point Source Pollutant Loading model (AnnAGNPS) is a watershed scale, continuous simulation, daily time step, conservation management planning tool that is currently utilized in many field and watershed-scale locations ar...

  2. Web applications for total quality management.

    PubMed

    Golaz, O; Hochstrasser, D

    1999-05-01

    Total quality management involves the consideration of many quality subjects as part of the management, such as quality processes, quality education, quality assurance, quality planning, quality results and quality document management. But crucial quality elements are also communication, data management and information sharing. Web applications and other associated computer communication applications such as E-mail and newsgroups, for example, offer to the laboratory environment the best tools to achieve proper communication and data management/sharing. These applications, enabling the set-up of Internet and Intranet sites, are used to share the information in the form of simple text pages or of completely interactive pages, which could comprise audio and video files, web page formulae and web data management applications. These applications are being associated to several applications and also being integrated into the laboratory information system (LIS).

  3. Total Quality Management (TQM), an Overview

    DTIC Science & Technology

    1991-09-01

    TYPE AND DATES COVERED ISeptember 1991 In-Hfouse 4. TITLE AND SUBTITLE 5 . FUNDING NUMBERS TOTAL QUALITY MANAGEMENT (TQM), AN OVERVIEW PE - 62702F PR...proposed a 14 step approach to quality : 1. Management commitment 2. Quality improvement team 3. Quality measurement (defect rates) 4. Cost of quality ...evaluation 5 . Quality awareness 6. Corrective action 7. Ad hoc committee for zero defects program 8. Supervisor training 9. Zero defects day 10. Goal

  4. Using performance parameters, metrified performance objectives, and quality management assessments to improve the effectiveness of research organizations

    SciTech Connect

    Bodnarczuk, M

    1995-04-01

    This paper begins by raising the issue of whether the theoretical model of customer-suppliers-products-services usefully describes the activities of laboratory life, using a case study from Fermilab. After describing scientific activities as work, not volunteerism, I present a model that has four performance parameters that can be used to evaluate DOE-funded research laboratories: (1) Do they have a well-defined management system? (2) Are they doing good science? (3) Are they managing their resources effectively? (4) Are they responsive to their customers? From these four parameters I describe how to metrify performance objectives, then use them to evaluate research organizations. I describe these performance objectives within the context of views I have published elsewhere, and according to Stephen R. Covey`s metaphor of production/production capability (P/PC) balance in his book The 7 Habits of Highly Effective People.

  5. Results of Phase I groundwater quality assessment for single-shell tank waste management Area S-SX at the Hanford Site

    SciTech Connect

    Johnson, V.G.; Chou, C.J.

    1998-01-01

    Pacific Northwest National Laboratory (PNNL) conducted a Phase I, Resource Conservation and Recovery Act of 1976 (RCRA) groundwater quality assessment for the Richland Field Office of the U.S. Department of Energy (DOE-RL), in accordance with the Federal Facility Compliance Agreement. The purpose of the investigation was to determine if the Single-Shell Tank Waste Management Area (WMA) S-SX has impacted groundwater quality. The WMA is located in the southern portion of the 200 West Area of the Hanford Site and consists of the 241-S and 241-SX tank farms and ancillary waste systems. The unit is regulated under RCRA interim-status regulations (40 CFR 265, Subpart F) and was placed in assessment groundwater monitoring (40 CFR 265.93 [d]) in August 1996 because of elevated specific conductance and technetium-99, a non-RCRA co-contaminant, in downgradient monitoring wells. Major findings of the assessment are summarized below: (1) Distribution patterns for radionuclides and RCRA/dangerous waste constituents indicate WMA S-SX has contributed to groundwater contamination observed in downgradient monitoring wells. (2) Drinking water standards for nitrate and technetium-99 are currently exceeded in one RCRA-compliant well (299-W22-46) located at the southeastern comer of the SX tank farm. (3) Technetium-99, nitrate, and chromium concentrations in downgradient well 299-W22-46 (the well with the highest current concentrations) appear to be declining after reaching maximum concentrations in May 1997. (4) Cesium-137 and strontium-90, major constituents of concern in single-shell tank waste, were not detected in any of the RCRA-compliant wells in the WMA network, including the well with the highest current technetium-99 concentrations (299-W22-46). (5) Low but detectable strontium-90 and cesium-137 were found in one old well (2-W23-7), located inside and between the S and SX tank farms.

  6. Total quality management program planning

    SciTech Connect

    Thornton, P.T.; Spence, K.

    1994-05-01

    As government funding grows scarce, competition between the national laboratories is increasing dramatically. In this era of tougher competition, there is no for resistance to change. There must instead be a uniform commitment to improving the overall quality of our products (research and technology) and an increased focus on our customers` needs. There has been an ongoing effort to bring the principles of total quality management (TQM) to all Energy Systems employees to help them better prepare for future changes while responding to the pressures on federal budgets. The need exists for instituting a vigorous program of education and training to an understanding of the techniques needed to improve and initiate a change in organizational culture. The TQM facilitator is responsible for educating the work force on the benefits of self-managed work teams, designing a program of instruction for implementation, and thus getting TQM off the ground at the worker and first-line supervisory levels so that the benefits can flow back up. This program plan presents a conceptual model for TQM in the form of a hot air balloon. In this model, there are numerous factors which can individually and collectively impede the progress of TQM within the division and the Laboratory. When these factors are addressed and corrected, the benefits of TQM become more visible. As this occurs, it is hoped that workers and management alike will grasp the ``total quality`` concept as an acceptable agent for change and continual improvement. TQM can then rise to the occasion and take its rightful place as an integral and valid step in the Laboratory`s formula for survival.

  7. Industrial Quality Standards and Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Tannock, James D. T.

    1991-01-01

    Examines practical applications for the suitability of two different approaches to quality management within engineering education. One utilizes quality systems standards as typified by a specific industrial process that ensures an effective production system. The other applies the notion of total quality management emphasizing a process of…

  8. Industrial Quality Standards and Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Tannock, James D. T.

    1991-01-01

    Examines practical applications for the suitability of two different approaches to quality management within engineering education. One utilizes quality systems standards as typified by a specific industrial process that ensures an effective production system. The other applies the notion of total quality management emphasizing a process of…

  9. Development of Management Methodology for Engineering Production Quality

    NASA Astrophysics Data System (ADS)

    Gorlenko, O.; Miroshnikov, V.; Borbatc, N.

    2016-04-01

    The authors of the paper propose four directions of the methodology developing the quality management of engineering products that implement the requirements of new international standard ISO 9001:2015: the analysis of arrangement context taking into account stakeholders, the use of risk management, management of in-house knowledge, assessment of the enterprise activity according to the criteria of effectiveness

  10. Dysphagia: its nature, assessment and management.

    PubMed

    Lancaster, John

    2015-01-01

    Dysphagia impacts on the health and quality of life of individuals and contributes to the cost of health care. This paper summarises current literature regarding the nature, assessment and management of acquired oro-pharyngeal dysphagia in older adults. It examines the aetiology, prevalence and consequences of dysphagia, as well as issues regarding medication administration. Assessment of dysphagia is explored in terms of multidisciplinary screening, speech and language therapist clinical swallowing evaluation and instrumental assessment.

  11. Health impact assessment of decreases in PM10 and ozone concentrations in the Mexico City Metropolitan Area: a basis for a new air quality management program.

    PubMed

    Riojas-Rodríguez, Horacio; Álamo-Hernández, Urinda; Texcalac-Sangrador, José Luis; Romieu, Isabelle

    2014-01-01

    To conduct a health impact assessment (HIA) to quantify health benefits for several PM and O3 air pollution reduction scenarios in the Mexico City Metropolitan Area (MCMA). Results from this HIA will contribute to the scientific support of the MCMA air quality management plan (PROAIRE) for the period 2011-2020. The HIA methodology consisted of four steps: 1) selection of the air pollution reduction scenarios, 2) identification of the at-risk population and health outcomes for the 2005 baseline scenario, 3) selection of concentration-response functions and 4) estimation of health impacts. Reductions of PM10 levels to 20 μg/m³ and O3 levels to 0.050ppm (98 µg/m³) would prevent 2300 and 400 annual deaths respectively. The greatest health impact was seen in the over-65 age group and in mortality due to cardiopulmonary and cardiovascular disease. Improved air quality in the MCMA could provide significant health benefits through focusing interventions by exposure zones.

  12. Assessment of Household Disposal of Pharmaceuticals in Lebanon: Management Options to Protect Water Quality and Public Health.

    PubMed

    Massoud, May A; Chami, Ghida; Al-Hindi, Mahmoud; Alameddine, Ibrahim

    2016-05-01

    Pharmaceuticals comprise an extensive group of compounds whose release into the environment has potential adverse impacts on human health and aquatic ecosystems. In many developing countries the extent of the problem and the occurrence of pharmaceuticals in water bodies are generally unknown. While thousands of tons of pharmaceutical substances are used annually, little information is known about their final fate after their intended use. This paper focuses on better understanding the management of human-use pharmaceutical wastes generated at the residential level within the Administrative Beirut Area. A survey encompassing 300 households was conducted. Results revealed that the majority of respondents were found to dispose of their unwanted medications, mainly through the domestic solid waste stream. Willingness to participate in a future collection program was found to be a function of age, medical expenditure, and the respondents' views towards awareness and the importance of establishing a collection system for pharmaceutical wastes. Respondents who stated a willingness to participate in a collection program and/or those who believed in the need for awareness programs on the dangers of improper medical waste disposal tended to favor more collection programs managed by the government as compared to a program run by pharmacies or to the act of re-gifting medication to people in need. Ultimately, collaboration and coordination between concerned stakeholders are essential for developing a successful national collection plan.

  13. Assessment of Household Disposal of Pharmaceuticals in Lebanon: Management Options to Protect Water Quality and Public Health

    NASA Astrophysics Data System (ADS)

    Massoud, May A.; Chami, Ghida; Al-Hindi, Mahmoud; Alameddine, Ibrahim

    2016-05-01

    Pharmaceuticals comprise an extensive group of compounds whose release into the environment has potential adverse impacts on human health and aquatic ecosystems. In many developing countries the extent of the problem and the occurrence of pharmaceuticals in water bodies are generally unknown. While thousands of tons of pharmaceutical substances are used annually, little information is known about their final fate after their intended use. This paper focuses on better understanding the management of human-use pharmaceutical wastes generated at the residential level within the Administrative Beirut Area. A survey encompassing 300 households was conducted. Results revealed that the majority of respondents were found to dispose of their unwanted medications, mainly through the domestic solid waste stream. Willingness to participate in a future collection program was found to be a function of age, medical expenditure, and the respondents' views towards awareness and the importance of establishing a collection system for pharmaceutical wastes. Respondents who stated a willingness to participate in a collection program and/or those who believed in the need for awareness programs on the dangers of improper medical waste disposal tended to favor more collection programs managed by the government as compared to a program run by pharmacies or to the act of re-gifting medication to people in need. Ultimately, collaboration and coordination between concerned stakeholders are essential for developing a successful national collection plan.

  14. [Effectiveness of incorporating a quality management system].

    PubMed

    Seki, Akira; Hankins, Raleigh W; Miya, Tetsumasa

    2010-01-01

    In 2003, the ISO 15189 international standardization program on the quality and competence of the clinical reference laboratory was introduced. To date, 46 facilities have committed themselves to providing a higher level of medical service by incorporating a quality management system (QMS) and acquiring accreditation. QMS is defined as "setting up a policy and goals pertaining to quality, and adopting an appropriate system," and is a scheme that includes all managerial and technical factors that can affect test results. Regarding the Health Sciences Research Institute Group, 4 facilities have previously received the accreditation described above, but in the process of implementing the QMS, a number of problems have been identified. Here, we report on the effectiveness of adopting such a QMS based on the results of employee questionnaires, internal audits, customer complaint analyses, and external audits by the Japan Accreditation Board for Conformity Assessment (JAB), the official inspection body for accreditation.

  15. Total Quality Management, DLA Finance Center

    DTIC Science & Technology

    1989-07-01

    ton. DC 20503. DATE 3. REPORT TYPE AND DATES COVERED SJuly 1989 4. TITLE AND SUBTIT’LE 5. FUNDING NUMBERS Total Quality Management , DLA Finance Center 6...1989 ~ D 14. SUBJECT TERMS 15. NUMBER OF PAGES TQM ( Total Quality Management ), Continuous Process Improvement. ., I Management 16. PRICE CODE 17...CONCEPTS TQM BASICS Total Quality Management (TQM) is a concept which is based on the work of a variety of people in a variety of fields. It includes

  16. [Quality management and quality assurance: terminology of a structural change in medicine].

    PubMed

    Schilling, J; Cranovsky, R; Gutzwiller, F

    1996-05-28

    The topic of quality assurance and management gains increasing interest by society, medical professionals, carriers of health expenses and government. In this review the most important terms borrowed from industry and management will be critically explained to persons employed in Health Systems in particular. Beside numerous novel quality terms, closer attention is paid to the Donabedian model, extended by indicational quality, audits, tracer systems, ISO models, technology assessment, total quality management, new control mechanisms in health care and costs. In the context of structural changes in society and medicine the new aspects of quality are featured as a real chance for a 'healthy' Public System and not as a threat.

  17. Quality in occupational health care: management's view.

    PubMed

    Callahan, E W

    1994-04-01

    Total Quality Management (TQM) is a continual improvement process that requires common sense, education and training, and the ability to communicate and work as part of a team. TQM can improve all aspects of a business, including health, safety, and environmental functions. Physicians and nonphysician managers can use TQM to identify and respond to customer needs and improve the efficiency and effectiveness of programs. Examples of TQM to improve medical programs have included (1) an Audit Program that assesses medical programs and provides specific measurements ("metrics") of medical programs, and (2) a team that developed an Alternative Return-to-Work Program, which now assists in early rehabilitation of injured employees. In addition to expecting its physicians to be knowledgeable, fair, and objective, management expects them to use and understand TQM principles.

  18. [The application of total quality management (TQM) in quality management of radiation therapy].

    PubMed

    Jiang, Rui-yao; Fu, Shen; Li, Bin

    2009-03-01

    The strategies and methods of the total quality management (TQM) need to applied in quality management of radiation therapy. We should improve the level of quality control and quality assurance in radiation therapy. By establishing quality control system in radiation therapy, standardization of radiation therapy workflow, strengthening quality control of devices and physical technique and paying attention to safety protection and staff training.

  19. PROPOSAL FOR A SIMPLE AND EFFICIENT MONTHLY QUALITY MANAGEMENT PROGRAM ASSESSING THE CONSISTENCY OF ROBOTIC IMAGE-GUIDED SMALL ANIMAL RADIATION SYSTEMS

    PubMed Central

    Brodin, N. Patrik; Guha, Chandan; Tomé, Wolfgang A.

    2015-01-01

    Modern pre-clinical radiation therapy (RT) research requires high precision and accurate dosimetry to facilitate the translation of research findings into clinical practice. Several systems are available that provide precise delivery and on-board imaging capabilities, highlighting the need for a quality management program (QMP) to ensure consistent and accurate radiation dose delivery. An ongoing, simple, and efficient QMP for image-guided robotic small animal irradiators used in pre-clinical RT research is described. Protocols were developed and implemented to assess the dose output constancy (based on the AAPM TG-61 protocol), cone-beam computed tomography (CBCT) image quality and object representation accuracy (using a custom-designed imaging phantom), CBCT-guided target localization accuracy and consistency of the CBCT-based dose calculation. To facilitate an efficient read-out and limit the user dependence of the QMP data analysis, a semi-automatic image analysis and data representation program was developed using the technical computing software MATLAB. The results of the first six months experience using the suggested QMP for a Small Animal Radiation Research Platform (SARRP) are presented, with data collected on a bi-monthly basis. The dosimetric output constancy was established to be within ±1 %, the consistency of the image resolution was within ±0.2 mm, the accuracy of CBCT-guided target localization was within ±0.5 mm, and dose calculation consistency was within ±2 s (± 3 %) per treatment beam. Based on these results, this simple quality assurance program allows for the detection of inconsistencies in dosimetric or imaging parameters that are beyond the acceptable variability for a reliable and accurate pre-clinical RT system, on a monthly or bi-monthly basis. PMID:26425981

  20. Proposal for a Simple and Efficient Monthly Quality Management Program Assessing the Consistency of Robotic Image-Guided Small Animal Radiation Systems.

    PubMed

    Brodin, N Patrik; Guha, Chandan; Tomé, Wolfgang A

    2015-11-01

    Modern pre-clinical radiation therapy (RT) research requires high precision and accurate dosimetry to facilitate the translation of research findings into clinical practice. Several systems are available that provide precise delivery and on-board imaging capabilities, highlighting the need for a quality management program (QMP) to ensure consistent and accurate radiation dose delivery. An ongoing, simple, and efficient QMP for image-guided robotic small animal irradiators used in pre-clinical RT research is described. Protocols were developed and implemented to assess the dose output constancy (based on the AAPM TG-61 protocol), cone-beam computed tomography (CBCT) image quality and object representation accuracy (using a custom-designed imaging phantom), CBCT-guided target localization accuracy and consistency of the CBCT-based dose calculation. To facilitate an efficient read-out and limit the user dependence of the QMP data analysis, a semi-automatic image analysis and data representation program was developed using the technical computing software MATLAB. The results of the first 6-mo experience using the suggested QMP for a Small Animal Radiation Research Platform (SARRP) are presented, with data collected on a bi-monthly basis. The dosimetric output constancy was established to be within ±1 %, the consistency of the image resolution was within ±0.2 mm, the accuracy of CBCT-guided target localization was within ±0.5 mm, and dose calculation consistency was within ±2 s (±3%) per treatment beam. Based on these results, this simple quality assurance program allows for the detection of inconsistencies in dosimetric or imaging parameters that are beyond the acceptable variability for a reliable and accurate pre-clinical RT system, on a monthly or bi-monthly basis.

  1. Let's put this in perspective: using dynamic simulation modelling to assess the impacts of farm-scale land management change on catchment-scale water quality

    NASA Astrophysics Data System (ADS)

    Rivers, Mark; Clarendon, Simon; Coles, Neil

    2013-04-01

    over entire catchments, for example, only reduced P losses by approximately 20%. Most importantly, changes to land use mosaics within the catchments provided great insight into the relative roles within the catchment P system of the various land uses. While dairying uses large amounts of P, the effects that dairy farm management can have at the catchment scale when these farms represent only a small proportion of the landscape are limited. The most important conclusions from the research are that: • While State and regional environmental management and regulatory agencies continue to set optimistic goals for water quality protection, this research shows that these targets are not achievable within current landscape paradigms even after broadscale BMP implementation, and that either these targets must be re-considered or that significant land use change (rather than simply improved management within current systems) must occur to meet the targets. • Catchment-scale effects of P losses at the farm scale are a complex function of P-use efficiency, landscape position and landscape footprint. Simply targetting those landuses perceived to have high nutrient loss rates does not adequately address the problem. • Catchment P management must be considered in a more inclusive and holistic way, and these assessments should be used to inform future planning policies and development plans if environmental goals as well as community expectations about the productive use of agricultural land are to be met.

  2. Portuguese food composition database quality management system.

    PubMed

    Oliveira, L M; Castanheira, I P; Dantas, M A; Porto, A A; Calhau, M A

    2010-11-01

    The harmonisation of food composition databases (FCDB) has been a recognised need among users, producers and stakeholders of food composition data (FCD). To reach harmonisation of FCDBs among the national compiler partners, the European Food Information Resource (EuroFIR) Network of Excellence set up a series of guidelines and quality requirements, together with recommendations to implement quality management systems (QMS) in FCDBs. The Portuguese National Institute of Health (INSA) is the national FCDB compiler in Portugal and is also a EuroFIR partner. INSA's QMS complies with ISO/IEC (International Organization for Standardisation/International Electrotechnical Commission) 17025 requirements. The purpose of this work is to report on the strategy used and progress made for extending INSA's QMS to the Portuguese FCDB in alignment with EuroFIR guidelines. A stepwise approach was used to extend INSA's QMS to the Portuguese FCDB. The approach included selection of reference standards and guides and the collection of relevant quality documents directly or indirectly related to the compilation process; selection of the adequate quality requirements; assessment of adequacy and level of requirement implementation in the current INSA's QMS; implementation of the selected requirements; and EuroFIR's preassessment 'pilot' auditing. The strategy used to design and implement the extension of INSA's QMS to the Portuguese FCDB is reported in this paper. The QMS elements have been established by consensus. ISO/IEC 17025 management requirements (except 4.5) and 5.2 technical requirements, as well as all EuroFIR requirements (including technical guidelines, FCD compilation flowchart and standard operating procedures), have been selected for implementation. The results indicate that the quality management requirements of ISO/IEC 17025 in place in INSA fit the needs for document control, audits, contract review, non-conformity work and corrective actions, and users' (customers

  3. Analysis of air quality management with emphasis on transportation sources

    NASA Technical Reports Server (NTRS)

    English, T. D.; Divita, E.; Lees, L.

    1980-01-01

    The current environment and practices of air quality management were examined for three regions: Denver, Phoenix, and the South Coast Air Basin of California. These regions were chosen because the majority of their air pollution emissions are related to mobile sources. The impact of auto exhaust on the air quality management process is characterized and assessed. An examination of the uncertainties in air pollutant measurements, emission inventories, meteorological parameters, atmospheric chemistry, and air quality simulation models is performed. The implications of these uncertainties to current air quality management practices is discussed. A set of corrective actions are recommended to reduce these uncertainties.

  4. Total Quality Management Implementation Plan for Military Personnel Management

    DTIC Science & Technology

    1989-09-01

    2050.. )ATE 3. REPORT TYPE AND DATES CO VERED 4. TITLE AND SUBTITLE 5,rrmir18 . FUNDING NUMBERS Total Quality Management Implementation Plan for...SUBJECT TERMS 15. NUMBER OF PAGES TQM ( Total Quality Management ), Military Personnel Management, Continuous Process Improvement 16. PRICE CODE 17. SECURITY...UNCLASSIFIED UNCLASSIFIED UL NSN 7540-01-280-5500 Standard Form 298 (Rev. 2-89) Prescribed by ANSI Std Z39-16 296-102 TOTAL QUALITY MANAGEMENT I

  5. The Midwest Stream Quality Assessment

    USGS Publications Warehouse

    ,

    2012-01-01

    In 2013, the U.S. Geological Survey (USGS) National Water-Quality Assessment Program (NAWQA) and USGS Columbia Environmental Research Center (CERC) will be collaborating with the U.S. Environmental Protection Agency (EPA) National Rivers and Streams Assessment (NRSA) to assess stream quality across the Midwestern United States. The sites selected for this study are a subset of the larger NRSA, implemented by the EPA, States and Tribes to sample flowing waters across the United States (http://water.epa.gov/type/rsl/monitoring/riverssurvey/index.cfm). The goals are to characterize water-quality stressors—contaminants, nutrients, and sediment—and ecological conditions in streams throughout the Midwest and to determine the relative effects of these stressors on aquatic organisms in the streams. Findings will contribute useful information for communities and policymakers by identifying which human and environmental factors are the most critical in controlling stream quality. This collaborative study enhances information provided to the public and policymakers and minimizes costs by leveraging and sharing data gathered under existing programs. In the spring and early summer, NAWQA will sample streams weekly for contaminants, nutrients, and sediment. During the same time period, CERC will test sediment and water samples for toxicity, deploy time-integrating samplers, and measure reproductive effects and biomarkers of contaminant exposure in fish or amphibians. NRSA will sample sites once during the summer to assess ecological and habitat conditions in the streams by collecting data on algal, macroinvertebrate, and fish communities and collecting detailed physical-habitat measurements. Study-team members from all three programs will work in collaboration with USGS Water Science Centers and State agencies on study design, execution of sampling and analysis, and reporting.

  6. Marginal Lands: Concept, Assessment and Management

    SciTech Connect

    Kang, Shujiang; Post, Wilfred M; West, Tristram O.; Bandaru, Vara Prasad; Izaurralde, Dr. R. Cesar; Wang, Dali; Nichols, Dr Jeff A

    2013-01-01

    Marginal lands have received wide attention for their potential to improve food security and support bioenergy production. However, environmental, ecosystem service, and sustainability concerns have been widely raised over the use of marginal land. Knowledge of the extent, location, and quality of marginal lands as well as their assessment and management are limited and diverse. This paper provides a review of the historical development of marginal concept, its application and assessment. Limitations and priority research needs of marginal land assessment and management were discussed.

  7. Assessment and management of interfractional variations in daily diagnostic-quality-CT guided prostate-bed irradiation after prostatectomy

    SciTech Connect

    Liu, Feng; Ahunbay, Ergun; Lawton, Colleen; Allen Li, X.

    2014-03-15

    Purpose: To quantify interfractional anatomic variations and limitations of the current practice of image-guided radiation therapy (IGRT) for prostate-bed patients and to study dosimetric benefits of an online adaptive replanning scheme that addresses the interfractional variations. Methods: Contours for the targets and organs at risk (OARs) from daily diagnostic-quality CTs acquired with in-room CT (CTVision, Siemens) were generated by populating the planning contours using an autosegmentation tool based on deformable registration (ABAS, Elekta) with manual editing for ten prostate-bed patients treated with postoperative daily CT-guided IMRT. Dice similarity coefficient (DSC) obtained by maximizing the overlap of contours for a structure between the daily and plan contours was used to quantify the organ deformation between the plan and daily CTs. Three interfractional-variation-correction schemes, the current standard practice of IGRT repositioning, a previously developed online adaptive RT (ART), and the full reoptimization, were applied to these daily CTs and a number of dose-volume quantities for the targets and organs at risk were compared for their effectiveness to account for the interfractional variations. Results: Large interfractional organ deformations in prostate-bed irradiation were seen. The mean DSCs for CTV, rectum, and bladder were 86.6 ± 5.1% (range from 61% to 97%), 77.3% ± 7.4% (range from 55% to 90%), and 75.4% ± 11.2% (range from 46% to 96%), respectively. The fractional and cumulative dose-volume quantities for CTV and PTV: V100 (volume received at least 100% prescription dose), and rectum and bladder: V{sub 45Gy} and V{sub 60Gy} (volume received at least 45 or 60 Gy), were compared for the repositioning, adaptive, reoptimization, and original plans. The fractional and cumulative dosimetric results were nearly the same. The average cumulative CTV V100 were 88.0%, 98.4%, 99.2%, and 99.3% for the IGRT, ART, reoptimization, and original plans

  8. Managers and the new definition of quality.

    PubMed

    Chilgren, Allison A

    2008-01-01

    The manager, particularly the mid-level manager, has a vital role in the success of any healthcare organization, especially in the realm of patient perception of quality. To patients, "quality" means how well a service was delivered, not how technically superior the actual service or clinical component turned out. This definition of quality can also be referred to as patient satisfaction. Managers, with help of an integrative team, can develop quality processes geared toward patient expectations by doing a number of things, including the following: clearly identify outcomes, and empower employees to achieve those goals; form an integrated quality development team to establish quality metrics; build in cultural competence into quality processes; and align the organization's mission to the overall quality program. With a successful quality program, managers can expect a considerable return on investment, satisfied patients and staff, and improved clinical outcomes.

  9. Total Quality Management: Institutional Research Applications.

    ERIC Educational Resources Information Center

    Heverly, Mary Ann

    Total Quality Management (TQM), a technique traditionally reserved for the manufacturing sector, has recently spread to service companies, government agencies, and educational institutions. TQM places responsibility for quality problems with management rather than on the workers. A principal concept of TQM is the management of Process Variation,…

  10. Environmental Management Assessment of the Fernald Environmental Management Project (FEMP)

    SciTech Connect

    Not Available

    1993-04-01

    This report documents the results of the Environmental Management Assessment performed at the Fernald Environmental Management Project (FEMP) in Fernald, Ohio. During this assessment, the activities conducted by the assessment team included review of internal documents and reports from previous audits and assessments; interviews with US Department of Energy (DOE) and FEMP contractor personnel; and inspection and observation of selected facilities and operations. The onsite portion of the assessment was conducted from March 15 through April 1, 1993, by DOE`s Office of Environmental Audit (EH-24) located within the Office of the Assistant Secretary for Environment, Safety, and Health (EH-1). EH-24 carries out independent assessments of DOE facilities and activities as part of the EH-1 Environment, Safety, and Health (ES&H) Oversight Audit Program. The EH-24 program is designed to evaluate the status of DOE facilities and activities with respect to compliance with Federal, state, and local environmental laws and regulations; compliance with DOE Orders, Guidance and Directives; conformance with accepted industry practices and standards of performance; and the status and adequacy of management systems developed to address environmental requirements. The Environmental Management Assessment of FEMP focused on the adequacy of environmental management systems. Further, in response to requests by the Office of Environmental Restoration and Waste Management (EM) and Fernald Field Office (FN), Quality Assurance and Environmental Radiation activities at FEMP were evaluated from a programmatic standpoint. The results of the evaluation of these areas are contained in the Environmental Protection Programs section in this report.

  11. Improving Operational Readiness through Total Quality Management

    DTIC Science & Technology

    1991-06-21

    DTIC AD-A236 611 EL CT F NAVAL WAR COLL GE C Newport, R. I. IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT by Herb Westphal Defense...IMPROVING OPERATIONAL READINESS THROUGH TOTAL QUALITY MANAGEMENT (TQM) A Case Study: The Defense Mapping Agency Combat Support Center (DMACSC) initiated a...of the Defense Mapping Agency Combat Support Center’s (DMACSC) Total Quality Management (TQM) improvement methodology. This allows the reader to

  12. Total Quality Management (TQM). Implementers Workshop

    DTIC Science & Technology

    1990-05-15

    SHEE’T :s t’ii ,rrl DEPARTMENT OF DEFENSE May 15, 1990 Lfl CN I TOTAL QUALITY MANAGEMENT (TQM) Implementers Workshop © Copyright 1990 Booz.Allen...must be continually performed in order to achieve successful TQM implementation. 1-5 = TOTAL QUALITY MANAGEMENT Implementers Workshop Course Content...information, please refer to the student manual, Total Quality Management (TOM) Awareness Seminar, that was provided for the Awareness Course. You may

  13. Checklist for Reviewing EPA Quality Management Plans

    EPA Pesticide Factsheets

    This checklist will be used to review the Quality Management Plans (QMPs) that are submitted to the Quality Staff of the Office of Environmental Information (OEI) for Agency review under EPA Order 5360.1 A2.

  14. Managing Air Quality - Ongoing Evaluation of Progress

    EPA Pesticide Factsheets

    Describes the importance of evaluating if air quality programs are achieving the desired results to inform environmental program managers, regulated industry and the public, and provides EPA examples.

  15. Managing a total quality maintenance painting program

    SciTech Connect

    Poncio, S.; Coots, R.

    1995-12-01

    Managing a Coatings Program can be a difficult task without the proper tools. Owners can reduce overall costs through the implementation of a total quality program. A total quality program encompasses elements such as project management, safety and quality assurance. This paper will address the area of quality assurance for coating materials and their application. Significant highlights of an owners program are presented to help other owner/end users.

  16. Doctors or technicians: assessing quality of medical education.

    PubMed

    Hasan, Tayyab

    2010-01-01

    Medical education institutions usually adapt industrial quality management models that measure the quality of the process of a program but not the quality of the product. The purpose of this paper is to analyze the impact of industrial quality management models on medical education and students, and to highlight the importance of introducing a proper educational quality management model. Industrial quality management models can measure the training component in terms of competencies, but they lack the educational component measurement. These models use performance indicators to assess their process improvement efforts. Researchers suggest that the performance indicators used in educational institutions may only measure their fiscal efficiency without measuring the quality of the educational experience of the students. In most of the institutions, where industrial models are used for quality assurance, students are considered as customers and are provided with the maximum services and facilities possible. Institutions are required to fulfill a list of recommendations from the quality control agencies in order to enhance student satisfaction and to guarantee standard services. Quality of medical education should be assessed by measuring the impact of the educational program and quality improvement procedures in terms of knowledge base development, behavioral change, and patient care. Industrial quality models may focus on academic support services and processes, but educational quality models should be introduced in parallel to focus on educational standards and products.

  17. Hanford Sampling Quality Management Plan (HSQMP)

    SciTech Connect

    Hyatt, J.E.

    1995-04-28

    This document provides a management tool for evaluating and designing the appropriate elements of a field sampling program. This document provides discussion of the elements of a program and is to be used as a guidance document during the preparation of project and/or function specific documentation. This document does not specify how a sampling program shall be organized. The HSQMP is to be used as a companion document to the Hanford Analytical Services Quality Assurance Plan (HASQAP) DOE/RL-94-55. The generation of this document was enhanced by conducting baseline evaluations of current sampling organizations. Valuable input was received from members of field and Quality Assurance organizations. The HSQMP is expected to be a living document. Revisions will be made as regulations and or Hanford Site conditions warrant changes in the best management practices. Appendices included are: summary of the sampling and analysis work flow process, a user`s guide to the Data Quality Objective process, and a self-assessment checklist.

  18. Quantitative research versus quality assurance, quality improvement, total quality management, and continuous quality improvement.

    PubMed

    Vogelsang, J

    1999-04-01

    The purpose of this report is to provide a review of the scientific method used in the quantitative research studies for consumers, evaluators, and applied nurse researchers. The fundamental characteristics of the problem-solving/ performance-improvement processes of quality assurance, quality improvement, total quality management, and continuous quality improvement are described. Research is compared with these processes, and is followed by a discussion about the publication of quantitative research findings.

  19. Total quality management in orthodontic practice.

    PubMed

    Atta, A E

    1999-12-01

    Quality is the buzz word for the new Millennium. Patients demand it, and we must serve it. Yet one must identify it. Quality is not imaging or public relations; it is a business process. This short article presents quality as a balance of three critical notions: core clinical competence, perceived values that our patients seek and want, and the cost of quality. Customer satisfaction is a variable that must be identified for each practice. In my practice, patients perceive quality as communication and time, be it treatment or waiting time. Time is a value and cost that must be managed effectively. Total quality management is a business function; it involves diagnosis, design, implementation, and measurement of the process, the people, and the service. Kazien is a function that reduces value services, eliminates waste, and manages time and cost in the process. Total quality management is a total commitment for continuous improvement.

  20. Quality management: does it pay off?

    PubMed

    van den Heuvel, Jaap; Bogers, Ad J J C; Does, Ronald J M M; van Dijk, Sandra L; Berg, Marc

    2006-01-01

    Health care today is facing serious quality problems while costs are exploding. Quality management therefore becomes a major strategic challenge. In this article, we go through the strategy deployment and quality management process of the Red Cross Hospital in the Netherlands. Growth, efficiency improvement, and optimizing quality of care were chosen as our main strategic goals. To enable achievement of these goals, we implemented and integrated an ISO 9001:2000 quality management system with Six Sigma, a quality improvement approach from industry. The results of 5 years of quality management illustrated by the scores of a number of performance indicators clearly show that we were able to achieve all our strategic goals. On the basis of our findings, we believe that the combination of ISO 9000 and Six Sigma provides the proper tools to bring health care organizations to a higher level of performance.

  1. Quality risk management in pharmaceutical development.

    PubMed

    Charoo, Naseem Ahmad; Ali, Areeg Anwer

    2013-07-01

    The objective of ICH Q8, Q9 and Q10 documents is application of systemic and science based approach to formulation development for building quality into product. There is always some uncertainty in new product development. Good risk management practice is essential for success of new product development in decreasing this uncertainty. In quality by design paradigm, the product performance properties relevant to the patient are predefined in target product profile (TPP). Together with prior knowledge and experience, TPP helps in identification of critical quality attributes (CQA's). Initial risk assessment which identifies risks to these CQA's provides impetus for product development. Product and process are designed to gain knowledge about these risks, devise strategies to eliminate or mitigate these risks and meet objectives set in TPP. By laying more emphasis on high risk events the protection level of patient is increased. The process being scientifically driven improves the transparency and reliability of the manufacturer. The focus on risk to the patient together with flexible development approach saves invaluable resources, increases confidence on quality and reduces compliance risk. The knowledge acquired in analysing risks to CQA's permits construction of meaningful design space. Within the boundaries of the design space, variation in critical material characteristics and process parameters must be managed in order to yield a product having the desired characteristics. Specifications based on product and process understanding are established such that product will meet the specifications if tested. In this way, the product is amenable to real time release, since specifications only confirm quality but they do not serve as a means of effective process control.

  2. Quality management: the influence of staff morale on customer focus.

    PubMed

    Hartley, R; Turner, R

    1995-03-01

    Staff morale can be an indicator of an organization's progress towards developing a customer-focused culture, which is necessary for delivering quality services. While not a new concept, customer focus is the force that drives Quality Management. It is, however, only one of the essential components of quality management. The methodology for assessing staff morale and relating it to customer satisfaction in a large rural hospital is outlined and discussed. Results suggest that staff are willing to respond to the present external customer focus initiative demanded by the New South Wales Health Department, provided management plays its role in creating a work environment conducive to the delivery of satisfying services.

  3. Satisfaction monitoring for quality control in campground management

    Treesearch

    Wilbur F. LaPage; Malcolm I. Bevins

    1981-01-01

    A 4-year study of camper satisfaction indicates that satisfaction monitoring is a useful tool for campground managers to assess their performance and achieve a high level of quality control in their service to the public. An indication of camper satisfaction with campground management is gained from a report card on which a small sample of visitors rates 14 elements of...

  4. Higher Education Quality Assessment Model: Towards Achieving Educational Quality Standard

    ERIC Educational Resources Information Center

    Noaman, Amin Y.; Ragab, Abdul Hamid M.; Madbouly, Ayman I.; Khedra, Ahmed M.; Fayoumi, Ayman G.

    2017-01-01

    This paper presents a developed higher education quality assessment model (HEQAM) that can be applied for enhancement of university services. This is because there is no universal unified quality standard model that can be used to assess the quality criteria of higher education institutes. The analytical hierarchy process is used to identify the…

  5. Higher Education Quality Assessment Model: Towards Achieving Educational Quality Standard

    ERIC Educational Resources Information Center

    Noaman, Amin Y.; Ragab, Abdul Hamid M.; Madbouly, Ayman I.; Khedra, Ahmed M.; Fayoumi, Ayman G.

    2017-01-01

    This paper presents a developed higher education quality assessment model (HEQAM) that can be applied for enhancement of university services. This is because there is no universal unified quality standard model that can be used to assess the quality criteria of higher education institutes. The analytical hierarchy process is used to identify the…

  6. Assessing the quality, efficacy, and effectiveness of the current evidence base of active self-care complementary and integrative medicine therapies for the management of chronic pain: a rapid evidence assessment of the literature.

    PubMed

    Delgado, Roxana; York, Alexandra; Lee, Courtney; Crawford, Cindy; Buckenmaier, Chester; Schoomaker, Eric; Crawford, Paul

    2014-04-01

    Chronic pain management typically consists of prescription medications or provider-based, behavioral, or interventional procedures that are often ineffective, may be costly, and can be associated with undesirable side effects. Because chronic pain affects the whole person (body, mind, and spirit), patient-centered complementary and integrative medicine (CIM) therapies that acknowledge the patients' roles in their own healing processes have the potential to provide more efficient and comprehensive chronic pain management. Active self-care CIM (ACT-CIM) therapies allow for a more diverse, patient-centered treatment of complex symptoms, promote self-management, and are relatively safe and cost-effective. To date, there are no systematic reviews examining the full range of ACT-CIM used for chronic pain symptom management. A systematic review was conducted, using Samueli Institute's Rapid Evidence Assessment of the Literature methodology, to rigorously assess both the quality of the research on ACT-CIM modalities and the evidence for their efficacy and effectiveness in treating chronic pain symptoms. A working group of subject matter experts was also convened to evaluate the overall literature pool and develop recommendations for the use and implementation of these modalities. Following key database searches, 146 randomized controlled trials were included in the review. This article provides an introduction and background to the review, summarizes the methodological processes involved, details the initial results, and identifies strengths and weakness of the review. Specific results of the review as well as overall recommendations for moving this field of research forward are detailed throughout the current Pain Medicine supplement. Wiley Periodicals, Inc.

  7. Quality improvement and quality management: Complementary or contradictory

    SciTech Connect

    Calhoun, M.B. )

    1993-09-01

    Quality improvement processes (QIP's) and quality management systems (QMS's) are becoming part of manufacturing and service company language. In some cases, there are perceived differences between the concepts of continuous improvement and documented systems to ensure quality. The author has seen examples of QIP's and QMS's working in a complementary fashion to improve existing manufacturing and administrative processes. These examples show that quality improvement activities are compatible with and can enhance the effectiveness of QMS's if the two are integrated properly.

  8. Keys for successful implementation of total quality management in hospitals.

    PubMed

    Carman, James M; Shortell, Stephen M; Foster, Richard W; Hughes, Edward F X; Boerstler, Heidi; O' Brien, James L; O'Connor, Edward J

    2010-01-01

    Editor's Note: This article reports the findings of an analysis of the implementation of continuous quality improvement (CQI) or total quality management (TQM) programs in 10 hospitals. This analysis is the result of a 2-year study designed to identify and assess the ingredients that lead to the successful implementation of CQI programs in acute care hospitals. This article first appeared in Health Care Management Review 21(1), 48-60. Copyright © 1996 Aspen Publishers, Inc. (Lippincott Williams & Wilkins).

  9. Total Quality Management: A Selected Bibliography

    DTIC Science & Technology

    1992-03-01

    Total Quality Management (TQM) in the Department of Defense is a strategy for continuously improving performance at every level, and in all areas of...reflects selected books, documents, periodical articles, and videos on the subject of Total Quality Management (TQM) in the collection of the U.S. Army War College Library.

  10. Total Quality Management: A Guide to Implementation

    DTIC Science & Technology

    1989-08-01

    Total Quality Management (TQM) is a means for improving personal effectiveness and performance and for aligning and focusing all individual efforts...your individual effort and extending its effect and its importance throughout an organization and beyond. Total Quality Management is not a destination

  11. Application of Total Quality Management in Education

    ERIC Educational Resources Information Center

    Farooq, M. S.; Akhtar, M. S.; Ullah, S. Zia; Memon, R. A.

    2007-01-01

    The purpose of the paper is to analyzing thoughts of the modern management paradigm "Total Quality Management" (TQM), and its application in the field of education. The basic theme of TQM is participatory approach to address the question(s) of quality in business aswell as in the field of education. Reviewing fresh literature from the internet …

  12. Managing Change from a Quality Perspective.

    ERIC Educational Resources Information Center

    Snyder, Karolyn J.

    This paper presents findings of a study that examined the change process in 28 schools, with a focus on how principals went about transforming traditional school-work cultures into quality systems. The principals had participated in Managing Productive Schools (MPS), a comprehensive systems-approach program based on quality management concepts.…

  13. Informatics: essential infrastructure for quality assessment and improvement in nursing.

    PubMed Central

    Henry, S B

    1995-01-01

    In recent decades there have been major advances in the creation and implementation of information technologies and in the development of measures of health care quality. The premise of this article is that informatics provides essential infrastructure for quality assessment and improvement in nursing. In this context, the term quality assessment and improvement comprises both short-term processes such as continuous quality improvement (CQI) and long-term outcomes management. This premise is supported by 1) presentation of a historical perspective on quality assessment and improvement; 2) delineation of the types of data required for quality assessment and improvement; and 3) description of the current and potential uses of information technology in the acquisition, storage, transformation, and presentation of quality data, information, and knowledge. PMID:7614118

  14. Technical and Non-Technical Measures for air pollution emission reduction: The integrated assessment of the regional Air Quality Management Plans through the Italian national model

    NASA Astrophysics Data System (ADS)

    D'Elia, I.; Bencardino, M.; Ciancarella, L.; Contaldi, M.; Vialetto, G.

    2009-12-01

    The Italian Air Quality legislation underwent sweeping changes with the implementation of the 1996 European Air Quality Framework Directive when the Italian administrative Regions were entrusted with air quality management tasks. The most recent Regional Air Quality Management Plans (AQMPs) highlighted the importance of Non-Technical Measures (NTMs), in addition to Technical Measures (TMs), in meeting environmental targets. The aim of the present work is to compile a list of all the TMs and NTMs taken into account in the Italian Regional AQMPs and to give in the target year, 2010, an estimation of SO 2, NO x and PM 10 emission reductions, of PM 10 concentration and of the health impact of PM 2.5 concentrations in terms of Life Expectancy Reduction. In order to do that, RAINS-Italy, as part of the National Integrated Modeling system for International Negotiation on atmospheric pollution (MINNI), has been applied. The management of TMs and NTMs inside RAINS have often obliged both the introduction of exogenous driving force scenarios and the control strategy modification. This has inspired a revision of the many NTM definitions and a clear choice of the definition adopted. It was finally highlighted that only few TMs and NTMs implemented in the AQMPs represent effective measures in reaching the environmental targets.

  15. Project Management for Quality Improvement in Radiology.

    PubMed

    Larson, David B; Mickelsen, L Jake

    2015-11-01

    This article outlines a structured approach for applying project management principles to quality improvement in radiology. We highlight the framework we use for managing improvement projects in our department and review basic project management principles. Project management involves techniques for executing projects effectively and efficiently. We recognize the following phases for managing improvement projects: idea, project evaluation and selection, role assignment, planning, improvement, and sustaining improvement.

  16. Consumer evaluations of food risk management quality in Europe.

    PubMed

    Van Kleef, E; Houghton, J R; Krystallis, A; Pfenning, U; Rowe, G; Van Dijk, H; Van der Lans, I A; Frewer, L J

    2007-12-01

    In developing and implementing appropriate food risk management strategies, it is important to understand how consumers evaluate the quality of food risk management practices. The aim of this study is to model the underlying psychological factors influencing consumer evaluations of food risk management quality using structural equation modeling techniques (SEM), and to examine the extent to which the influence of these factors is country-specific (comparing respondents from Denmark, Germany, Greece, Slovenia, and the United Kingdom). A survey was developed to model the factors that drive consumer evaluations of food risk management practices and their relative importance (n= 2,533 total respondents). The measurement scales included in the structural model were configurally and metrically invariant across countries. Results show that some factors appear to drive perceptions of effective food risk management in all the countries studied, such as proactive consumer protection, which was positively related to consumers' evaluation of food risk management quality, while opaque and reactive risk management was negatively related to perceived food risk management quality. Other factors appeared to apply only in certain countries. For example, skepticism in risk assessment and communication practices was negatively related to food risk management quality, particularly so in the UK. Expertise of food risk managers appeared to be a key factor in consumers' evaluation of food risk management quality in some countries. However, trust in the honesty of food risk managers did not have a significant effect on food risk management quality. From the results, policy implications for food risk management are discussed and important directions for future research are identified.

  17. [Quality and safety management for radiotherapy].

    PubMed

    Pourel, N; Meyrieux, C; Perrin, B

    2016-09-01

    Quality and safety management have been implemented for many years in healthcare structures (hospitals treating cancer, private radiotherapy centres). Their structure and formalization have improved progressively over time. These recommendations aim at describing the link between quality and safety management through its organization scheme based on quality-safety policy, process approach, document management and quality measurement. Dedicated tools, such as experience feedback, a priori risk mapping, to-do-lists and check-lists are shown as examples and recommended as routine practice. Copyright © 2016 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.

  18. Total quality management -- Remedial actions planning program

    SciTech Connect

    Petty, J.L.; Horne, T.E.

    1989-01-01

    This paper describes the management approach being taken within the Hazardous Waste Remedial Actions Program (HAZWRAP) Support Contractor Office (SCO) to ensure quality of services in a highly competitive waste management environment. An overview is presented of the contractor support role assigned to Martin Marietta Energy Systems, Inc., by the Department of Energy (DOE) national program for managing hazardous waste. The HAZWRAP SCO mission, organizational structure, and major programs are outlined, with emphasis on waste management planning for the DOE Work for Others (WFO) Program. The HAZWRAP SCO provides waste management technical support, via interagency agreements between DOE and various Department of Defense (DOD) agencies for DOD sponsors planning remedial response actions. The remainder of the paper focuses on how the concept of Total Quality Management is applied to the HAZWRAP Remedial Actions Planning (RAP) Program. The management challenge is to achieve quality on a ''system'' basis where all functional elements of program management synergistically contribute to the total quality of the effort. The quality assurance (QA) program requirements applied to the RAP Program and its subcontractors are discussed. The application of management principles in the areas of program management, procurement, and QA to achieve total quality is presented. 3 refs.

  19. NASA total quality management 1989 accomplishments report

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Described here are the accomplishments of NASA as a result of the use of Total Quality Management (TQM). The principles in practice which led to these process refinements are important cultural elements to any organization's productivity and quality efforts. The categories of TQM discussed here are top management leadership and support, strategic planning, focus on the customer, employee training and recognition, employee empowerment and teamwork, measurement and analysis, and quality assurance.

  20. Photochemical smog modeling for assessment of potential impacts of different management strategies on air quality of the Bangkok Metropolitan Region, Thailand.

    PubMed

    Oanh, Nguyen Thi Kim; Zhang, Baoning

    2004-10-01

    A photochemical smog model system, the Variable-Grid Urban Airshed Model/Systems Applications International Mesoscale Model (UAM-V/SAIMM), was used to investigate photochemical pollution in the Bangkok Metropolitan Region (BMR). The model system was first applied to simulate a historical photochemical smog episode of two days (January 13-14, 1997) using the 1997 anthropogenic emission database available at the Pollution Control Department and an estimated biogenic emission. The output 1-hr ozone (O3) for BMR, however, did not meet the U.S. Environmental Protection Agency suggested performance criteria. The simulated minimum and maximum O3 values in the domain were much higher than the observations. Multiple model runs with different precursor emission reduction scenarios showed that the best model performance with the simulated 1-hr O3 meeting all the criteria was obtained when the volatile organic compound (VOC) and oxides of nitrogen (NOx) emission from mobile source reduced by 50% and carbon monoxide by 20% from the original database. Various combinations of anthropogenic and biogenic emissions in Bangkok and surrounding provinces were simulated to assess the contribution of different sources to O3 pollution in the city. O3 formation in Bangkok was found to be more VOC-sensitive than NOx-sensitive. To attain the Thailand ambient air quality standard for 1-hr O3 of 100 ppb, VOC emission in BMR should be reduced by 50-60%. Management strategies considered in the scenario study consist of Stage I, Stage II vapor control, replacement of two-stroke by four-stroke motorcycles, 100% compressed natural gas bus, 100% natural gas-fired power plants, and replacement of methyltertiarybutylether by ethanol as an additive for gasoline.

  1. Carbon Nanotube Material Quality Assessment

    NASA Technical Reports Server (NTRS)

    Yowell, Leonard; Arepalli, Sivaram; Sosa, Edward; Niolaev, Pavel; Gorelik, Olga

    2006-01-01

    The nanomaterial activities at NASA Johnson Space Center focus on carbon nanotube production, characterization and their applications for aerospace systems. Single wall carbon nanotubes are produced by arc and laser methods. Characterization of the nanotube material is performed using the NASA JSC protocol developed by combining analytical techniques of SEM, TEM, UV-VIS-NIR absorption, Raman, and TGA. A possible addition of other techniques such as XPS, and ICP to the existing protocol will be discussed. Changes in the quality of the material collected in different regions of the arc and laser production chambers is assessed using the original JSC protocol. The observed variations indicate different growth conditions in different regions of the production chambers.

  2. A Database Management Assessment Instrument

    ERIC Educational Resources Information Center

    Landry, Jeffrey P.; Pardue, J. Harold; Daigle, Roy; Longenecker, Herbert E., Jr.

    2013-01-01

    This paper describes an instrument designed for assessing learning outcomes in data management. In addition to assessment of student learning and ABET outcomes, we have also found the instrument to be effective for determining database placement of incoming information systems (IS) graduate students. Each of these three uses is discussed in this…

  3. Configuration Management Process Assessment Strategy

    NASA Technical Reports Server (NTRS)

    Henry, Thad

    2014-01-01

    Purpose: To propose a strategy for assessing the development and effectiveness of configuration management systems within Programs, Projects, and Design Activities performed by technical organizations and their supporting development contractors. Scope: Various entities CM Systems will be assessed dependent on Project Scope (DDT&E), Support Services and Acquisition Agreements. Approach: Model based structured against assessing organizations CM requirements including best practices maturity criteria. The model is tailored to the entity being assessed dependent on their CM system. The assessment approach provides objective feedback to Engineering and Project Management of the observed CM system maturity state versus the ideal state of the configuration management processes and outcomes(system). center dot Identifies strengths and risks versus audit gotcha's (findings/observations). center dot Used "recursively and iteratively" throughout program lifecycle at select points of need. (Typical assessments timing is Post PDR/Post CDR) center dot Ideal state criteria and maturity targets are reviewed with the assessed entity prior to an assessment (Tailoring) and is dependent on the assessed phase of the CM system. center dot Supports exit success criteria for Preliminary and Critical Design Reviews. center dot Gives a comprehensive CM system assessment which ultimately supports configuration verification activities.*

  4. Semi-annual report of the Department of Energy, Office of Environmental Management, Quality Assessment Program. QAP 49 summary of evaluations of 3217 reported analyses

    SciTech Connect

    Greenlaw, P.D.

    1998-12-01

    This Quality Assessment Program (QAP) is designed to test the quality of the environmental measurements being reported to the Department of Energy by its contractors. Since 1976, real or synthetic environmental samples that have been prepared and thoroughly analyzed at the Environmental measurements Laboratory (EML) have been distributed at first quarterly and then semi-annually to these contractors. Their results, which are returned to EML within 90 days, are compiled with EML`s results and are reported back to the participating contractors 30 days later. A summary of the reported results is available to the participants 4 days after the reporting deadline via the Internet at www.eml.doe.gov. This report presents the results from the analysis of the 49th set of environmental quality assessment samples (QAP XLIX) that were received on or before December 1, 1998.

  5. Improving malaria treatment and prevention in India by aiding district managers to manage their programmes with local information: a trial assessing the impact of Lot Quality Assurance Sampling on programme outcomes.

    PubMed

    Valadez, Joseph J; Devkota, Baburam; Pradhan, Madan Mohan; Meherda, Pramod; Sonal, G S; Dhariwal, Akshay; Davis, Rosemary

    2014-10-01

    This paper reports the first trial of Lot Quality Assurance Sampling (LQAS) assessing associations between access to LQAS data and subsequent improvements in district programming. This trial concerns India's approach to addressing an increase in malaria-attributable deaths by training community health workers to diagnose, treat and prevent malaria, while using LQAS to monitor sub-district performance and make programme improvements. The Ministry of Health introduced LQAS into four matched high malaria burden districts (Annual Parasite Incidence >5) (N > 5 million). In each sub-district, we sampled four populations in three 6-monthly surveys: households, children <5 years, people with fever in the last 2 weeks and community health workers. In three districts, trained local staff collected, analysed and used data for programme management; in one control district, non-local staff collected data and did not disseminate results. For eight indicators, we calculated the change in proportion from survey one to three and used a Difference-in-Differences test to compare the relative change between intervention and control districts. Coverage increased from survey one to three for 24 of 32 comparisons. Difference-in-Differences tests revealed that intervention districts exhibited significantly greater change in four of six vertical strategies (insecticide treated bed-nets and indoor residual spraying), one of six treatment-seeking behaviours and four of 12 health worker capacity indicators. The control district displayed greater improvement than two intervention districts for one health worker capacity indicator. One district with poor management did not improve. In this study, LQAS results appeared to support district managers to increase coverage in underperforming areas, especially for vertical strategies in the presence of diligent managers. © 2014 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

  6. Total quality management in blood transfusion.

    PubMed

    Smit-Sibinga, C T

    2000-01-01

    Quality management is an ongoing development resulting in consistency products and services and ever increasing customer satisfaction. The ultimum is Total Quality Management. Quality systems and quality management in transfusion medicine have gained considerable attention since the outbreak of the AIDS epidemic. Where product orientation has long been applied through quality control, Good Manufacturing Practice (GMP) principles were introduced, shifting the developments in the direction of process orientation. Globally, and particularly in the more industrialised world people and system orientation has come along with the introduction of the ISO9001 concept. Harmonisation and a degree of uniformity are needed to implement a universally applicable Quality System and related Quality Management. Where the American Association of Blood Banks (AABB) is the professional organisation with the most extensive experience in quality systems in blood transfusion, the European Union and the Council of Europe now are in the process to design a quality system and management applicable to a larger variety of countries, based on a hybrid of current GMP and ISO9001 principles. The International Federation of Red Cross and Red Crescent Societies has developed a more universally to implement Quality Manual, with a pilot project in Honduras. It is recommendable to harmonise the various designs and bring the approaches under one common denominator.

  7. Quality Risk Management: Putting GMP Controls First.

    PubMed

    O'Donnell, Kevin; Greene, Anne; Zwitkovits, Michael; Calnan, Nuala

    2012-01-01

    This paper presents a practical way in which current approaches to quality risk management (QRM) may be improved, such that they better support qualification, validation programs, and change control proposals at manufacturing sites. The paper is focused on the treatment of good manufacturing practice (GMP) controls during QRM exercises. It specifically addresses why it is important to evaluate and classify such controls in terms of how they affect the severity, probability of occurrence, and detection ratings that may be assigned to potential failure modes or negative events. It also presents a QRM process that is designed to directly link the outputs of risk assessments and risk control activities with qualification and validation protocols in the GMP environment. This paper concerns the need for improvement in the use of risk-based principles and tools when working to ensure that the manufacturing processes used to produce medicines, and their related equipment, are appropriate. Manufacturing processes need to be validated (or proven) to demonstrate that they can produce a medicine of the required quality. The items of equipment used in such processes need to be qualified, in order to prove that they are fit for their intended use. Quality risk management (QRM) tools can be used to support such qualification and validation activities, but their use should be science-based and subject to as little subjectivity and uncertainty as possible. When changes are proposed to manufacturing processes, equipment, or related activities, they also need careful evaluation to ensure that any risks present are managed effectively. This paper presents a practical approach to how QRM may be improved so that it better supports qualification, validation programs, and change control proposals in a more scientific way. This improved approach is based on the treatment of what are called good manufacturing process (GMP) controls during those QRM exercises. A GMP control can be considered

  8. Assessment of multiple management systems in the Upper Midwest

    USDA-ARS?s Scientific Manuscript database

    Reduced tillage, multi-crop rotations and use of organic fertilizers are characteristically expected to improve soil quality. As measures of soil quality, microbial and soluble C and N were evaluated in an nine-year assessment of management practices alternative to a conventionally managed two-year ...

  9. Quality management in Irish health care.

    PubMed

    Ennis, K; Harrington, D

    1999-01-01

    This paper reports on the findings from a quantitative research study of quality management in the Irish health-care sector. The study findings suggest that quality management is what hospitals require to become more cost-effective and efficient. The research also shows that the culture of health-care institutions must change to one where employees experience pride in their work and where all are involved and committed to continuous quality improvement. It is recommended that a shift is required from the traditional management structures to a more participative approach. Furthermore, all managers whether from a clinical or an administration background must understand one another's role in the organisation. Finally, for quality to succeed in the health-care sector, strong committed leadership is required to overcome tensions in quality implementation.

  10. Integrating quality, safety, and environment management systems.

    PubMed

    Winder, C

    1997-01-01

    Internationally consistent ISO standards are in use, or are being developed, for quality systems, environmental management, and occupational health and safety. These standards outline a model for the management of quality, environment or safety. In many respects the process of developing management systems for these matters contains a number of common elements, including obtaining commitment from senior management; instituting consultative mechanisms; developing a policy; identifying components of the management program; resourcing, implementing, and reviewing the program; and integrating the program into the organization's strategic plan. The necessity of developing separate management systems for different organizational aspects is wasteful and inefficient. Better management systems will be developed if they are integrated into a single management structure.

  11. Quality Connections: Transforming Schools through Total Quality Management.

    ERIC Educational Resources Information Center

    Schenkat, Randy

    Total Quality Management (TQM), the synchronization of quality principles across an organization, can help reveal that most problems within an organization are systemic and not personal. In the United States' educational system, teachers are often restricted, and little true learning communities are rare. Common educational practices, such as rote…

  12. Quality Connections: Transforming Schools through Total Quality Management.

    ERIC Educational Resources Information Center

    Schenkat, Randy

    Total Quality Management (TQM), the synchronization of quality principles across an organization, can help reveal that most problems within an organization are systemic and not personal. In the United States' educational system, teachers are often restricted, and little true learning communities are rare. Common educational practices, such as rote…

  13. Quality Goes to School: Readings on Quality Management in Education.

    ERIC Educational Resources Information Center

    American Association of School Administrators, Arlington, VA.

    In 1991, the American Association of School Administrators (AASA) published "An Introduction to Total Quality for Schools" to initiate its new learning network. This second collection of readings on quality management in education offers a series of perspectives through which readers can refine their own definitions and knowledge. It contains…

  14. ANSS Backbone Station Quality Assessment

    NASA Astrophysics Data System (ADS)

    Leeds, A.; McNamara, D.; Benz, H.; Gee, L.

    2006-12-01

    In this study we assess the ambient noise levels of the broadband seismic stations within the United States Geological Survey's (USGS) Advanced National Seismic System (ANSS) backbone network. The backbone consists of stations operated by the USGS as well as several regional network stations operated by universities. We also assess the improved detection capability of the network due to the installation of 13 additional backbone stations and the upgrade of 26 existing stations funded by the Earthscope initiative. This assessment makes use of probability density functions (PDF) of power spectral densities (PSD) (after McNamara and Buland, 2004) computed by a continuous noise monitoring system developed by the USGS- ANSS and the Incorporated Research Institutions in Seismology (IRIS) Data Management Center (DMC). We compute the median and mode of the PDF distribution and rank the stations relative to the Peterson Low noise model (LNM) (Peterson, 1993) for 11 different period bands. The power of the method lies in the fact that there is no need to screen the data for system transients, earthquakes or general data artifacts since they map into a background probability level. Previous studies have shown that most regional stations, instrumented with short period or extended short period instruments, have a higher noise level in all period bands while stations in the US network have lower noise levels at short periods (0.0625-8.0 seconds), high frequencies (8.0- 0.125Hz). The overall network is evaluated with respect to accomplishing the design goals set for the USArray/ANSS backbone project which were intended to increase broadband performance for the national monitoring network.

  15. Total Quality Management (TQM) Awareness Seminar. Revision 8

    DTIC Science & Technology

    1990-04-18

    TOTAL QUALITY MANAGEMENT (TQM) Awareness Seminar 0 Copyright 1990, BoozAllen & Hamilton Inc. PREPARED FOR...additional TOM training and Identify potential sources for TOM training. Total Quality Management ii1 TOTAL QUALITY MANAGEMENT (TQM) AWARENESS SEMINAR I...DOD Path to Total Quality Management 11. UNDERSTANDING TOTAL QUALITY MANAGEMENT : THE TQM IMPERATIVE " Exercise: Bead Box * History of

  16. DUQuE quality management measures: associations between quality management at hospital and pathway levels

    PubMed Central

    Wagner, Cordula; Groene, Oliver; Thompson, Caroline A.; Dersarkissian, Maral; Klazinga, Niek S.; Arah, Onyebuchi A.; Suñol, Rosa; Klazinga, N; Kringos, DS; Lombarts, K; Plochg, T; Lopez, MA; Secanell, M; Sunol, R; Vallejo, P; Bartels, P; Kristensen, S; Michel, P; Saillour-Glenisson, F; Vlcek, F; Car, M; Jones, S; Klaus, E; Garel, P; Hanslik, K; Saluvan, M; Bruneau, C; Depaigne-Loth, A; Shaw, C; Hammer, A; Ommen, O; Pfaff, H; Groene, O; Botje, D; Wagner, C; Kutaj-Wasikowska, H; Kutryba, B; Escoval, A; Franca, M; Almeman, F; Kus, H; Ozturk, K; Mannion, R; Arah, OA; Chow, A; DerSarkissian, M; Thompson, C; Wang, A; Thompson, A

    2014-01-01

    Objective The assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives and at various levels of care delivery. Within the DUQuE project (Deepening our Understanding of Quality improvement in Europe), seven measures for QM were developed. This study investigates the relationships between the various quality measures. Design It is a multi-level, cross-sectional, mixed-method study. Setting and Participants As part of the DUQuE project, we invited a random sample of 74 hospitals in 7 countries. The quality managers of these hospitals were the main respondents. Furthermore, data of site visits of external surveyors assessing the participating hospitals were used. Main Outcome Measures Three measures of QM at hospitals level focusing on integral systems (QMSI), compliance with the Plan-Do-Study-Act quality improvement cycle (QMCI) and implementation of clinical quality (CQII). Four measures of QM activities at care pathway level focusing on Specialized expertise and responsibility (SER), Evidence-based organization of pathways (EBOP), Patient safety strategies (PSS) and Clinical review (CR). Results Positive significant associations were found between the three hospitals level QM measures. Results of the relationships between levels were mixed and showed most associations between QMCI and department-level QM measures for all four types of departments. QMSI was associated with PSS in all types of departments. Conclusion By using the seven measures of QM, it is possible to get a more comprehensive picture of the maturity of QM in hospitals, with regard to the different levels and across various types of hospital departments. PMID:24615597

  17. Strategic service quality management for health care.

    PubMed

    Anderson, E A; Zwelling, L A

    1996-01-01

    Quality management has become one of the most important and most debated topics within the service sector. This is especially true for health care, as the controversy rages on how the existing American system should be restructured. Health care reform aimed at reducing costs and ensuring access to all Americans cannot be allowed to jeopardize the quality of care. As such, total quality management (TQM) has become a vital ingredient to strategic planning within the health care domain. At the heart of any such quality improvement effort is the issue of measurement. TQM cannot be effectively utilized as a competitive weapon unless quality can be accurately defined, measured, evaluated, and monitored over time. Through such analysis a hospital can elect how to expend its limited resources toward those quality improvement projects which will impact customer perceptions of service quality the most. Thus, the purpose of this report is to establish a framework by which to approach the issue of quality measurement, delineate the various components of quality that exist in health care, and explore how these elements affect one another. We propose that the issue of quality measurement in health care be approached as an integration of service quality attributes common to other service organizations and technical quality attributes unique to health care. We hope that this research will serve as a first step toward the synthesis of the various quality attributes inherent in the health care domain and encourage other researchers to address the interactions of the various quality attributes.

  18. Pollution prevention and total quality management

    SciTech Connect

    Baker, G.E.

    1995-09-01

    Both quality management and pollution prevention are paradigms for their respective concepts to be followed and put into effect in industrial production. They each represent a framework for making things better, and for the examination and evaluation of current practices. Both pollution prevention and total quality management welcome innovative thought and the mandate to question the validity of practices. This chapter investigates the similarities of purpose and content of pollution prevention and total quality management techniques for industrial wastes. It also examines the reasons and directions that industry is following to make both paradigms integral parts of conducting business.

  19. Quality assessment of recent evidence-based clinical practice guidelines for management of type 2 diabetes mellitus in adults using the AGREE II instrument.

    PubMed

    Anwer, Muhammad A; Al-Fahed, Ousama B; Arif, Samir I; Amer, Yasser S; Titi, Maher A; Al-Rukban, Mohammed O

    2017-09-25

    Type 2 diabetes mellitus (T2DM) is a worldwide and national public health problem that has a great impact on the population in Saudi Arabia. High-quality clinical practice guidelines (CPGs) are cornerstones in improving the health care provided for patients with diabetes. This study evaluated the methodological rigour, transparency, and applicability of recently published CPGs. Our group conducted a systematic search for recently published CPGs for T2DM. The searching and screening for Source CPGs were guided by tools from the ADAPTE methods with specific inclusion/exclusion criteria. Five reviewers using the second version of the Appraisal of Guidelines for Research and Evaluation (AGREE II) Instrument independently assessed the quality of the retrieved Source CPGs. Domains of Scope and purpose and Clarity of presentation received the highest scores in all CPGs. Most of the assessed CPGs (86%) were considered with high overall quality and were recommended for use. Rigour of development and applicability domains were together highest in 3 CPGs (43%). The overall high quality of DM CPGs published in the last 3 years demonstrated the continuous development and improvement in CPG methodologies and standards. Health care professionals should consider the quality of any CPG for T2DM before deciding to use it in their daily clinical practice. Three CPGs have been identified, using the AGREE criteria, as high-quality and trustworthy. Ideally, the resources provided by the AGREE trust including the AGREE II Instrument should be used by a clinician to scan through the large number of published T2DM CPGs to identify the CPGs with high methodological quality and applicability. © 2017 John Wiley & Sons, Ltd.

  20. [Total quality management of clinical database].

    PubMed

    Okubo, Suguru; Miyata, Hiroaki; Tomotaki, Ai; Motomura, Noboru; Murakami, Arata; Ono, Minoru; Iwanaka, Tadashi

    2013-06-01

    Data entry system should be constructed considering utility, accuracy, propriety, and feasibility. The methods for developing useful and accurate clinical databases are 1)system development based on the concept of "error proofing", 2)system test by real users, 3)guidances for participants, and 4)incentive for accurate data entry. In terms of propriety, to gain patient's consent on data collection and to publicly announce objectives and methods of clinical database are necessary. Confidentiality and anonymization of data are also important. Balancing efficacy and propriety for maximization of patients' and societal benefit is one of the important responsibilities of database management organizations. In addition, assessment of data quality such as audit and feedback is useful for enhancing accuracy and reliability of clinical databases.

  1. Impact of 57 years of management on the soil quality of a Vertisol in Central Texas

    USDA-ARS?s Scientific Manuscript database

    Soil quality assessment is a proactive process for understanding the long-term effects of soil and crop management practices within agricultural watersheds. The objective of this study was to assess the impact of management on the soil quality in fields where the management history is known for clos...

  2. Quality Management Systems Implementation Compared With Organizational Maturity in Hospital.

    PubMed

    Moradi, Tayebeh; Jafari, Mehdi; Maleki, Mohammad Reza; Naghdi, Seyran; Ghiasvand, Hesam

    2015-07-27

    A quality management system can provide a framework for continuous improvement in order to increase the probability of customers and other stakeholders' satisfaction. The test maturity model helps organizations to assess the degree of maturity in implementing effective and sustained quality management systems; plan based on the current realities of the organization and prioritize their improvement programs. We aim to investigate and compare the level of organizational maturity in hospitals with the status of quality management systems implementation. This analytical cross sectional study was conducted among hospital administrators and quality experts working in hospitals with over 200 beds located in Tehran. In the first step, 32 hospitals were selected and then 96 employees working in the selected hospitals were studied. The data were gathered using the implementation checklist of quality management systems and the organization maturity questionnaire derived from ISO 10014. The content validity was calculated using Lawshe method and the reliability was estimated using test - retest method and calculation of Cronbach's alpha coefficient. The descriptive and inferential statistics were used to analyze the data using SPSS 18 software. According to the table, the mean score of organizational maturity among hospitals in the first stage of quality management systems implementation was equal to those in the third stage and hypothesis was rejected (p-value = 0.093). In general, there is no significant difference in the organizational maturity between the first and third level hospitals (in terms of implementation of quality management systems). Overall, the findings of the study show that there is no significant difference in the organizational maturity between the hospitals in different levels of the quality management systems implementation and in fact, the maturity of the organizations cannot be attributed to the implementation of such systems. As a result, hospitals

  3. Quality Management Systems Implementation Compared With Organizational Maturity in Hospital

    PubMed Central

    Moradi, Tayebeh; Jafari, Mehdi; Maleki, Mohammad Reza; Naghdi, Seyran; Ghiyasvand, Hesam

    2016-01-01

    Background: A quality management system can provide a framework for continuous improvement in order to increase the probability of customers and other stakeholders’ satisfaction. The test maturity model helps organizations to assess the degree of maturity in implementing effective and sustained quality management systems; plan based on the current realities of the organization and prioritize their improvement programs. Objectives: We aim to investigate and compare the level of organizational maturity in hospitals with the status of quality management systems implementation. Materials and Methods: This analytical cross sectional study was conducted among hospital administrators and quality experts working in hospitals with over 200 beds located in Tehran. In the first step, 32 hospitals were selected and then 96 employees working in the selected hospitals were studied. The data were gathered using the implementation checklist of quality management systems and the organization maturity questionnaire derived from ISO 10014. The content validity was calculated using Lawshe method and the reliability was estimated using test - retest method and calculation of Cronbach's alpha coefficient. The descriptive and inferential statistics were used to analyze the data using SPSS 18 software. Results: According to the table, the mean score of organizational maturity among hospitals in the first stage of quality management systems implementation was equal to those in the third stage and hypothesis was rejected (p-value = 0.093). In general, there is no significant difference in the organizational maturity between the first and third level hospitals (in terms of implementation of quality management systems). Conclusions: Overall, the findings of the study show that there is no significant difference in the organizational maturity between the hospitals in different levels of the quality management systems implementation and in fact, the maturity of the organizations cannot be

  4. Project officer's perspective: quality assurance as a management tool.

    PubMed

    Heiby, J

    1993-06-01

    Advances in the management of health programs in less developed countries (LDC) have not kept pace with the progress of the technology used. The US Agency for International Development mandated the Quality Assurance Project (QAP) to provide quality improvement technical assistance to primary health care systems in LDCs while developing appropriate quality assurance (QA) strategies. The quality of health care in recent years in the US and Europe focused on the introduction of management techniques developed for industry into health systems. The experience of the QAP and its predecessor, the PRICOR Project, shows that quality improvement techniques facilitate measurement of quality of care. A recently developed WHO model for the management of the sick child provides scientifically based standards for actual care. Since 1988, outside investigators measuring how LDC clinicians perform have revealed serious deficiencies in quality compared with the program's own standards. This prompted developed of new QA management initiatives: 1) communicating standards clearly to the program staff; 2) actively monitoring actual performance corresponds to these standards; and 3) taking action to improve performance. QA means that managers are expected to monitor service delivery, undertake problem solving, and set specific targets for quality improvement. Quality improvement methods strengthen supervision as supervisors can objectively assess health worker performance. QA strengthens the management functions that support service delivery, e.g., training, records management, finance, logistics, and supervision. Attention to quality can contribute to improved health worker motivation and effective incentive programs by recognition for a job well done and opportunities for learning new skills. These standards can also address patient satisfaction. QA challenges managers to aim for the optimal level of care attainable.

  5. Towards Quality Assessment in an EFL Programme

    ERIC Educational Resources Information Center

    Ali, Holi Ibrahim Holi; Al Ajmi, Ahmed Ali Saleh

    2013-01-01

    Assessment is central in education and the teaching-learning process. This study attempts to explore the perspectives and views about quality assessment among teachers of English as a Foreign Language (EFL), and to find ways of promoting quality assessment. Quantitative methodology was used to collect data. To answer the study questions, a…

  6. Quality Management: An Annotated Bibliography.

    DTIC Science & Technology

    1986-06-01

    Garvin , D. A. (1983). Quality on the line. Harvard Business Review, 61( 5 ), 64-75. Key Terms: Case Histories...8217 ’. ," . ." . . .’ " . - "" , . . • " . ’ "" . - . I ’-4 * 0 Pavsidis, C. (1983). Zero defect programs thriving in Japan. b Quality Progress, 16( 5 ), 34-35. Key Terms: Approaches to QM/History of QM/SPC...1984). Quality Progress, 17(10), 32-37. Key Terms: Approaches to QM/SPC. Abstract: Feigenbaum , Juran, and Crosby

  7. [The organization of system of quality management in large multitype hospital].

    PubMed

    Taĭts, B M; Krichmar, G N; Stvolinskiĭ, I Iu; Grandilevskaia, O L

    2013-01-01

    The article presents the characteristics and assessment of functioning of model of quality management in large multitype hospital. The results of work of the municipal hospital of Saint Venerable martyr Elizabeth of St Petersburg concerning the implementation of system of quality management in 2001-2011 of the foundation of principles of total quality management of medical service and principles of quality management according international standards ISO and their Russian analogues.

  8. [Total quality management in laboratory medicine].

    PubMed

    Vogt, W

    1998-12-01

    The German Public Health will be continuously challenged in the future. It has to be assumed that modified managed care will not only take place sporadically. Thus, quality aspects of services gain more and more significance. Only suppliers will be successful who can offer services of highest quality at lowest prices. Quality in a comprehensive sense has to be substantiated in the near future. It is recommended to apply industry proven models also in public health service. Medical laboratories can be pioneers in this field as they have been already in the past. All previously proposed procedures can not describe quality of results comprehensively. They are based to a high degree on external control. Total quality management, however, represents a comprehensive approach. Principles are zero-defect approach, customer orientation and system management. Quality is given in the sense of TQM if the customer is permanently satisfied with the service of the supplier. In such a way, the customer defines quality of service. A customer is everyone who receives products or services. TQM overcomes the drawbacks of quality management systems, which are strongly formal and oriented by external control, as accreditation (EN 45,000) or certification (ISO 9000). Competition between hospitals is a declared goal of German health politics because usually quality is increased and cost decreased as a consequence. Competition means also comparison of services. TQM emphasizes benchmarking especially among the best suppliers.

  9. Assessment and Quality Social Studies

    ERIC Educational Resources Information Center

    Savage, Tom V.

    2003-01-01

    Those anonymous individuals who develop high-stakes tests by which educational quality is measured exercise great influence in defining educational quality. In this article, the author examines the impact of high-stakes testing on the welfare of the children and the quality of social studies instruction. He presents the benefits and drawbacks of…

  10. Managing Air Quality - Program Implementation

    EPA Pesticide Factsheets

    Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.

  11. Proactive management of air quality.

    PubMed

    Angle, R P; Sandhu, H S

    2001-02-01

    Traditional air resource management systems have difficulty in addressing global issues, sustainable development, direct citizen participation, and integration with broad economic interests. As reactive management systems, they tend to be compliance-driven, static, and rigid. In contrast, proactive management systems are principle-driven, innovative, and flexible. Bridge scientists play a key role in supporting the transformation of raw data into wise action. Decision-makers need to integrate social values with knowledge about emissions, atmospheric processes, and potential environmental effects using the primary tools of measurements, monitoring, and modeling. The Alberta Clean Air Strategic Alliance, a unique partnership of governments, industry, and public interest groups formed in 1994, operates a comprehensive air management system that is capable of addressing air issues of greater complexity and uncertainty. Its success is measured by the satisfaction of its diverse stakeholders and by the number and scope of its initiatives. Copyright 2001 Springer-Verlag

  12. Transitioning sediment quality assessment into regulations: Challenges and solutions in implementing California's sediment quality objectives.

    PubMed

    Beegan, Chris; Bay, Steven M

    2012-10-01

    Development and promulgation of sediment quality criteria represents a substantial challenge for water quality agencies. Unlike water quality programs that rely on individual chemical thresholds to assess water quality, the complex processes affecting contaminant bioavailability in sediments preclude the use of contaminant concentrations to independently assess impacts or identify cause. Various multiple line of evidence approaches (e.g., sediment quality triad) have been developed for sediment quality assessment, but such frameworks are rarely fully incorporated into statewide regulatory programs due to a lack of standardized and validated tools. In 2003, California's State Water Resources Control Board (State Water Board) initiated development of sediment quality criteria and an assessment framework that required the developers to resolve many challenging technical and policy related issues to the satisfaction of stakeholders, scientists, and the general public. The first part of this multiyear effort has been completed and resulted in the development and validation of an integrated collection of tools, thresholds, and a data interpretation framework for assessing sediment contamination impacts on benthic community condition. The State Water Board's narrative sediment quality criteria and assessment framework became effective in 2009, following US Environmental Protection Agency approval. The results of this effort are described in a series of 6 articles published in this issue of Integrated Environmental Assessment and Management. The articles describe: 1) a multiple line of evidence framework for data integration and assessment, 2) calibration and evaluation of sediment quality guidelines for predicting toxic responses, 3) development and evaluation of sediment quality guidelines with respect to benthic macrofauna responses, 4) selection of toxicity test methods and thresholds, 5) identification and characterization of benthic community assemblages, 6) the

  13. SYN-OP-SYS™: A Computerized Management Information System for Quality Assurance and Risk Management

    PubMed Central

    Thomas, David J.; Weiner, Jayne; Lippincott, Ronald C.

    1985-01-01

    SYN·OP·SYS™ is a computerized management information system for quality assurance and risk management. Computer software for the efficient collection and analysis of “occurrences” and the clinical data associated with these kinds of patient events is described. The system is evaluated according to certain computer design criteria, and the system's implementation is assessed.

  14. A Composite Indicator to Assess the Quality of Care in the Management of Patients With Rheumatoid Arthritis in Outpatient Rheumatology Clinics.

    PubMed

    Martín-Martínez, María Auxiliadora; Andreu-Sanchez, Jose Luis; Sanchez-Alonso, Fernando; Corominas, Hector; Perez-Venegas, Jose Javier; Roman-Ivorra, Jose Andres; Alperi, Mercedes; Blanco-Alonso, Ricardo; Caliz, Rafael; Chamizo-Carmona, Eugenio; Graña-Gil, Jenaro; Hernández, Blanca; Marras, Carlos; Mazzucchelli, Ramon; Medina Luezas, Julio Antonio; Naranjo-Hernández, Antonio; Ortiz, Ana; Roselló, Rosa; Sanchez-Nievas, Ginés; Sanmartí, Raimon; Vela-Casasempere, Paloma

    2017-08-05

    The current guidelines in the treatment of rheumatoid arthritis (RA) include the early diagnosis and early use of disease modifying drugs to achieve remission or low disease activity level, known as "Treat to Target" (T2T). The objective of this study is to develop a composite indicator (CI) to evaluate the quality of care in the management of patients with RA, according to the T2T strategy and other general recommendations concerning the management of these patients. The phases of the construction of the CI were: 1) selection of quality criteria through expert judgment; 2) prioritization of the criteria, according to relevance and feasibility, applying the Delphi methodology (two rounds) involving 20 experts; 3) design of quality indicators; and 4) calculation of the weighted CI, using the mean value in relevance and feasibility granted by the experts. The source of information for the calculation of the CI are the medical records of patients with RA. Twelve criteria out of 37 required a second Delphi round. Thirty-one criteria were prioritized. These criteria presented a median in relevance and feasibility greater than or equal to 7.5, with an interquartile range of less than 3.5, and a level of agreement (score greater than or equal to 8) greater than or equal to 80%. The constructed CI allows us to evaluate the quality of care of patients with RA following the T2T strategy in the rheumatology units of Spanish hospitals, offering a valid and easily interpretable summary measure. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  15. Source Emissions in Multipollutant Air Quality Management

    EPA Science Inventory

    Human activities and natural processes that emit pollutants into the ambient atmosphere are the underlying cause of all air quality problems. In a technical sense, we refer to these activities and processes as pollutant sources. Although air quality management is usually concerne...

  16. Quality or Control? Management in Higher Education

    ERIC Educational Resources Information Center

    Milliken, John; Colohan, Gerry

    2004-01-01

    Over the past fifteen years the rationale, organisational infrastructure and delivery of social policy in Britain have undergone radical transformation. Whereas efficiency was the key word of the 1980s, quality was the touchstone of the 1990s and quality control with accountability has become the management philosophy of the new millennium.…

  17. Coordinating Council. Ninth Meeting: Total Quality Management

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This report summarizes the 9th meeting of the STI Coordinating Council. The council listened to the speakers' understanding of Total Quality Management (TQM) principles and heard stories of successful applications of these principles. Definitions of quality stated were focused on customer satisfaction. Reports presented by the speakers are also included.

  18. Total quality management in behavioral health care.

    PubMed

    Sluyter, G V

    1998-01-01

    The literature on total quality management or continuous quality improvement in the behavioral health care field is just beginning to emerge. Although most of the evidence on its effectiveness remains anecdotal, it seems clear that it can work in behavioral health care organizations with strong leadership support and a long-term commitment.

  19. Total Quality Management Goes to Community College.

    ERIC Educational Resources Information Center

    DeCosmo, Richard D.; And Others

    1991-01-01

    This article details the four-year implementation of Total Quality Management at Delaware County Community College (Pennsylvania) to conserve resources, improve effectiveness, assure quality, and increase participation in decision making. Reported are planning, execution, and monitoring activities of the Implementation Team; specific problems…

  20. The Quality School: Managing Students without Coercion.

    ERIC Educational Resources Information Center

    Glasser, William

    Noncoercive student management practices to promote quality school work are examined in this book, which is based on the assertion that student motivation to perform quality work should not be compromised by focusing on minimal goals, such as dropout reduction and discipline problems. Replacement of the traditional coercive, divisive management…

  1. Source Emissions in Multipollutant Air Quality Management

    EPA Science Inventory

    Human activities and natural processes that emit pollutants into the ambient atmosphere are the underlying cause of all air quality problems. In a technical sense, we refer to these activities and processes as pollutant sources. Although air quality management is usually concerne...

  2. Quality or Control? Management in Higher Education

    ERIC Educational Resources Information Center

    Milliken, John; Colohan, Gerry

    2004-01-01

    Over the past fifteen years the rationale, organisational infrastructure and delivery of social policy in Britain have undergone radical transformation. Whereas efficiency was the key word of the 1980s, quality was the touchstone of the 1990s and quality control with accountability has become the management philosophy of the new millennium.…

  3. Quality control and quality assurance plan for bridge channel-stability assessments in Massachusetts

    USGS Publications Warehouse

    Parker, Gene W.; Pinson, Harlow

    1993-01-01

    A quality control and quality assurance plan has been implemented as part of the Massachusetts bridge scour and channel-stability assessment program. This program is being conducted by the U.S. Geological Survey, Massachusetts-Rhode Island District, in cooperation with the Massachusetts Highway Department. Project personnel training, data-integrity verification, and new data-management technologies are being utilized in the channel-stability assessment process to improve current data-collection and management techniques. An automated data-collection procedure has been implemented to standardize channel-stability assessments on a regular basis within the State. An object-oriented data structure and new image management tools are used to produce a data base enabling management of multiple data object classes. Data will be reviewed by assessors and data base managers before being merged into a master bridge-scour data base, which includes automated data-verification routines.

  4. Quality-Based Supply Management Indicators

    DTIC Science & Technology

    1993-09-01

    current supply management indicators provide supply managers with cuality measurement tools. This research developed the Quality-Based Metrics Framework...improvements - they are after-the-process inspection points, not mid-cycle check points for process health . In fact, by the time, negative trends develop

  5. Total Quality Management in Libraries. ERIC Digest.

    ERIC Educational Resources Information Center

    Masters, Denise G.

    Total Quality Management (TQM) is "a system of continuous improvement employing participative management and centered on the needs of customers." Key components of TQM are employee involvement and training, problem-solving teams, statistical methods, long-term goals and thinking, and recognition that the system, not people, produces…

  6. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  7. Managing Service Quality with the Balanced Scorecard.

    ERIC Educational Resources Information Center

    Poll, Roswitha

    In order to evaluate and utilize library data for the management process, a German project, sponsored by the German Research Council, uses the Balanced Scorecard as the concept for integrated quality management. Performance indicators across the following four perspectives are combined to produce a balanced evaluation of the library: (1) users,…

  8. Revitalizing Space Operations through Total Quality Management

    NASA Technical Reports Server (NTRS)

    Baylis, William T.

    1995-01-01

    The purpose of this paper is to show the reader what total quality management (TQM) is and how to apply TQM in the space systems and management arena. TQM is easily understood, can be implemented in any type of business organization, and works.

  9. Total Quality Management. ERIC Digest, Number 73.

    ERIC Educational Resources Information Center

    Weaver, Tyler

    The Japanese success story has made W. Edwards Deming's Total Quality Management (TQM) theory increasingly popular among American managers, from car manufacturers to educational leaders. TQM is based on two tenets: the primacy of customer satisfaction and the necessity of tapping nontraditional sources (especially employee ideas) to institute…

  10. MANAGING INDOOR AIR QUALITY IN THE USA

    EPA Science Inventory

    The paper gives an overview of managing indoor air quality (IAQ) in the U.S. In contrast to outdoor air, which is regulated through various federal and state statutes, there is no unified and comprehensive governmental regulation of IAQ. Therefore, IAQ is managed through variou...

  11. MANAGING INDOOR AIR QUALITY IN THE USA

    EPA Science Inventory

    The paper gives an overview of managing indoor air quality (IAQ) in the U.S. In contrast to outdoor air, which is regulated through various federal and state statutes, there is no unified and comprehensive governmental regulation of IAQ. Therefore, IAQ is managed through variou...

  12. Effectiveness of a quality management program in dental care practices.

    PubMed

    Goetz, Katja; Campbell, Stephen M; Broge, Björn; Brodowski, Marc; Wensing, Michel; Szecsenyi, Joachim

    2014-04-28

    Structured quality management is an important aspect for improving patient dental care outcomes, but reliable evidence to validate effects is lacking. We aimed to examine the effectiveness of a quality management program in primary dental care settings in Germany. This was an exploratory study with a before-after-design. 45 dental care practices that had completed the European Practice Assessment (EPA) accreditation scheme twice (intervention group) were selected for the study. The mean interval between the before and after assessment was 36 months. The comparison group comprised of 56 dental practices that had undergone their first assessment simultaneously with follow-up assessment in the intervention group. Aggregated scores for five EPA domains: 'infrastructure', 'information', 'finance', 'quality and safety' and 'people' were calculated. In the intervention group, small non-significant improvements were found in the EPA domains. At follow-up, the intervention group had higher scores on EPA domains as compared with the comparison group (range of differences was 4.2 to 10.8 across domains). These differences were all significant in regression analyses, which controlled for relevant dental practice characteristics. Dental care practices that implemented a quality management program had better organizational quality in contrast to a comparison group. This may reflect both improvements in the intervention group and a selection effect of dental practices volunteering for the first round of EPA practice assessment.

  13. Data Quality Assessment for Maritime Situation Awareness

    NASA Astrophysics Data System (ADS)

    Iphar, C.; Napoli, A.; Ray, C.

    2015-08-01

    The Automatic Identification System (AIS) initially designed to ensure maritime security through continuous position reports has been progressively used for many extended objectives. In particular it supports a global monitoring of the maritime domain for various purposes like safety and security but also traffic management, logistics or protection of strategic areas, etc. In this monitoring, data errors, misuse, irregular behaviours at sea, malfeasance mechanisms and bad navigation practices have inevitably emerged either by inattentiveness or voluntary actions in order to circumvent, alter or exploit such a system in the interests of offenders. This paper introduces the AIS system and presents vulnerabilities and data quality assessment for decision making in maritime situational awareness cases. The principles of a novel methodological approach for modelling, analysing and detecting these data errors and falsification are introduced.

  14. [Basic principles of quality management in public health service].

    PubMed

    Selbmann, H K

    1996-11-01

    Philosophy, objectives and tools of Total Quality Management are applicable in Public Health services as in every other business. However, they need special adaptation. In Public Health offices requirements of an effective Total Quality Management are the commitment of the top management, an appropriate structure of the quality management system, customer orientation and quality awareness of the personnel, quality indicators and the existence of procedures for problem recognition, good command of the tools of quality management, and the knowledge of the effectiveness of implemented traditional quality assurance measures. Certification procedures following the European Quality Award seem to be appropriate for a global evaluation of quality and quality management of a Public Health office.

  15. Instruments for Water Quality Management

    ERIC Educational Resources Information Center

    United Nations and Water, 1977

    1977-01-01

    The old system of licensing within the different sectors of the society in Norway is in the process of being incorporated into a system of total natural resource planning and regulation. This article outlines comprehensive physical and economic water pollution management plans for the municipality, the county, and the state. (Author/MA)

  16. Quality improvement in neurology: dementia management quality measures.

    PubMed

    Odenheimer, Germaine; Borson, Soo; Sanders, Amy E; Swain-Eng, Rebecca J; Kyomen, Helen H; Tierney, Samantha; Gitlin, Laura; Forciea, Mary Ann; Absher, John; Shega, Joseph; Johnson, Jerry

    2014-03-01

    Professional and advocacy organizations have long urged that dementia should be recognized and properly diagnosed. With the passage of the National Alzheimer's Project Act in 2011, an Advisory Council for Alzheimer's Research, Care, and Services was convened to advise the Department of Health and Human Services. In May 2012, the Council produced the first National Plan to address Alzheimer's disease, and prominent in its recommendations is a call for quality measures suitable for evaluating and tracking dementia care in clinical settings. Although other efforts have been made to set dementia care quality standards, such as those pioneered by RAND in its series Assessing Care of Vulnerable Elders (ACOVE), practitioners, healthcare systems, and insurers have not widely embraced implementation. This executive summary (full manuscript available at www.neurology.org) reports on a new measurement set for dementia management developed by an interdisciplinary Dementia Measures Work Group (DWG) representing the major national organizations and advocacy organizations concerned with the care of individuals with dementia. The American Academy of Neurology (AAN), the American Geriatrics Society, the American Medical Directors Association, the American Psychiatric Association, and the American Medical Association-convened Physician Consortium for Performance Improvement led this effort. The ACOVE measures and the measurement set described here apply to individuals whose dementia has already been identified and properly diagnosed. Although similar in concept to ACOVE, the DWG measurement set differs in several important ways; it includes all stages of dementia in a single measure set, calls for the use of functional staging in planning care, prompts the use of validated instruments in patient and caregiver assessment and intervention, highlights the relevance of using palliative care concepts to guide care before the advanced stages of illness, and provides evidence-based support

  17. Does a quality management system improve quality in primary care practices in Switzerland? A longitudinal study

    PubMed Central

    Goetz, Katja; Hess, Sigrid; Jossen, Marianne; Huber, Felix; Rosemann, Thomas; Brodowski, Marc; Künzi, Beat; Szecsenyi, Joachim

    2015-01-01

    Objectives To examine the effectiveness of the quality management programme—European Practice Assessment—in primary care in Switzerland. Design Longitudinal study with three points of measurement. Setting Primary care practices in Switzerland. Participants In total, 45 of 91 primary care practices completed European Practice Assessment three times. Outcomes The interval between each assessment was around 36 months. A variance analyses for repeated measurements were performed for all 129 quality indicators from the domains: ‘infrastructure’, ‘information’, ‘finance’, and ‘quality and safety’ to examine changes over time. Results Significant improvements were found in three of four domains: ‘quality and safety’ (F=22.81, p<0.01), ‘information’ (F=27.901, p<0.01) and ‘finance’ (F=4.073, p<0.02). The 129 quality indicators showed a significant improvement within the three points of measurement (F=33.864, p<0.01). Conclusions The European Practice Assessment for primary care practices thus provides a functioning quality management programme, focusing on the sustainable improvement of structural and organisational aspects to promote high quality of primary care. The implementation of a quality management system which also includes a continuous improvement process would give added value to provide good care. PMID:25900466

  18. Total Quality Management in Information Services. Information Services Management Series.

    ERIC Educational Resources Information Center

    St. Clair, Guy

    Information services managers have a responsibility to provide the best information delivery possible. The basic principles of total quality management can be used by information professionals to help justify library funding through the creation of an environment where customer-patron satisfaction is paramount. This book reveals how to apply the…

  19. Total Quality Management in Information Services. Information Services Management Series.

    ERIC Educational Resources Information Center

    St. Clair, Guy

    Information services managers have a responsibility to provide the best information delivery possible. The basic principles of total quality management can be used by information professionals to help justify library funding through the creation of an environment where customer-patron satisfaction is paramount. This book reveals how to apply the…

  20. Using the EPA's SUSTAIN Model to Assess the Capability of Best Management Practices (BMPs) to Improve Water Quality in the Los Angeles Basin

    NASA Astrophysics Data System (ADS)

    Radavich, K.; Hogue, T. S.; Beck, A. J.; Gold, M.; Mika, K.

    2014-12-01

    The desire to control the flow, storage and release of stormwater in urban systems distinctly alters the flow paths, water quality, and flood behavior of these once natural systems. The EPA and local municipalities have identified Low Impact Development (LID) and Best Management Practices (BMPs) as more natural methods to manage stormwater in urban areas, though the efficacy of these methods has not been quantified at the watershed scale. By holistically modeling stormwater flow at the watershed scale, engineered BMP solutions can be optimized for cost and evaluated on their ability to improve water quality and flood protection. In this research, the EPA System for Urban Stormwater Treatment and Analysis INtegration (SUSTAIN) model is applied to heavily urbanized watersheds in Southern California, specifically the Ballona Creek and Dominguez Channel watersheds (61% and 69% impervious land cover, respectively). Stormwater flow and pollutant load of selected metals are calibrated and validated over the gauged portions (89 sq. mi. in Ballona and 33 sq. mi. in Dominguez) and simulated over the full watersheds (~128 sq. mi. in both). Scenarios of BMP implementation are optimized for cost and pollutant load reduction. Results show that receiving water quality improvement is limited by BMP pollutant removal effectiveness. Consequently, larger BMP treatment capacity does not result in greater pollutant load reduction. The optimal scenario routed runoff from 90% of the watershed area through a variety of regional and distributed BMPs indicating that BMP implementation needs to focus on strategic placements to capture runoff from the largest drainage area instead of only maximizing BMP capacity. Secondary benefits such as peak flow reduction of 20-50% and recharge potential between 12,000 and 30,000 acre-ft per year were also demonstrated in selected Ballona Creek optimization scenarios.

  1. Assessing Quality in Home Visiting Programs

    ERIC Educational Resources Information Center

    Korfmacher, Jon; Laszewski, Audrey; Sparr, Mariel; Hammel, Jennifer

    2013-01-01

    Defining quality and designing a quality assessment measure for home visitation programs is a complex and multifaceted undertaking. This article summarizes the process used to create the Home Visitation Program Quality Rating Tool (HVPQRT) and identifies next steps for its development. The HVPQRT measures both structural and dynamic features of…

  2. Assessing Quality in Home Visiting Programs

    ERIC Educational Resources Information Center

    Korfmacher, Jon; Laszewski, Audrey; Sparr, Mariel; Hammel, Jennifer

    2013-01-01

    Defining quality and designing a quality assessment measure for home visitation programs is a complex and multifaceted undertaking. This article summarizes the process used to create the Home Visitation Program Quality Rating Tool (HVPQRT) and identifies next steps for its development. The HVPQRT measures both structural and dynamic features of…

  3. Analysis and Model Based Assessment of Water Quality in European Mesoscale Forest Catchments with Different Management Strategies (a Climatic Gradient Approach)

    NASA Astrophysics Data System (ADS)

    Tavares, Filipa; Schwaerzel, Kai; Nunes, João. Pedro; Feger, Karl-Heinz

    2010-05-01

    Forestry activities affect the environmental conditions of river basins by modifying soil properties and vegetation cover, leading to changes in e.g. runoff generation and routing, water yield or the trophic status of water bodies. Climate change is directly linked to forestry, since site-adapted sustainable forest management can buffer negative climate change impacts in river basins, while practices leading to over-harvesting or increasing wildfires can exacerbate these impacts. While studies relating hydrological processes with forestry practices or climate change have already been conducted, the combined impacts of both are rarely discussed. The main objective of the proposed work is to study the interactions between forest management and climate change and the effects of these upon water fluxes and water quality at the catchment scale, over medium to long-term periods and following an East-West climate gradient. Additional objectives are to increase knowledge about the relations between forest, water quality and soil conservation/degradation; and to improve the modelling of hydrological and matter transport processes in managed forests. The present poster shows a conceptual approach to understand this combined interaction by analysing an East-West climatic gradient (Ukraine-Germany-Portugal), with contrasting forestry practices and climate vulnerabilities. The activities within this workplan, to take place during the period 2010 - 2014, will be developed in close collaboration with several ongoing research projects in the host institution at the Dresden University of Technology (TUD) and in the University of Aveiro (UA). The Institute of Soil Science and Site-Ecology (ISSE) at TUD has an internationally renowned research tradition in forest hydrological topics using methods and findings from various (sub)disciplines in a multidisplinary approach. The measurement and simulation of forest catchments has also been a point of research at the Centre for

  4. Readings on Managing Organizational Quality

    DTIC Science & Technology

    1990-05-01

    necessary for man- agement. .,Ich cuality -characteristlc is most critical? It is man- azement’s 4ob to discover which quality-characteristic is most critical...customers by building excellence health of which determines the future of the into every aspect of the organization. This is enterprise. done by creating...traditional areas such as wages, collaboration are broad, particularly health and safety. in education, training and meaningful involvement of employees in the

  5. Assessing the Quality of Teachers' Teaching Practices

    ERIC Educational Resources Information Center

    Chen, Weiyun; Mason, Stephen; Staniszewski, Christina; Upton, Ashley; Valley, Megan

    2012-01-01

    This study assessed the extent to which nine elementary physical education teachers implemented the quality of teaching practices. Thirty physical education lessons taught by the nine teachers to their students in grades K-5 were videotaped. Four investigators coded the taped lessons using the Assessing Quality Teaching Rubric (AQTR) designed and…

  6. Assessing the Quality of Teachers' Teaching Practices

    ERIC Educational Resources Information Center

    Chen, Weiyun; Mason, Stephen; Staniszewski, Christina; Upton, Ashley; Valley, Megan

    2012-01-01

    This study assessed the extent to which nine elementary physical education teachers implemented the quality of teaching practices. Thirty physical education lessons taught by the nine teachers to their students in grades K-5 were videotaped. Four investigators coded the taped lessons using the Assessing Quality Teaching Rubric (AQTR) designed and…

  7. Quality management of finite element analysis

    NASA Astrophysics Data System (ADS)

    Barlow, John

    1991-09-01

    A quality management system covering the use of finite element analysis is described. The main topics are as follows: acquisition, development and verification of software (including the software suppliers software quality control system), support, documentation, error control, internal software, software acceptance and release; development and qualification of analysis methods, including software evaluation, analysis procedure qualification and documentation, procedure quality checks, control of analysis procedure errors; product design and integrity analysis, including project quality assurance and analysis planning, task specification and allocation, analysis, execution, results checking and analysis records. Other issues include the commercial and business advantages of quality systems, project and technical management and the training and experience of personnel. The items are correlated with the requirements of International Standard Organization 9001.

  8. Leadership and management in quality radiology

    PubMed Central

    2007-01-01

    The practice of medical imaging and interventional radiology are undergoing rapid change in recent years due to technological advances, workload escalation, workforce shortage, globalisation, corporatisation, commercialisation and commoditisation of healthcare. These professional and economical changes are challenging the established norm but may bring new opportunities. There is an increasing awareness of and interest in the quality of care and patient safety in medical imaging and interventional radiology. Among the professional organisations, a range of quality systems are available to address individual, facility and system needs. To manage the limited resources successfully, radiologists and professional organisations must be leaders and champion for the cause of quality care and patient safety. Close collaboration with other stakeholders towards the development and management of proactive, long-term, system-based strategies and infrastructures will underpin a sustainable future in quality radiology. The International Radiology Quality Network can play a useful facilitating role in this worthwhile but challenging endeavour. PMID:21614284

  9. Quality Management of Reference Geo-Information

    NASA Astrophysics Data System (ADS)

    Jakobsson, A.; Hopfstock, A.; Beare, M.; Patrucco, R.

    2013-05-01

    This paper will introduce how quality of geo-information can be managed when the production environment is no longer inside one organization (e.g. collection of data is contracted out) or data is compiled from various sources like in case of Spatial Data Infrastructures (SDIs). The bases for quality management of reference geo-information are discussed using three viewpoints; data, process and organization and user centric viewpoints. These viewpoints can be met using ISO 19157 and ISO 19158 standards together with ESDIN developed Quality Model and Data Quality Services Framework (DQSF). Two different services are identified a Data Quality Web Service and a Data User Web Service. We discuss how these principles and services are implemented now within EuroGeographics and Ordnance Survey of Great Britain. Further development will be done during the European Location Framework (ELF) project, which is providing a single source of reference geo-information for Europe during 2013-2016.

  10. Total Quality Management in Space Shuttle Main Engine manufacturing

    NASA Technical Reports Server (NTRS)

    Ding, J.

    1992-01-01

    The Total Quality Management (TQM) philosophy developed in the Marshall Space Flight Center (MSFC) is briefly reviewed and the ongoing TQM implementation effort which is being pursued through the continuous improvement (CI) process is discussed. TQM is based on organizational excellence which integrates the new supportive culture with the technical tools necessary to identify, assess, and correct manufacturing processes. Particular attention is given to the prime contractor's change to the organizational excellence management philosophy in SSME manufacturing facilities.

  11. Total Quality Management in Space Shuttle Main Engine manufacturing

    NASA Technical Reports Server (NTRS)

    Ding, J.

    1992-01-01

    The Total Quality Management (TQM) philosophy developed in the Marshall Space Flight Center (MSFC) is briefly reviewed and the ongoing TQM implementation effort which is being pursued through the continuous improvement (CI) process is discussed. TQM is based on organizational excellence which integrates the new supportive culture with the technical tools necessary to identify, assess, and correct manufacturing processes. Particular attention is given to the prime contractor's change to the organizational excellence management philosophy in SSME manufacturing facilities.

  12. [Development of Standards for Baseline Quality in Quality Management of Molecular-Diagnostic Testing].

    PubMed

    Miyachi, Hayato

    2015-07-01

    As molecular-diagnostic testing is expanding in clinical use, the demand for its quality assurance is increasing. To this end, efforts towards quality management have been made regionally and globally. An entire testing procedure needs to be properly performed from the preanalytic, analytic, and postanalytic processes. Particularly, the preanalytic process largely affects the measurement and, thus, the result. The Japanese Committee for Clinical Laboratory and Standard developed the standard documents, such as that for the quality management of clinical specimens and best-practice guideline for quality assurance of molecular-genetic testing. These standard documents would provide not only the requirements as the best practice for testing, but also the basis of baseline quality and reliability. They can be used as the basis for assessment of the quality of practice in reimbursement coverage by payers and in certification or accreditation by a third party.

  13. Total Quality Management: Empirical, Conceptual, and Practical Issues.

    ERIC Educational Resources Information Center

    Hackman, J. Richard; Wageman, Ruth

    1995-01-01

    Total quality management (TQM) has become a U.S. social movement. This commentary analyzes the writings of W. Edwards Deming, Joseph Juran, and Kaoru Ishikawa to assess TQM's coherence, distinctiveness, and likely perseverance. Rhetoric is winning over substance, unrelated interventions are being herded under the TQM banner, and research is not…

  14. Shaping Performance: Do International Accreditations and Quality Management Really Help?

    ERIC Educational Resources Information Center

    Nigsch, Stefano; Schenker-Wicki, Andrea

    2013-01-01

    In recent years, international accreditations have become an important form of quality management for business schools all over the world. However, given their high costs and the risk of increasing bureaucratisation and control, accreditations remain highly disputed in academia. This paper uses quantitative data to assess whether accreditations…

  15. Shaping Performance: Do International Accreditations and Quality Management Really Help?

    ERIC Educational Resources Information Center

    Nigsch, Stefano; Schenker-Wicki, Andrea

    2013-01-01

    In recent years, international accreditations have become an important form of quality management for business schools all over the world. However, given their high costs and the risk of increasing bureaucratisation and control, accreditations remain highly disputed in academia. This paper uses quantitative data to assess whether accreditations…

  16. Total Quality Management: Empirical, Conceptual, and Practical Issues.

    ERIC Educational Resources Information Center

    Hackman, J. Richard; Wageman, Ruth

    1995-01-01

    Total quality management (TQM) has become a U.S. social movement. This commentary analyzes the writings of W. Edwards Deming, Joseph Juran, and Kaoru Ishikawa to assess TQM's coherence, distinctiveness, and likely perseverance. Rhetoric is winning over substance, unrelated interventions are being herded under the TQM banner, and research is not…

  17. Software Quality Metrics: A Software Management Monitoring Method for Air Force Logistics Command in Its Software Quality Assurance Program for the Quantitative Assessment of the System Development Life Cycle under Configuration Management.

    DTIC Science & Technology

    1982-03-01

    Simplicity (both common to Reliability and Maintainability) as well as Accuracy and Error Tolerance (attributes of Reliability), and Conciseness, Modularity...ANALSISAND ] INTEGRATION REQUIREMENTS SPEC METRIC PRELIMINARY WORKSHEET DESIGN t ] SPEC USER’S MANUAL (DRAFT) I DETAILED DESIGN METRIC SPEC WORKSHEET ( BUILD TO...review helped providE an overview of what tools and techniques were beinc effectively used in industry and the government in building Software Quality

  18. The reliability-quality relationship for quality systems and quality risk management.

    PubMed

    Claycamp, H Gregg; Rahaman, Faiad; Urban, Jason M

    2012-01-01

    Engineering reliability typically refers to the probability that a system, or any of its components, will perform a required function for a stated period of time and under specified operating conditions. As such, reliability is inextricably linked with time-dependent quality concepts, such as maintaining a state of control and predicting the chances of losses from failures for quality risk management. Two popular current good manufacturing practice (cGMP) and quality risk management tools, failure mode and effects analysis (FMEA) and root cause analysis (RCA) are examples of engineering reliability evaluations that link reliability with quality and risk. Current concepts in pharmaceutical quality and quality management systems call for more predictive systems for maintaining quality; yet, the current pharmaceutical manufacturing literature and guidelines are curiously silent on engineering quality. This commentary discusses the meaning of engineering reliability while linking the concept to quality systems and quality risk management. The essay also discusses the difference between engineering reliability and statistical (assay) reliability. The assurance of quality in a pharmaceutical product is no longer measured only "after the fact" of manufacturing. Rather, concepts of quality systems and quality risk management call for designing quality assurance into all stages of the pharmaceutical product life cycle. Interestingly, most assays for quality are essentially static and inform product quality over the life cycle only by being repeated over time. Engineering process reliability is the fundamental concept that is meant to anticipate quality failures over the life cycle of the product. Reliability is a well-developed theory and practice for other types of manufactured products and manufacturing processes. Thus, it is well known to be an appropriate index of manufactured product quality. This essay discusses the meaning of reliability and its linkages with quality

  19. Managing the Quality of Environmental Data in EPA Region 9

    EPA Pesticide Factsheets

    EPA Pacific Southwest, Region 9's Quality Assurance (QA) section's primary mission is to effectively oversee and carry out the Quality System and Quality Management Plan, and project-level quality assurance and quality control (QA/QC) activities.

  20. 42 CFR 438.240 - Quality assessment and performance improvement program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Quality assessment and performance improvement... HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS MANAGED CARE Quality Assessment and Performance Improvement Measurement and Improvement Standards § 438.240 Quality assessment and...

  1. Quality Risk Management. Modernising the Architecture of Quality Assurance

    ERIC Educational Resources Information Center

    Raban, Colin; Turner, Liz

    2006-01-01

    Although the world is changing, quality management remains an area of relative calm. Many institutions continue to use elaborated versions of a model that is developed by the Council of Academic Awards and conceived at a time when higher education was not so exposed to market forces, when the policy and regulatory environment was relatively…

  2. Quality Risk Management. Modernising the Architecture of Quality Assurance

    ERIC Educational Resources Information Center

    Raban, Colin; Turner, Liz

    2006-01-01

    Although the world is changing, quality management remains an area of relative calm. Many institutions continue to use elaborated versions of a model that is developed by the Council of Academic Awards and conceived at a time when higher education was not so exposed to market forces, when the policy and regulatory environment was relatively…

  3. Management of epistaxis in hereditary hemorrhagic telangiectasia by Nd:YAG laser and quality of life assessment using the HR-QoL questionnaire.

    PubMed

    Karapantzos, Ilias; Tsimpiris, Nikolaos; Goulis, Dimitrios G; Van Hoecke, Helen; Van Cauwenberge, Paul; Danielides, Vasilis

    2005-10-01

    The purpose of this study was to describe the results of Nd:YAG laser application in hereditary hemorrhagic telangiectasia (HHT) patients and to measure the Health-Related Quality of Life (HR-QoL) in patients with HHT before and after Nd:YAG laser application in a prospective, clinical trial at a university hospital. Twenty-seven consecutive patients with HHT and mild to moderate degrees of epistaxis were followed-up for 2 years after Nd:YAG laser treatments. Recurrence of epistaxis after Nd:YAG laser application and measurement of HR-QoL using the International Quality of Life Assessment questionnaire, version 1.1 (IQOLA 1.1), was found. Eight patients (30%) received only one Nd:YAG laser treatment, 15 (56%) had a recurrence and received a second treatment and 4 (14%) had two recurrences and received three Nd:YAG laser treatments. HR-QoL was improved 2 years after the first Nd:YAG laser application in both its Physical Health Dimension (47.5+/-2.9 vs. 38.1+/-2.3 before treatment, P <0.05) and Mental Health Dimension (45.1+/-2.7 vs. 39.6+/-2.4 before treatment, P <0.05). Although no curative treatment for HHT exists, Nd:YAG laser treatment seems to constitute a simple and efficient method of epistaxis control, resulting in a significant improvement in quality of life.

  4. Development of review criteria for assessing the quality of management of stable angina, adult asthma, and non-insulin dependent diabetes mellitus in general practice

    PubMed Central

    Campbell, S. M.; Roland, M. O.; Shekelle, P. G.; Cantrill, J. A.; Buetow, S. A.; Cragg, D. K.

    1999-01-01

    OBJECTIVE: To develop review criteria to assess the quality of care for three major chronic diseases: adult asthma, stable angina, and non- insulin dependent diabetes mellitus. SUBJECTS AND METHODS: Modified panel process based upon the RAND/UCLA (University College of Los Angeles) appropriateness method. Three multiprofessional panels made up of general practitioners, hospital specialists, and practice nurses. RESULTS: The RAND/UCLA appropriateness method of augmenting evidence with expert opinion was used to develop criteria for the care of the three conditions. Of those aspects of care which were rated as necessary by the panels, only 26% (16% asthma, 10% non-insulin dependent diabetes, 40% angina) were subsequently rated by the panels as being based on strong scientific evidence. CONCLUSION: The results show the importance of a systematic approach to combining evidence with expert opinion to develop review criteria for assessing the quality of three chronic diseases in general practice. The evidence base for the criteria was often incomplete, and explicit methods need to be used to combine evidence with expert opinion where evidence is not available. PMID:10557672

  5. Management effects on soil quality in organic vegetable systems in western Washington

    USDA-ARS?s Scientific Manuscript database

    Management practices in organic vegetable cropping systems and their contributions toward sustainable farming practices can differ greatly. Soil quality monitoring may help organic farmers evaluate and choose best management practices. This study 1) assessed the sensitivity of soil biological prop...

  6. Acute pain: effective management requires comprehensive assessment.

    PubMed

    Radnovich, Richard; Chapman, C Richard; Gudin, Jeffrey A; Panchal, Sunil J; Webster, Lynn R; Pergolizzi, Joseph V

    2014-07-01

    Pain is among the most common reasons that patients seek medical care, and inadequate assessment may result in suboptimal management. Acute pain in response to trauma or surgery can be complex, variable, and dynamic, but its assessment is often simplistic and brief. One-dimensional rating scale measures of pain severity facilitate rapid evaluation and often form the basis of treatment algorithms. However, additional features of pain should inform the selection of a treatment regimen, and can include pain qualities, duration, impact on functional capabilities, and underlying cause. Patient age, sex, psychosocial features, and comorbid conditions are also important features to consider. Use of a multidimensional tool is recommended for assessing many of these features if time permits. Additionally, clinicians often fail to recognize or consider the potentially detrimental long-term effects of acute pain. As the United States continues to experience a prescription drug crisis, a "universal precautions" approach including abuse risk assessment and abuse deterrence strategies should be implemented for patients receiving opioids. Increased efforts and research are necessary to enhance the utility of available acute pain assessment tools. Developing more comprehensive tools for patient assessment is the first step in achieving the ultimate goal of effective acute pain management. The objectives of this review are to summarize issues regarding the complexity of acute pain and to provide suggestions for its evaluation.

  7. Total quality management and the silent patient.

    PubMed

    Mills, Ann E; Rorty, Mary V

    2002-10-01

    This essay examines the impact of the imposition of businesses techniques, in particular, those associated with Total Quality Management, on the relationships of important components of the health care delivery system, including payers, managed care organizations, institutional and individual providers, enrollees, and patients. It examines structural anomalies within the delivery system and concludes that the use of Total Quality Management techniques within the health care system cannot prevent the shift of attention of other components away from the enrollee and the patient, and may even contribute to it. It speculates that the organization ethics process may serve as a quality control mechanism to prevent this shift and so help eliminate some of the ethically problematic processes and outcomes within the health care delivery system.

  8. Data Standardization and Quality Management.

    PubMed

    Lapchak, Paul A; Zhang, John H

    2017-03-10

    Important questions regarding the conduct of scientific research and data transparency have been raised in various scientific forums over the last 10 years. It is becoming clear, that in spite of published RIGOR guidelines, that improvement in the transparency of scientific research is required to focus on the discovery and drug development process so that a treatment can be provided to stroke patients. We have the unique privilege of conducting research using animal models of a disease so that we can address the development of a new therapy, and we should do this with great care and vigilance. This document identifies valuable resources for researchers to become Good Laboratory Practices compliant and increase and improve data transparency and provides guidelines for accurate data management to continue to propel the translational stroke research field forward while recognizing that there is a shortage of research funds worldwide. While data audits are being considered worldwide by funding agencies and they are used extensively by industry, they are still quite controversial for basic researchers. Due to the special exploratory nature of basic and translational science research, the current challenging funding environment, and independent and individualized laboratory activities, it is debatable if current individualized non-standardized data management and monitoring represents the best approach. Thus, herein, we propose steps to prepare research study data in an acceptable form for archival purposes so that standards for translational research data can be comparable to those that are accepted and adhered to by the clinical community. If all translational research laboratories follow and institute the guidelines while conducting translational research, data from all sources may be more comparable and reliable.

  9. NASA total quality management 1989 accomplishments report

    NASA Technical Reports Server (NTRS)

    Tai, Betty P. (Editor); Stewart, Lynne M. (Editor)

    1990-01-01

    NASA and contractor employees achieved many notable improvements in 1989. The highlights of those improvements, described in this seventh annual Accomplishments Report, demonstrate that the people who support NASA's activities are getting more involved in quality and continuous improvement efforts. Their gains solidly support NASA's and this Nation's goal to remain a leader in space exploration and in world-wide market competition, and, when communicated to others through avenues such as this report, foster improvement efforts across government and industry. The principles in practice which led to these process refinements are important cultural elements to any organization's productivity and quality efforts. The categories in this report reflect NASA principles set forth in the 1980's and are more commonly known today as Total Quality Management (TQM): top management leadership and support; strategic planning; focus on the customer; employee training and recognition; employee empowerment and teamwork; measurement and analysis; and quality assurance.

  10. Total quality management in health care.

    PubMed

    McDonald, S C

    1994-01-01

    Total quality management (TQM), continuous quality improvement (CQI) and quality control are terms that are becoming very familiar to workers in the health care environment. The purpose of this article is to discuss these terms and the concepts they describe. The origins of TQM and the keen interest in its application to the health care environment today are addressed. In other environments, TQM has shown significant increases in productivity while increasing effectiveness. Its application to the health care environment is the provision of the best possible care through continuously improving service to meet or exceed the needs and expectations of the customer. The customer in the health care environment could be the patient, staff, physician and community serviced by the hospital. Characteristics of the new organizational structure are reviewed. Established techniques and processes are commonly used to identify process-improvement opportunities to assist the manager in continuously evaluating quality trends.

  11. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  12. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  13. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 22 2014-07-01 2013-07-01 true Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management (WQM...

  14. 15 CFR 995.25 - Quality management system.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 3 2013-01-01 2013-01-01 false Quality management system. 995.25... § 995.25 Quality management system. (a) Quality management system for CEVADs. (1) CEVAD shall operate a quality management system, based on ISO 9001-2000 or equivalent, which embraces all elements of...

  15. 15 CFR 995.25 - Quality management system.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 3 2012-01-01 2012-01-01 false Quality management system. 995.25... § 995.25 Quality management system. (a) Quality management system for CEVADs. (1) CEVAD shall operate a quality management system, based on ISO 9001-2000 or equivalent, which embraces all elements of...

  16. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 23 2013-07-01 2013-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  17. 40 CFR 130.6 - Water quality management plans.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 23 2012-07-01 2012-07-01 false Water quality management plans. 130.6 Section 130.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.6 Water quality management plans. (a) Water quality management...

  18. NASA total quality management 1990 accomplishments report

    NASA Technical Reports Server (NTRS)

    1991-01-01

    NASA's efforts in Total Quality Management are based on continuous improvement and serve as a foundation for NASA's present and future endeavors. Given here are numerous examples of quality strategies that have proven effective and efficient in a time when cost reduction is critical. These accomplishment benefit our Agency and help to achieve our primary goal, keeping American in the forefront of the aerospace industry.

  19. Hanford Sampling Quality Management Plan (HSQMP)

    SciTech Connect

    Hyatt, J.E.

    1995-06-01

    HSQMP establishes quality requirements in response to DOE Order 5700. 6C and to 10 Code of Federal Regulations 830.120. HSQMP is designed to meet the needs of Richland Operations Office for controlling the quality of services provided by sampling operations. It is issued through the Analytical Services Program of the Waste Programs Division. This document describes the Environmental Sampling and Analysis Program activities considered to represent the best management activities necessary to achieve a sampling program with adequate control.

  20. The benefits of total quality management.

    PubMed

    Geraedts, H P; Montenarie, R; van Rijk, P P

    2001-01-01

    In this article, we will review the implementation of the ISO 9000 quality system in the Department of Nuclear Medicine. We will also discuss the benefits of working with the ISO 9000 standards and explain why we have shifted our focus from ISO 9000 towards the EFQM model. After an introduction concerning Total Quality Management and the EFQM model, we will describe how we have used the EFQM model to date and how we intend to implement TQM in the future.

  1. IMPLEMENTING ACCOUNTABILITY WITHIN A MULTI-POLLUTANT AIR QUALITY MANAGEMENT FRAMEWORK

    EPA Science Inventory

    In 2004, the National Research Council (NRC) published a major assessment of air quality management practices: Air Quality Management in the United States. The assessment resulted from a Congressional directive that the U.S. Environmental Protection Agency commission the Nationa...

  2. IMPLEMENTING ACCOUNTABILITY WITHIN A MULTI-POLLUTANT AIR QUALITY MANAGEMENT FRAMEWORK

    EPA Science Inventory

    In 2004, the National Research Council (NRC) published a major assessment of air quality management practices: Air Quality Management in the United States. The assessment resulted from a Congressional directive that the U.S. Environmental Protection Agency commission the Nationa...

  3. National Water-Quality Assessment Program: Island of Oahu, Hawaii

    USGS Publications Warehouse

    Anthony, Stephen S.

    1998-01-01

    During the past 25 years, our Nation has sought to improve its water quality; however, many water-quality issues remain unresolved. To address the need for consistent and scientifically sound information for managing the Nation's water resources, the U.S. Geological Survey began a full-scale National Water-Quality Assessment (NAWQA) Program in 1991. This program is unique compared with other national water-quality assessment studies in that it integrates the monitoring of the quality of surface and ground waters with the study of aquatic ecosystems. The goals of the NAWQA Program are to (1) describe current water-quality conditions for a large part of the Nation's freshwater streams and aquifers, (2) describe how water quality is changing over time, and (3) improve our understanding of the primary natural and human factors affecting water quality. Assessing the quality of water in every location of the Nation would not be practical; therefore, NAWQA Program studies are conducted within a set of areas called study units. These study units represent the diverse geography, water resources, and land and water uses of the Nation. The island of Oahu, Hawaii, is one such study unit designed to supplement water-quality information collected in other study units across the Nation while addressing issues relevant to the island of Oahu.

  4. Manager traits and quality-of-care performance in hospitals.

    PubMed

    Aij, Kjeld Harald; Aernoudts, René L M C; Joosten, Gepke

    2015-07-06

    This paper aims to assess the impact of the leadership traits of chief executive officers (CEOs) on hospital performance in the USA. The effectiveness and efficiency of the CEO is of critical importance to the performance of any organization, including hospitals. Management systems and manager behaviours (traits) are of crucial importance to any organization because of their connection with organizational performance. To identify key factors associated with the quality of care delivered by hospitals, the authors gathered perceptions of manager traits from chief executive officers (CEOs) and followers in three groups of US hospitals delivering different levels of quality of care performance. Three high- and three low-performing hospitals were selected from the top and bottom 20th percentiles, respectively, using a national hospital ranking system based on standard quality of care performance measures. Three lean hospitals delivering intermediate performance were also selected. A survey was used to gather perceptions of manager traits (providing a modern or lean management system inclination) from CEOs and their followers in the three groups, which were compared. Four traits were found to be significantly different (alpha < 0.05) between lean (intermediate-) and low-performing hospitals. The different perceptions between these two hospital groups were all held by followers in the low-performing hospitals and not the CEOs, and all had a modern management inclination. No differences were found between lean (intermediate-) and high-performing hospitals, or between high- and low-performing hospitals. These findings support a need for hospital managers to acquire appropriate traits to achieve lean transformation, support a benefit of measuring manager traits to assess progress towards lean transformation and lend weight to improved quality of care that can be delivered by hospitals adopting a lean system of management.

  5. The Assessment of Service Quality in Higher Education.

    ERIC Educational Resources Information Center

    Delene, Linda; Bunda, Mary Anne

    This paper presents a market driven model for assessing the service quality of support services in higher education, primarily for United States institutions, by examining higher education within the context of a complex service industry. The paper begins by explaining the development of the model and its implications for service management. Next,…

  6. The Assessment of Service Quality in Higher Education.

    ERIC Educational Resources Information Center

    Delene, Linda; Bunda, Mary Anne

    This paper presents a market driven model for assessing the service quality of support services in higher education, primarily for United States institutions, by examining higher education within the context of a complex service industry. The paper begins by explaining the development of the model and its implications for service management. Next,…

  7. AIR QUALITY MODELING AT NEIGHBORHOOD SCALES TO IMPROVE HUMAN EXPOSURE ASSESSMENT

    EPA Science Inventory

    Air quality modeling is an integral component of risk assessment and of subsequent development of effective and efficient management of air quality. Urban areas introduce of fresh sources of pollutants into regional background producing significant spatial variability of the co...

  8. 41 CFR 102-80.25 - What are Federal agencies' responsibilities concerning the management of indoor air quality?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... agencies' responsibilities concerning the management of indoor air quality? 102-80.25 Section 102-80.25... Environmental Management Indoor Air Quality § 102-80.25 What are Federal agencies' responsibilities concerning the management of indoor air quality? Federal agencies must assess indoor air quality of buildings as...

  9. 41 CFR 102-80.25 - What are Federal agencies' responsibilities concerning the management of indoor air quality?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... agencies' responsibilities concerning the management of indoor air quality? 102-80.25 Section 102-80.25... Environmental Management Indoor Air Quality § 102-80.25 What are Federal agencies' responsibilities concerning the management of indoor air quality? Federal agencies must assess indoor air quality of buildings...

  10. 41 CFR 102-80.25 - What are Federal agencies' responsibilities concerning the management of indoor air quality?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... agencies' responsibilities concerning the management of indoor air quality? 102-80.25 Section 102-80.25... Environmental Management Indoor Air Quality § 102-80.25 What are Federal agencies' responsibilities concerning the management of indoor air quality? Federal agencies must assess indoor air quality of buildings...

  11. 41 CFR 102-80.25 - What are Federal agencies' responsibilities concerning the management of indoor air quality?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... agencies' responsibilities concerning the management of indoor air quality? 102-80.25 Section 102-80.25... Environmental Management Indoor Air Quality § 102-80.25 What are Federal agencies' responsibilities concerning the management of indoor air quality? Federal agencies must assess indoor air quality of buildings...

  12. 41 CFR 102-80.25 - What are Federal agencies' responsibilities concerning the management of indoor air quality?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... agencies' responsibilities concerning the management of indoor air quality? 102-80.25 Section 102-80.25... Environmental Management Indoor Air Quality § 102-80.25 What are Federal agencies' responsibilities concerning the management of indoor air quality? Federal agencies must assess indoor air quality of buildings...

  13. Quality assessment of fructus psoraleae.

    PubMed

    Qiao, Chun-Feng; Han, Quan-Bin; Song, Jing-Zheng; Mo, Shi-Fu; Kong, Ling-Dong; Kung, Hsiang-Fu; Xua, Hong-Xi

    2006-06-01

    Two newly-reported benzofuran glycosides, named psoralenoside and isopsoralenoside, along with two major coumarins, psoralen and isopsoralen, were simultaneously determined in twenty-three samples of Fructus Psoraleae collected from different growth areas in China. The quantitative method was validated, and the mean recovery rates from fortified samples (n=5) of psoralenoside, isopsoralenoside, psoralen and isopsoralen, were 96.5%, 97.1%, 100.7%, and 99.3% with variation coefficient of 3.1%, 3.6%, 2.3%, and 2.2%, respectively. An interesting biotransformation relationship between the glycosides and the coumarins was revealed on the basis of the quality analysis results. It was also suggested that psoralenoside and isopsoralenoside should be used as key quality markers for Fructus Psoraleae, together with the commonly used psoralen and isopsoralen.

  14. Tools to assess tissue quality.

    PubMed

    Neumeister, Veronique M

    2014-03-01

    Biospecimen science has recognized the importance of tissue quality for accurate molecular and biomarker analysis and efforts are made to standardize tissue procurement, processing and storage conditions of tissue samples. At the same time the field has emphasized the lack of standardization of processes between different laboratories, the variability inherent in the analytical phase and the lack of control over the pre-analytical phase of tissue processing. The problem extends back into tissue samples in biorepositories, which are often decades old and where documentation about tissue processing might not be available. This review highlights pre-analytical variations in tissue handling, processing, fixation and storage and emphasizes the effects of these variables on nucleic acids and proteins in harvested tissue. Finally current tools for quality control regarding molecular or biomarker analysis are summarized and discussed.

  15. A residency clinic chronic condition management quality improvement project.

    PubMed

    Halverson, Larry W; Sontheimer, Dan; Duvall, Sharon

    2007-02-01

    Quality improvement in chronic disease management is a major agenda for improving health and reducing health care costs. A six-component chronic disease management model can help guide this effort. Several characteristics of the "new model" of family medicine described by the Future of Family Medicine (FFM) Project Leadership Committee are promulgated to foster practice changes that improve quality. Our objective was to implement and assess a quality improvement project guided by the components of a chronic disease management model and FFM new model characteristics. Diabetes was selected as a model chronic disease focus. Multiple practice changes were implemented. A mature electronic medical record facilitated data collection and measurement of quality improvement progress. Data from the diabetes registry demonstrates that our efforts have been effective. Significant improvement occurred in five out of six quality indicators. Multidisciplinary teamwork in a model residency practice guided by chronic disease management principles and the FFM new model characteristics can produce significant management improvements in one important chronic disease.

  16. [Quality management in a Swiss hospital].

    PubMed

    Eicher, E

    1997-09-01

    Although there are quite good examples of quality management in Swiss hospitals available (the guidelines of quality management in the Swiss hospital etc.), the distribution of measures of quality assurance in Swiss hospitals is insufficient and focuses more on Hotel services and technical equipment rather than on the care by physicians and nurses. Beginning with Jan. 1, 1998, contracts of quality assurance between health care providers and sponsors have to be presented according to the new health insurance act. These contracts are proofed periodically by a national office. This necessitates a country-wide introduction of statistics (ICD-codes) and computerization. This is currently only in the process of realization. Additionally, hospitals and medical practices already undertake a comprehensive quality control due to local and regional initiatives. The society of Swiss physicians FMH supports mainly three areas: compulsory continuing medical education (80 hours annually, including 50 hours in recognized meetings), the development of guidelines by medical societies, and data collection including the development of a network for measures of quality assurance. The ISO-standard 9000 was changed for health care as ordered by the NAQ (National workshop for quality assurance) and the FMH. It is supposed to be used mainly for the certification of facilities for continuing medical education, perhaps also for the certification of hospitals.

  17. Putting continuous quality improvement into accreditation: improving approaches to quality assessment.

    PubMed Central

    Scrivens, E

    1997-01-01

    The accreditation systems of the United States, Canada, and Australia have been restructured to reflect the adoption by health services of the industrial model of continuous quality improvement. The industrial model of quality makes assumptions about management structures and the relation of process to outcome which are not readily transferable to the assessment of quality in health care. The accreditation systems have therefore had to adapt the principles of continuous quality improvement to reflect the complex nature of health service organisations and the often untested assumptions about the relation between process and outcome. PMID:10177038

  18. Southwest principal aquifers regional ground-water quality assessment

    USGS Publications Warehouse

    Anning, D.W.; Thiros, S.A.; Bexfield, L.M.; McKinney, T.S.; Green, J.M.

    2009-01-01

    The National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey is conducting a regional analysis of water quality in the principal aquifers in the southwestern United States. The Southwest Principal Aquifers (SWPA) study is building a better understanding of the susceptibility and vulnerability of basin-fill aquifers in the region to ground-water contamination by synthesizing the baseline knowledge of ground-water quality conditions in 15 basins previously studied by the NAWQA Program. The improved understanding of aquifer susceptibility and vulnerability to contamination is assisting in the development of tools that water managers can use to assess and protect the quality of ground-water resources. This fact sheet provides an overview of the basin-fill aquifers in the southwestern United States and description of the completed and planned regional analyses of ground-water quality being performed by the SWPA study.

  19. Assessing quality in Earth Science Education

    NASA Astrophysics Data System (ADS)

    Rollinson, Hugh

    1999-05-01

    Quality is an elusive concept — hard to define, but you recognise it when you come across it. This paper reviews the meaning of quality as applied in Higher Education and shows that there are, of necessity, a number of workable definitions of quality in Higher Education. The assessment of quality in Earth Science Higher Education in England during 1994-1995 is described. A number of general features of quality in Earth Sciences Education are drawn from this case study and the future direction of quality assurance is mapped. Three principles drawn from the definitions of quality and from the English teaching quality assessment exercise are applied to Earth Science Education in Africa. It is argued that different definitions of quality will apply in different societal contexts in Africa and that these may be used to shape the relevance of Geoscience Education. Increasing mobility of labour means that comparability of academic standards between African countries within a region is desirable and should be worked for. Finally, research in the UK shows that teaching quality is not necessarily dependent upon the size or research potential of a department, indicating that Africa can deliver high quality Earth Science Education.

  20. AVLIS Production Plant Preliminary Quality Assurance Plan and Assessment

    SciTech Connect

    Not Available

    1984-11-15

    This preliminary Quality Assurance Plan and Assessment establishes the Quality Assurance requirements for the AVLIS Production Plant Project. The Quality Assurance Plan defines the management approach, organization, interfaces, and controls that will be used in order to provide adequate confidence that the AVLIS Production Plant design, procurement, construction, fabrication, installation, start-up, and operation are accomplished within established goals and objectives. The Quality Assurance Program defined in this document includes a system for assessing those elements of the project whose failure would have a significant impact on safety, environment, schedule, cost, or overall plant objectives. As elements of the project are assessed, classifications are provided to establish and assure that special actions are defined which will eliminate or reduce the probability of occurrence or control the consequences of failure. 8 figures, 18 tables.

  1. Assessing quality across healthcare subsystems in Mexico.

    PubMed

    Puig, Andrea; Pagán, José A; Wong, Rebeca

    2009-01-01

    Recent healthcare reform efforts in Mexico have focused on the need to improve the efficiency and equity of a fragmented healthcare system. In light of these reform initiatives, there is a need to assess whether healthcare subsystems are effective at providing high-quality healthcare to all Mexicans. Nationally representative household survey data from the 2006 Encuesta Nacional de Salud y Nutrición (National Health and Nutrition Survey) were used to assess perceived healthcare quality across different subsystems. Using a sample of 7234 survey respondents, we found evidence of substantial heterogeneity in healthcare quality assessments across healthcare subsystems favoring private providers over social security institutions. These differences across subsystems remained even after adjusting for socioeconomic, demographic, and health factors. Our analysis suggests that improvements in efficiency and equity can be achieved by assessing the factors that contribute to heterogeneity in quality across subsystems.

  2. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  3. Total Quality Management: Implications for Higher Education.

    ERIC Educational Resources Information Center

    Hoffman, Allan M., Ed.; Julius, Daniel J., Ed.

    This book contains 19 papers describing the implementation of Total Quality Management in a variety of higher education settings. Following a Foreword by Peter Likins and a Preface by Daniel J. Julius, the chapter titles and authors are: (1) "TQM: Implications for Higher Education--A Look Back to the Future" (Allan M. Hoffman and Randall…

  4. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…

  5. Air quality management in the United States

    SciTech Connect

    William Chameides; Daniel Greenbaum; Raymond Wassel; K. John Holmes; Karl Gustavson; Amanda Staudt

    2005-07-01

    In 2004, the National Research Council released Air Quality Management in the United States, a report prepared in response to a congressional request for an independent evaluation of the overall effectiveness of the Clean Air Act. Based on that report, this article summarizes the committee's findings and recommendations. 10 refs., 2 figs.

  6. Applying Total Quality Management to Business Education.

    ERIC Educational Resources Information Center

    Brown, Daniel J.; Koenig, Harold F.

    1993-01-01

    Responses from 390 business school alumni (60%) show that students want educators to consider their opinions about their overall educational experience and what happens after graduation. A total quality management approach can help discover customer/student needs, establish a focus on improvement, and implement a process orientation. (SK)

  7. Applications of Quality Management in Language Education

    ERIC Educational Resources Information Center

    Heyworth, Frank

    2013-01-01

    This review examines applications of quality management (QM) in language education. QM approaches have been adapted from methodologies developed in industrial and commercial settings, and these are briefly described. Key aspects of QM in language education are the definition of purpose, descriptions of principles and practice, including various…

  8. Total Quality Management (TQM) in Higher Education.

    ERIC Educational Resources Information Center

    Sullivan, Michael F.

    This document consists largely of paper versions of the transparencies used by the author to give his conference paper on Total Quality Management (TQM) in the college and university setting. An introduction lists a series of definitional phrases, a list of what TQM is not, and 11 fundamental principles describing what TQM is. The three major…

  9. Total Quality Management in Libraries: A Sourcebook.

    ERIC Educational Resources Information Center

    O'Neil, Rosanna M., Comp.

    Total Quality Management (TQM) brings together the best aspects of organizational excellence by driving out fear, offering customer-driven products and services, doing it right the first time by eliminating error, and maintaining inventory control without waste. Libraries are service organizations which are constantly trying to improve service.…

  10. Applying Total Quality Management in Cooperative Extension.

    ERIC Educational Resources Information Center

    Fredendall, Lawrence D.; Lippert, Robert M.

    1995-01-01

    South Carolina's Agricultural Service Laboratory received responses from 252 of 500 farmers who currently use the soil testing service; 97% were pleased with accuracy, 89% with turnaround time, 18% thought the fee too high. Nonusers (100 of 520) were mainly dissatisfied with turnaround time. Total quality management methods were used to improve…

  11. Applications of Quality Management in Language Education

    ERIC Educational Resources Information Center

    Heyworth, Frank

    2013-01-01

    This review examines applications of quality management (QM) in language education. QM approaches have been adapted from methodologies developed in industrial and commercial settings, and these are briefly described. Key aspects of QM in language education are the definition of purpose, descriptions of principles and practice, including various…

  12. Total Quality Management in Higher Education.

    ERIC Educational Resources Information Center

    Rieley, James B.

    In order for an educational institution to utilize Total Quality Management as a tool for improving effectiveness, the culture of the college must foster a belief in change and a focus on the customer. A disciplined approach to planning and a commitment to the concept of Continuous Improvement (CI) are also required. Concerning acceptance of…

  13. The Role of the Quality Manager.

    ERIC Educational Resources Information Center

    Howard, Nancy Lee

    1993-01-01

    Oregon State University has created a permanent administrative position responsible for providing universitywide administrative and technical support for implementation of Total Quality Management. Introductory, strategic, team, and special-topic training are provided. Communication with the university community is a primary responsibility. The…

  14. Total Quality Management: The Emperor's Tailor.

    ERIC Educational Resources Information Center

    Alexander, Gary C.; Keeler, Carolyn M.

    Conversations among educators, business leaders, legislators, and educational reformers have generated support for the application of Total Quality Management (TQM) to education. This paper considers whether TQM is indeed the solution to education's problems. After a brief explanation of TQM theory, the paper is organized around four broad issues…

  15. Curriculum Transformation through Total Quality Management.

    ERIC Educational Resources Information Center

    Edwards, Barbara; Algozzine, Bob

    1995-01-01

    Describes a massive cultural transformation project at two Charlotte, North Carolina, elementary schools that used Deming's total quality management principles to restructure curricula according to Boyer's eight commonalities of learning. Shows how the FADE (focus, analyze, develop, and execute) model was used to develop a well-coordinated,…

  16. Improving forage quality using seedhead management

    USDA-ARS?s Scientific Manuscript database

    Controlling seedhead emergence in perennial grass pastures can extend vegetative growth and high leaf:stem ratios to avoid declines in forage quality during the reproductive development of grasses. There are various management tools for controlling the emergence of seedheads. Pastures can be mowed...

  17. Assessing Quality in Digital Reference Services.

    ERIC Educational Resources Information Center

    Lankes, R. David; Mcclure, Charles R.; Gross, Melissa

    2001-01-01

    Outlines a study to develop methods to assess the quality of digital reference services, test and refine measures and quality standards to describe digital reference services, and to produce a guidebook that describes how to collect and report data for these measures and standards. (Author/AEF)

  18. Quality Assessment in the Blog Space

    ERIC Educational Resources Information Center

    Schaal, Markus; Fidan, Guven; Muller, Roland M.; Dagli, Orhan

    2010-01-01

    Purpose: The purpose of this paper is the presentation of a new method for blog quality assessment. The method uses the temporal sequence of link creation events between blogs as an implicit source for the collective tacit knowledge of blog authors about blog quality. Design/methodology/approach: The blog data are processed by the novel method for…

  19. Quality Assessment for a University Curriculum.

    ERIC Educational Resources Information Center

    Hjalmered, Jan-Olof; Lumsden, Kenth

    1994-01-01

    In 1992, a national quality assessment report covering courses in all the Swedish schools of mechanical engineering was presented. This article comments on the general ideas and specific proposals presented, and offers an analysis of the consequences. Presents overall considerations regarding quality issues, the philosophy behind the new…

  20. Quality Assessment in the Blog Space

    ERIC Educational Resources Information Center

    Schaal, Markus; Fidan, Guven; Muller, Roland M.; Dagli, Orhan

    2010-01-01

    Purpose: The purpose of this paper is the presentation of a new method for blog quality assessment. The method uses the temporal sequence of link creation events between blogs as an implicit source for the collective tacit knowledge of blog authors about blog quality. Design/methodology/approach: The blog data are processed by the novel method for…

  1. Perceptual Quality Assessment of Screen Content Images.

    PubMed

    Yang, Huan; Fang, Yuming; Lin, Weisi

    2015-11-01

    Research on screen content images (SCIs) becomes important as they are increasingly used in multi-device communication applications. In this paper, we present a study on perceptual quality assessment of distorted SCIs subjectively and objectively. We construct a large-scale screen image quality assessment database (SIQAD) consisting of 20 source and 980 distorted SCIs. In order to get the subjective quality scores and investigate, which part (text or picture) contributes more to the overall visual quality, the single stimulus methodology with 11 point numerical scale is employed to obtain three kinds of subjective scores corresponding to the entire, textual, and pictorial regions, respectively. According to the analysis of subjective data, we propose a weighting strategy to account for the correlation among these three kinds of subjective scores. Furthermore, we design an objective metric to measure the visual quality of distorted SCIs by considering the visual difference of textual and pictorial regions. The experimental results demonstrate that the proposed SCI perceptual quality assessment scheme, consisting of the objective metric and the weighting strategy, can achieve better performance than 11 state-of-the-art IQA methods. To the best of our knowledge, the SIQAD is the first large-scale database published for quality evaluation of SCIs, and this research is the first attempt to explore the perceptual quality assessment of distorted SCIs.

  2. Assessing Quality in Digital Reference Services.

    ERIC Educational Resources Information Center

    Lankes, R. David; Mcclure, Charles R.; Gross, Melissa

    2001-01-01

    Outlines a study to develop methods to assess the quality of digital reference services, test and refine measures and quality standards to describe digital reference services, and to produce a guidebook that describes how to collect and report data for these measures and standards. (Author/AEF)

  3. Integrating Total Quality Management (TQM) and hazardous waste management

    SciTech Connect

    Kirk, Nancy

    1993-11-01

    The Resource Conservation and Recovery Act (RCRA) of 1976 and its subsequent amendments have had a dramatic impact on hazardous waste management for business and industry. The complexity of this law and the penalties for noncompliance have made it one of the most challenging regulatory programs undertaken by the Environmental Protection Agency (EPA). The fundamentals of RCRA include ``cradle to grave`` management of hazardous waste, covering generators, transporters, and treatment, storage, and disposal facilities. The regulations also address extensive definitions and listing/identification mechanisms for hazardous waste along with a tracking system. Treatment is favored over disposal and emphasis is on ``front-end`` treatment such as waste minimization and pollution prevention. A study of large corporations such as Xerox, 3M, and Dow Chemical, as well as the public sector, has shown that well known and successful hazardous waste management programs emphasize pollution prevention and employment of techniques such as proactive environmental management, environmentally conscious manufacturing, and source reduction. Nearly all successful hazardous waste programs include some aspects of Total Quality Management, which begins with a strong commitment from top management. Hazardous waste management at the Rocky Flats Plant is further complicated by the dominance of ``mixed waste`` at the facility. The mixed waste stems from the original mission of the facility, which was production of nuclear weapons components for the Department of Energy (DOE). A Quality Assurance Program based on the criterion in DOE Order 5700.6C has been implemented at Rocky Flats. All of the elements of the Quality Assurance Program play a role in hazardous waste management. Perhaps one of the biggest waste management problems facing the Rocky Flats Plant is cleaning up contamination from a forty year mission which focused on production of nuclear weapon components.

  4. Feminist leadership through total quality management.

    PubMed

    Lanza, M L

    1997-01-01

    Feminist leadership in nursing can be achieved through Total Quality Management. Total Quality Management (TQM) is a philosophy and technology that represents the foundation of a continuously improving organization. The feminist leadership ideas practiced by nurses, such as empowering staff and decision by consensus, are also central to TQM. Feminist leadership utilizing TQM enables employees to creatively contribute to the system without fear or intimidation. Employees at all levels in the organization are then empowered. The role of the feminist leader using TQM is one of facilitator rather than authority figure. Feminist leadership in nursing can spearhead the opportunity for improvement to provide high-quality, cost-effective health care in a troubled and complex economic environment.

  5. Total quality management in clinical virology laboratories.

    PubMed

    Tibbets, M W; Gomez, R; Kannangai, R; Sridharan, G

    2006-10-01

    The diagnostic laboratories in India are progressively promoting higher standards and are moving towards accreditation and international acceptance. Hence, the concept of "Quality" will need to be understood and implemented. Total quality management (TQM) in a laboratory is an integrated program involving all laboratory staff and management. TQM is a framework to operate and it is aiming for integration, consistency, increase in efficiency and a continuous drive for improvement. A well structured clinical virology service will include serology setup, cell culture facility and capacity for molecular diagnosis. The quality of results from the laboratory is significantly influenced by many pre-analytical and post-analytical factors which needed attention. The end goal of the TQM should be to provide the best care possible for the patient.

  6. Relationship between total quality management, critical paths, and outcomes management.

    PubMed

    Lynn, P A

    1996-09-01

    Total quality management (TQM), clinical paths, and outcomes management are high-profile strategies in today's health care environment. Each strategy is distinct, yet there are interrelationships among them. TQM supports a customer-focused organizational culture, providing tools and techniques to identify and solve problems. Clinical paths are tools for enhancing patient care coordination and for identifying system-wide and patient population specific issues. Outcomes management is an integrated system for measuring the results in patient populations over time. There is a recent shift in outcomes measurement towards expanding both the nature of the outcomes examined and the timeframes in which they are studied.

  7. Total quality management of cobalt-60 sources

    NASA Astrophysics Data System (ADS)

    Malkoske, G. R.

    1999-06-01

    Total Quality Management of Cobalt-60 sources by a supplier requires a life cycle approach to source management. This covers various aspects, including design, manufacturing, installation, field inspection, source surveillance and return of cobalt-60 sources at the end of their useful life. The Total Quality Management approach demonstrates a strong industry commitment to the beneficial use of gamma technology for industrial irradiation applications in both developed nations and in those nations who are developing their infrastructure and techniques for the beneficial use of this technology. MDS Nordion continues to demonstrate its support and commitment to the industry by developing and implementing state-of-the-art standards for the safe use of cobalt-60 sources.

  8. Quality management in European eye banks.

    PubMed

    Toniolo, Mauro; Camposampiero, Davide; Griffoni, Carlo; Jones, Gary L A

    2009-01-01

    The European Directive on setting standards of quality and safety for human tissues and cells obliges tissue establishments to implement a quality management system (QMS), based on the principles of good practice, in order to assure a high level of protection with regard to the health of recipients of human tissues. A systematic approach to quality management should be used and sustained. Although a number of quality systems can be employed, a recommended reference model is the ISO 9001:2000 standard which is particularly relevant to eye banking as it can be implemented to cover the entire donation-transplantation process to ensure that the tissues distributed, and services offered, by eye banks show uniform safety and quality. The adoption and correct management of a QMS is essential to maximise the benefits and minimise the risks for all those involved in the process. The performance and results of this system must be monitored and measured by appropriate parameters/indicators (positive and negative) which pertain to the structure (personnel, facilities, instruments), the process (the sequence of activities), the outcome (recipient health status or client satisfaction), the efficiency (the costs incurred to produce a certain outcome) and the effectiveness (frequency that the required results are attained). Careful attention must be paid to all aspects of the quality of donor tissues in order to maintain confidence in their safety and effectiveness. A well-managed QMS is a valuable and effective instrument to guarantee the required high standards for the donation, procurement, testing, processing, storage, distribution and traceability of ocular tissues as well as to facilitate the continuous improvement and the attainment of the objectives of an eye bank. Copyright 2009 S. Karger AG, Basel.

  9. Bonneville - Hood River Vegetation Management Environmental Assessment

    SciTech Connect

    N /A

    1998-08-01

    To maintain the reliability of its electrical system, BPA, in cooperation with the U.S. Forest Service, needs to expand the range of vegetation management options used to clear unwanted vegetation on about 20 miles of BPA transmission line right-of-way between Bonneville Dam and Hood River; Oregon, within the Columbia Gorge National Scenic Area (NSA). We propose to continue controlling undesirable vegetation using a program of Integrated Vegetation Management (IVM) which includes manual, biological and chemical treatment methods. BPA has prepared an Environmental Assessment (EA) (DOE/EA-1257) evaluating the proposed project. Based on the analysis in the EA, BPA has determined that the proposed action is not a major Federal action significantly affecting the quality of the human environment, within the meaning of the National Environmental Policy Act (NEPA) of 1969. Therefore, the preparation of an Environmental Impact Statement (EIS) is not required and BPA is issuing this FONSI.

  10. [Quality Management in Medicine: What the Surgeon Needs to Know].

    PubMed

    Holtel, M; Roßmüller, T; Frommhold, K

    2016-10-01

    Quality management (QM) is a method used in the field of economics that was adopted late by the medical sector. The coincidence of quality management and what is referred to as economisation in medicine frequently leads to QM being - incorrectly - perceived as part of the economisation problem rather than as part of its solution. Quality assurance defines and observes key performance indicators for the achievement of quality objectives. QM is a form of active management that intends to systematically exclude the effects of chance. It is supposed to enable those in charge of an institution to deal with complex processes, to influence them and achieve quality even under unfavourable circumstances. Clearly defined written standards are an important aspect of QM and allow for 80 % of patients to be treated faster and less labour-intensively and thus to create more capacity for the individual treatment of the 20 % of patients requiring other than routine care. Standards provide a framework to rely on for department heads and other staff alike. They reduce complexity, support processes in stress situations and prevent inconsistent decisions in the course of treatment. Document management ensures transparent and up-to-date in-house standards and creates continuity. Good documents are short, easy to use, and, at the same time, comply with requirements. Specifications describe in-house standards; validation documents provide a forensically sound documentation. Quality management has a broad impact on an institution. It helps staff reflect on their daily work, and it initiates a reporting and auditing system as well as the systematic management of responses to surveys and complaints. Risk management is another aspect of QM; it provides structures to identify, analyse, assess and modify risks and subject them to risk controlling. Quality management is not necessarily associated with certification. However, if certification is intended, it serves to define requirements

  11. Anonymous Peer Assessment of Medication Management Reviews

    PubMed Central

    Ryan, Greg; Woulfe, Jim; Bartimote-Aufflick, Kathryn

    2010-01-01

    Objectives To investigate whether pharmacy students' anonymous peer assessment of a medication management review (MMR) was constructive, consistent with the feedback provided by an expert tutor, and enhanced the students' learning experience. Design Fourth-year undergraduate pharmacy students were randomly and anonymously assigned to a partner and participated in an online peer assessment of their partner's MMR. Assessment An independent expert graded a randomly selected sample of the MMR's using a schedule developed for the study. A second expert evaluated the quality of the peer and expert feedback. Students also completed a questionnaire and participated in a focus group interview. Student peers gave significantly higher marks than an expert for the same MMR; however, no significant difference between the quality of written feedback between the students and expert was detected. The majority of students agreed that this activity was a useful learning experience. Conclusions Anonymous peer assessment is an effective means of providing additional constructive feedback on student performance on the medication review process. Exposure to other students' work and the giving and receiving of peer feedback were perceived as valuable by students. PMID:20798808

  12. A New Frame for Managing Schools: Total Quality Management (TQM).

    ERIC Educational Resources Information Center

    Murgatroyd, Stephen

    1992-01-01

    Explores Total Quality Management (TQM) philosophy, its industrial achievements, and its promise for education. Key elements of TQM include establishing a strong sense of school vision, promoting personal mastery learning for all organization members, focusing strategy on customer-driven values, developing outrageous goals, working effectively…

  13. Integrated water quality management for drinking water of good quality.

    PubMed

    Isaji, C

    2003-01-01

    The Nagoya Waterworks and Sewerage Bureau has developed original supporting tools for the systematic and cost-effective management of problem solving. An environmental information map and prediction of pollutant reaching are used for rapid and appropriate proper countermeasures against water quality accidents in the source area. In disinfection byproduct control a method for estimating trihalomethane (THM) contents was effective for the complement of their observations. Surrogate indicators such as turbidity and conductivity that could be measured continuously also could complement water quality items measured monthly. A processing tool of voluminous data was practical for rapid judgment of water quality. Systematic monitoring was established for stricter turbidity control for measures against Cryptosporidium and keeping residual chlorine stable in the service area.

  14. Total quality management: A management philosophy for providing high quality construction

    NASA Astrophysics Data System (ADS)

    Beckwith, Paul D.

    Total Quality Management (TQM) is not a new concept. Only recently (within the past ten years or so) have American companies started to realize the potential of TQM as a means of ensuring high quality products and services. With this realization has come implementation in manufacturing and service companies. A commercial construction company, like any other business, must provide a top quality finished product to its customer if it intends to stay in business. TQM is one way to work to that end. This report explores the quality problems facing my fictitious construction company, which I believe are fairly typical among the commercial construction industry, existing management methods, and the TQM method to ensure top quality production. It will be shown why I believe TQM or a variation thereof is the best method for controlling the quality of products and service during the construction process. Under the philosophy of TQM, we build quality into the finished product.

  15. Management practices and the quality of care in cardiac units.

    PubMed

    McConnell, K John; Lindrooth, Richard C; Wholey, Douglas R; Maddox, Thomas M; Bloom, Nick

    2013-04-22

    To improve the quality of health care, many researchers have suggested that health care institutions adopt management approaches that have been successful in the manufacturing and technology sectors. However, relatively little information exists about how these practices are disseminated in hospitals and whether they are associated with better performance. To describe the variation in management practices among a large sample of hospital cardiac care units; assess association of these practices with processes of care, readmissions, and mortality for patients with acute myocardial infarction (AMI); and suggest specific directions for the testing and dissemination of health care management approaches. We adapted an approach used to measure management and organizational practices in manufacturing to collect management data on cardiac units. We scored performance in 18 practices using the following 4 dimensions: standardizing care, tracking of key performance indicators, setting targets, and incentivizing employees. We used multivariate analyses to assess the relationship of management practices with process-of-care measures, 30-day risk-adjusted mortality, and 30-day readmissions for acute myocardial infarction (AMI). Cardiac units in US hospitals. Five hundred ninety-seven cardiac units, representing 51.5% of hospitals with interventional cardiac catheterization laboratories and at least 25 annual AMI discharges. Process-of-care measures, 30-day risk-adjusted mortality, and 30-day readmissions for AMI. We found a wide distribution in management practices, with fewer than 20% of hospitals scoring a 4 or a 5 (best practice) on more than 9 measures. In multivariate analyses, management practices were significantly correlated with mortality (P = .01) and 6 of 6 process measures (P < .05). No statistically significant association was found between management and 30-day readmissions. The use of management practices adopted from manufacturing sectors is associated with

  16. Water quality assessment in Ecuador

    SciTech Connect

    Chudy, J.P.; Arniella, E.; Gil, E.

    1993-02-01

    The El Tor cholera pandemic arrived in Ecuador in March 1991, and through the course of the year caused 46,320 cases, of which 692 resulted in death. Most of the cases were confined to cities along Ecuador's coast. The Water and Sanitation for Health Project (WASH), which was asked to participate in the review of this request, suggested that a more comprehensive approach should be taken to cholera control and prevention. The approach was accepted, and a multidisciplinary team consisting of a sanitary engineer, a hygiene education specialist, and an institutional specialist was scheduled to carry out the assessment in late 1992 following the national elections.

  17. Management of water quality for beef cattle.

    PubMed

    Wright, Cody L

    2007-03-01

    Drinking water is the primary source of water for most cattle. Unfortunately, water frequently contains various solutes and suspended particulate matter that can influence its appearance, odor, taste, and physical and chemical properties. Animals often react to such water impurities by decreasing water intake, and therefore feed intake, which diminishes animal performance. Thus, water quality can have a profound impact on animal health and performance. Routine monitoring of water sources and appropriate intervention can provide beef producers with a desirable return on investment. Careful thought should be incorporated into any capital improvements. This article discusses some of the most common factors that impact water quality for beef cattle and the methods of monitoring water quality, and proposes management solutions to address water quality concerns.

  18. Astronomical Instrumentation Systems Quality Management Planning: AISQMP

    NASA Astrophysics Data System (ADS)

    Goldbaum, Jesse

    2017-06-01

    The capability of small aperture astronomical instrumentation systems (AIS) to make meaningful scientific contributions has never been better. The purpose of AIS quality management planning (AISQMP) is to ensure the quality of these contributions such that they are both valid and reliable. The first step involved with AISQMP is to specify objective quality measures not just for the AIS final product, but also for the instrumentation used in its production. The next step is to set up a process to track these measures and control for any unwanted variation. The final step is continual effort applied to reducing variation and obtaining measured values near optimal theoretical performance. This paper provides an overview of AISQMP while focusing on objective quality measures applied to astronomical imaging systems.

  19. Patient Experience Shows Little Relationship with Hospital Quality Management Strategies

    PubMed Central

    Groene, Oliver; Arah, Onyebuchi A.; Klazinga, Niek S.; Wagner, Cordula; Bartels, Paul D.; Kristensen, Solvejg; Saillour, Florence; Thompson, Andrew; Thompson, Caroline A.; Pfaff, Holger; DerSarkissian, Maral; Sunol, Rosa

    2015-01-01

    Objectives Patient-reported experience measures are increasingly being used to routinely monitor the quality of care. With the increasing attention on such measures, hospital managers seek ways to systematically improve patient experience across hospital departments, in particular where outcomes are used for public reporting or reimbursement. However, it is currently unclear whether hospitals with more mature quality management systems or stronger focus on patient involvement and patient-centered care strategies perform better on patient-reported experience. We assessed the effect of such strategies on a range of patient-reported experience measures. Materials and Methods We employed a cross-sectional, multi-level study design randomly recruiting hospitals from the Czech Republic, France, Germany, Poland, Portugal, Spain, and Turkey between May 2011 and January 2012. Each hospital contributed patient level data for four conditions/pathways: acute myocardial infarction, stroke, hip fracture and deliveries. The outcome variables in this study were a set of patient-reported experience measures including a generic 6-item measure of patient experience (NORPEQ), a 3-item measure of patient-perceived discharge preparation (Health Care Transition Measure) and two single item measures of perceived involvement in care and hospital recommendation. Predictor variables included three hospital management strategies: maturity of the hospital quality management system, patient involvement in quality management functions and patient-centered care strategies. We used directed acyclic graphs to detail and guide the modeling of the complex relationships between predictor variables and outcome variables, and fitted multivariable linear mixed models with random intercept by hospital, and adjusted for fixed effects at the country level, hospital level and patient level. Results Overall, 74 hospitals and 276 hospital departments contributed data on 6,536 patients to this study (acute

  20. Survey of transportation procedures, management practices, and health assessment related to quality, quantity, and value for market beef and dairy cows and bulls.

    PubMed

    Nicholson, J D W; Nicholson, K L; Frenzel, L L; Maddock, R J; Delmore, R J; Lawrence, T E; Henning, W R; Pringle, T D; Johnson, D D; Paschal, J C; Gill, R J; Cleere, J J; Carpenter, B B; Machen, R V; Banta, J P; Hale, D S; Griffin, D B; Savell, J W

    2013-10-01

    This survey consisted of data collected from 23 beef harvest plants to document transportation procedures, management practices, and health assessments of market beef and dairy cows and bulls (about n ≅ 7,000 animals). Gooseneck/bumper-pulled trailers were used more often to transport dairy cattle than beef cattle to market whereas tractor-trailers were used more often to transport beef cattle than dairy cattle. All loads (n = 103) met the American Meat Institute Foundation guidelines for spacing. Loads where more than 3% of the cattle slipped during unloading were observed in 27.3% of beef loads and 29.0% of the dairy loads. Beef loads had numerically greater usage of electrical prods (32.4%) versus dairy loads (15.4%) during unloading and were more likely to have a variety of driving aids used more aggressively on them. Fewer cattle had horns, brands, and mud/manure contamination on hides than in the previous survey in 1999. The predominant hide color for beef cows was black (44.2%) whereas the predominant color for dairy cows was the Holstein pattern (92.9%). Fewer cattle displayed evidence of bovine ocular neoplasia (2.9%) than in previous surveys in 1994 (8.5%) and 1999 (4.3%). Knots on live cattle were found less in the round (0.5%) and more in the shoulder region (4.6%) than in 1999 (1.4% and 0.4%, respectively). Dairy cows were more frequently lame in 2007 (48.7%) than 1999 (39.2%) whereas beef cows had numerically less lameness (16.3% vs. 26.6%, respectively). Most beef cows (62.3%) and dairy cows (68.9%) received midpoint body condition scores (3, 4, and 5 for beef; 2 and 3 for dairy). Beef cows had higher numerical percentages of no defects present (72.0%) versus dairy cows (63.0%) when evaluated for a variety of reproductive, health, or management conditions. Continued improvements in several key factors related to transportation, management, and health were observed in this survey, which could result in increased value in market beef and dairy cows