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VOLUME 7 , ISSUE 2 ( July-December, 2023 ) > List of Articles

RESEARCH ARTICLE

A Study of Quality Assessment and Quality Control in an Intensive Care Unit in a Tertiary Care Hospital

Sumreen Bhatia, Seep Sonali

Keywords : Intensive care unit, Quality assessment, Quality control, Quality indicators, Quality management

Citation Information : Bhatia S, Sonali S. A Study of Quality Assessment and Quality Control in an Intensive Care Unit in a Tertiary Care Hospital. Curr Trends Diagn Treat 2023; 7 (2):43-48.

DOI: 10.5005/jp-journals-10055-0170

License: CC BY-NC 4.0

Published Online: 26-03-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Introduction: Quality management is the act of supervising all activities and tasks required to maintain a target degree of excellence. The degree of conformance to established standards and criteria is demonstrated by data gathering and analysis. Quality control is a technique designed to ensure that the performance of services conforms to a predefined set of quality criteria in order to meet the patient's requirements. Despite an array of improvement initiatives in hospitals, the quality of care delivered remains open to question. The purpose of this study was to assess the satisfaction level of patients and their attendants, evaluate the quality of care provided in intensive care unit (ICU) and knowledge regarding quality management among ICU staff. Materials and methods: The efficiency of any healthcare unit is judged by its quality indicators. In this study, various quality indicators used in ICU were used. A self-structured questionnaire was filled by the ICU staff members. The Chi-square test was used to determine the association between the score levels and selected demographic variables which showed significance association between the score level and demographic variables such as age, designation, qualification, and experience. Results: Data revealed that 34.3% of patients and their attendants said that the services provided in the ICU were excellent, 42.1% of the patients and their attendants said that they were always satisfied with the services provided in the ICU. The age of the staff, their designation, qualification, and experience were found to be significant, which means that they had effect on the working standards of the ICU staff. Whereas the variables such as gender and marital status had no effect on the working standards of the staff in ICU as they were found to be insignificant. A total of 66.2% of the staff always had the knowledge regarding the working standards in ICU. To sum up it was concluded that that 94.6% practices followed in ICU were good, 5.4% practices followed in ICU were average, and 0% practices followed in ICU were poor. Conclusion: There were various determinants through the result was calculated. The quality of the ICU according to the patients and their attendants was assessed in which 66.7% of the patients and their attendants said the ICU quality was good. The services provided to the patients and their attendants were assessed. The satisfaction level of the patients and their attendants admitted in ICU and assessing the knowledge of the staff working in the ICU was also seen.


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  1. Ray B, Samaddar DP, Todi SK, et al. Quality indicators for ICU: ISCCM guidelines for ICUs in India. Indian J Crit Care Med 2009;13(4):173–206. PMID: 20436688.
  2. Blumenthal D. Total quality management and physicians’ clinical decisions. JAMA 1993;269(21):2775–2778. DOI: 10.1001/jama.1993.03500210075035.
  3. Maartje de Vos M, Graafmans W, Keesman E, et al. Quality measurement at intensive care units: Which indicators should we use? J Crit Care 2007;22(4):267–274. DOI: https://doi.org/10.1016/j.jcrc.2007.01.002.
  4. Gershengorn HB, Kocher R, Factor P. Management strategies to effect change in intensive care units: Lessons from the world of business. Part II. Quality-Improvement strategies. Ann Am Thorac Soc 2014;11(3):444–453. DOI: 10.1513/AnnalsATS.201311-392AS.
  5. Kartik M, Gopal PBN, Amte R. Quality indicators compliance survey in Indian Intensive Care Units. Indian J Crit Care Med 2017;21(4):187–191. DOI: 10.4103/ijccm.IJCCM_164_15.
  6. Warade J. Outline of Quality Indicator in Clinical Laboratory. Int J Biol Med Res 2015. International journal of basic and applied medical sciences 2014;4(2):275–287. An open access, online international journal. Available from: http://www.cibtech.org/jms.htm. ISSN: 2277-2103 (Online).
  7. Pourrajab M, Basri RB. The relationship between level of total quality management (TQM) and the level of culture of teaching and learning (COTL) in school. Int J Res Manag Technol 2012;2(3):319. Available from: https://www.researchgate.net/publication/258860126_The_Relationship_between_Level_of_Total_Quality_Management_TQM_and_the_Level_of_Culture_of_Teaching_and_Learning_COTL_in_School.
  8. Sadikoglu E, Olcay H. The effects of total quality management practices on performance and the reasons of and the barriers to TQM practices in Turkey. Adv Decision Sci 2014;1–17. Available from: https://www.researchgate.net/publication/270628938_The_Effects_of_Total_Quality_Management_Practices_on_Performance_and_the_Reasons_of_and_the_Barriers_to_TQM_Practices_in_Turkey.
  9. McClellan M, Schaeffer L. Improving health while reducing cost growth: What is possible. Engelberg Center for Health Care Reform at Brookings 2014;201:1–11.
  10. Al-Shdaifat EA. Implementation of total quality management in hospitals. J Taibah University Med Sci 2015;10(4):461–466. DOI: https://doi.org/10.1016/j.jtumed.2015.05.004.
  11. Chelluri LP. Quality and performance improvement in critical care. Indian J Crit Care Med 2008;12(2)67–76. DOI: 10.4103/0972-5229.42560.
  12. Kumpf O, Nothacker M, Jan Braun J, et al. The future development of intensive care quality indicators – A methods paper. Ger Med Sci 2020;18:Doc09. DOI: 10.3205/000285.
  13. Durch JS, Bailey LA, Stoto MA. Improving health in the community: A role for performance monitoring (1997). Institute of Medicine (US) Committee on Using Performance Monitoring to Improve Community Health. DOI: 10.17226/5298.
  14. De Roo ML, Leemans K, Claessen SJJ, et al. Quality indicator for palliative care: Update of a systematic review. J Pain Symptom Manage 2013;46(4):556–572. DOI: 10.1016/j.jpainsymman.2012.09.013.
  15. Shirley ED, Sanders JO. Patient satisfaction: Implications and predictors of success. J Bone Joint Surg Am 2013;95(10):e69. DOI: 10.2106/JBJS.L.01048.
  16. Huijben JA, Wiegers EJA, de Keizer NF, et al. Development of a quality indicator set to measure and improve quality of ICU care for patients with traumatic brain injury. Crit Care 2019;23(1):95. DOI: 10.1186/ s13054-019-2377-x.
  17. de Carvalho AGR, de Moraes APP, Tanaka LMS, et al. Quality in intensive care units: Proposal of an assessment instrument. BMC Res Notes 2017;10:222. DOI: 10.1186/s13104-017-2563-3.
  18. Hariharan S, Dey PK. A comprehensive approach to quality management of intensive care services. Int J Health Care Qual Assur 2010;23(3):287–300. DOI: 10.1108/09526861011029352.
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