Quality Issues and Insights in the 21st Century

103-110

Authors: Zeynep Filiz Eren-Dogu, Eralp Dogu

Health care organizations often need to assess operating room (OR) performance in order to measure the efficiency. In practice, to estimate surgery durations hospitals use various estimating systems either based on surgeon’s estimate and/or software. Accurate estimates are vital for high quality OR performance and efficiency. Thus, surgeons’ estimates are significant inputs for effective OR suite schedule in surgeon based systems. To achieve a successful OR management, not only utilization performance measurement but also monitoring it is crucial. Control charts could be constructed for monitoring the OR efficiency. Monitoring the efficiency of use of OR time might include monitoring operative and/or non-operative times. In this study, cumulative sum (CUSUM) charts are introduced for the performance of surgery time estimations. An example involving surgical times is also provided to support our discussion. Some scenarios are defined and surgeons’ estimation errors are simulated for illustrative purposes.

119-126

Authors: Wiesław Łukasiński

Dynamic changeable and complex surrounding evokes the necessity of flexible adaptation of an organisation to challenges occurring. The statement that it is pro-qualitative management in which one should look for the chances of gaining competitive predominance seems rational. The source of competitiveness is constant development conditioning the rise of the maturity of organisational solutions. The aim of the research made was to assess the level of pro-qualitative management system maturity – the development of competence conditioning effective and efficient adaptation to the changes of the surrounding. What was used in the process of the assessment of the level of management system was self-assessment as a research instrument allowing to estimate the current level of organisational solutions development. In the research process there was used the Model of Management Improvement of Polish Quality Award as well as the models of self-assessment in accordance with the norms of EN ISO 9004: 2009 and EN ISO 10014:2007. As a result of research conducted there were acquired information, knowledge – crucial for making effectiveness and efficiency of the process of organisation management bigger, creating its competence and, in turn, leading to its adaptation to the needs and expectations of the surrounding. The effect of the research was the presentation of the methodology enhancing effectiveness and efficiency of pro-qualitative organisation management. Orientation towards excellence favours usage of occurring chances and avoiding dangers by means of eliminating (limiting) weak points of an organisation as well as a variety of invalidities.