A model of efficient and continuous quality improvement in a clinical setting

  • Glezerman M
  • Witznitzer A
  • Reuveni H
 et al. 
  • 1


    Mendeley users who have this article in their library.
  • N/A


    Citations of this article.


OBJECTIVE: To establish a system of Continuous Quality Improvement (CQI) which does not require substantial resources in a clinical setting. SETTING: A busy department of obstetrics and gynaecology. METHODS: The system is based on seven elements: (i) comprehensive accumulation of data; (ii) involvement of all faculty members and the majority of residents; (iii) continuous monitoring of processes within the organization; (iv) application of clinical indicators; (v) file review system; (vi) task force approach for evaluation of processes within the organization; and (vii) intervention measures. MAIN OUTCOME MEASURES: Quality of contents of files and documentation, satisfaction of customers (patients, family members), trends of clinical indicators, effect of task force work, incidence of complaints. RESULTS: Inadequate documentation was noted in 14.6% before, and 4% 1 year after the initiation of the CQI program. Task force work in a variety of projects led to a substantial improvement in measured outcome. The absolute and relative numbers of complaints against the department decreased from 44 in 1993, to 27 in 1994, 20 in 1995 and 16 in 1996. In terms of the percentage of complaints directed against the hospital these figures represent 12.4, 9.6, 6.9 and 5.4% for 1993, 1994, 1995 and 1996 respectively. CONCLUSION: Our proposed CQI system has proved to be highly efficient and requires only minimal additional resources.

Author-supplied keywords

  • *Quality Systems
  • Data Collection/methods
  • Documentation/methods
  • Efficiency, Organizational
  • Female
  • Human
  • Indicators
  • Institutional Management Teams/organization &amp
  • Israel
  • Medical Audit/methods
  • Models, Organizational
  • Obstetrics and Gynecology Department, Hospital/*st
  • Patient Satisfaction
  • Patient Satisfaction CQI
  • Peer Review, Health Care/methods
  • Pregnancy
  • Quality Indicators, Health Care
  • Total Quality Management/*organization &amp
  • administration
  • administration QualofCare

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

There are no full text links


  • M Glezerman

  • A Witznitzer

  • H Reuveni

  • M Mazor

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free