The Experts below are selected from a list of 240 Experts worldwide ranked by ideXlab platform
Tausch B - One of the best experts on this subject based on the ideXlab platform.
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Family practice Quality Circles between goals and reality--an interaction analysis
Zeitschrift fur arztliche Fortbildung und Qualitatssicherung, 2020Co-Authors: Weisser P, Härter M, Tausch BAbstract:: Quality Circles are considered a key method for Quality assurance in health care. However, there is a lack of systematic evaluation for Quality Circles in general practice, especially regarding the process Quality of Quality Circle work. This article presents the results of an interaction analysis completing the systematic evaluation of Quality Circles in general practice in a region of south Germany. Using the so-called conference encoding method for interaction analysis we analyzed 7 out of 25 evaluated Quality Circles and 2348 interactions between the Quality Circle members. The participation rate of the moderators is high compared to the relative low contribution of the group members to the Quality Circle work. We could show that Quality Circles work topic-oriented, there is a wide exchange of experience between the group members and the group climate is positive. However, there were almost no specific activities to develop guidelines for diagnostic and therapeutic procedures. The results showed a significant discrepancy between the aims of Quality Circles and their practical realisation. Besides improved option for information and training programs for moderators and participants, we recommend further evaluation studies complemented with specific analysis of the process Quality for example with the conference encoding method.
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Goals and reality of Quality Circles in outpatient care in Germany
Bundesgesundheitsblatt-gesundheitsforschung-gesundheitsschutz, 2004Co-Authors: Martin Härter, Tausch BAbstract:In Germany's outpatient care, Quality Circles are strongly encouraged as a tool for peer review in order to implement Quality assurance and management in daily practice. This paper presents an overview of the status of implementing Quality Circles in outpatient care. The main features of successful Quality Circles are described in terms of conditions, structures, and methodological approach. The objectives of Quality Circles are outlined, and it is discussed to which extent the Quality Circle concept is established. Recommendations for further developments of Quality Circles are drawn from this analysis.
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Goal analysis of participants and moderators of general practice Quality Circles
Zeitschrift fur arztliche Fortbildung, 1996Co-Authors: Tausch B, Härter MAbstract:: Quality Circles (peer review) are a process of a continuous, systematic and critical reflection of care providers on their own and colleagues' performance by using structured procedures with the aim of achieving a continuous improvement. Main goal of the topic-oriented Quality Circle model in Sudbaden (Germany) is the development of guidelines for primary health care. The Quality Circle programme of the society of health insurances of Sudbaden is currently given a systematic evaluation. The results presented refer to 246 participants and moderators of 25 groups who have completed questionnaires. Attention is given to the general goals of the doctors participating in Quality Circle groups. When asked about the most important goals of peer review the participants scored the highest ranking on (1) exchanging practice experiences with colleagues (2) the personal reflection of one's way of working (3) agreeing on guidelines and targets for desirable performance and (4) developing guidelines for general practice. From the results, conclusions regarding the concept of Quality Circles and the methods for developing practice guidelines are drawn.
R Gorgen - One of the best experts on this subject based on the ideXlab platform.
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improvement of a national public health surveillance system through use of a Quality Circle
Eurosurveillance, 2006Co-Authors: Gerard Krause, Justus Benzler, G Reiprich, R GorgenAbstract:3Surveillance systems for infectious diseases build the basis for effective public health measures in the prevention and control of infectious diseases. Assessing and improving the Quality of such national surveillance systems is a challenge, as many different administrations and professions contribute to a complex system in which sensitive information must be exchanged in a reliable and timely fashion. We conducted a multidisciplinary Quality Circle on the national public health surveillance system in Germany which included clinicians, laboratory physicians, and staff from local and state health departments as well as from the Robert Koch-Institut. The recommendations resulting from the Quality Circle included proposals to change the federal law for the control of infectious diseases as well as practical activities such as the change of notification forms and the mailing of faxed information letters to clinicians. A number of recommendations have since been implemented, and some have resulted in measurable improvements. This demonstrates that the applied method of Quality Circle is a useful tool to improve the Quality of national public health surveillance systems.
Taiying Chen - One of the best experts on this subject based on the ideXlab platform.
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a quasi experimental study on a Quality Circle program in a taiwanese hospital
International Journal for Quality in Health Care, 2000Co-Authors: Keping Yang, Taiying ChenAbstract:OBJECTIVE: To explore the impact of Quality Circles on job satisfaction, absenteeism, and turnover among hospital nurses in Taiwan. DESIGN: A quasi-experimental research design. SETTING: In November 1995, a study was initiated to establish Quality Circles in a 500-bed community hospital in Taiwan. After the administrative process and a pilot study, three of the experimental units began implementing the Quality Circle program in January 1997. For the comparison group, three non-Quality Circle medical-surgical units were selected from another building. STUDY PARTICIPANTS: All registered nurses on the three selected units who met the criteria of having worked full-time on those units for > or = 6 months were included in the study. There were 53 full-time registered nurses (49 female, four male) who met the criteria and 100% participated. There were no significant differences between the Quality Circle group and the non-Quality Circle group in terms of sex, age, and number of years of working experience, education or marital status. INTERVENTIONS: After obtaining administrative approval and support, the pilot study began with 3-month Quality Circle courses and 3-month Quality Circle process training for the experimental group nurses. Each Circle has been meeting for 1 hour each week to identify problems, barriers, and solutions for effective implementation since 1997. MAIN OUTCOME MEASURES: (i) Demographic data questionnaire; (ii) Stamps and Piedmont's Index of Work Satisfaction; (iii) hospital records for absenteeism and turnover data. RESULTS: The data reveal that nurses of the three Quality Circle units felt more satisfied (P < 0.01) than did nurses from the three non-participating units. In the non-participating group, 36% had considered leaving the units, compared to 10% of nurses from the Quality Circle group. The turnover rate was significantly higher for the non-participating group (40%) than for the Quality Circle group (13%). CONCLUSION: This Quality Circle program in a Taiwanese hospital significantly improved satisfaction, reduced absenteeism, and lowered turnover of nurses. The findings support other studies reported in the literature.
Martin Härter - One of the best experts on this subject based on the ideXlab platform.
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Goals and reality of Quality Circles in outpatient care in Germany
Bundesgesundheitsblatt-gesundheitsforschung-gesundheitsschutz, 2004Co-Authors: Martin Härter, Tausch BAbstract:In Germany's outpatient care, Quality Circles are strongly encouraged as a tool for peer review in order to implement Quality assurance and management in daily practice. This paper presents an overview of the status of implementing Quality Circles in outpatient care. The main features of successful Quality Circles are described in terms of conditions, structures, and methodological approach. The objectives of Quality Circles are outlined, and it is discussed to which extent the Quality Circle concept is established. Recommendations for further developments of Quality Circles are drawn from this analysis.
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Goals, content and evaluation of training seminars for Quality Circle moderators
Zeitschrift fur arztliche Fortbildung, 1996Co-Authors: Martin Härter, R. Vauth, Berndt Tausch, Mathias BergerAbstract:: In this paper, our experience with training courses for Quality Circle moderators is reported. Basic principles of the peer review method in general and the specific model of the topic-oriented Quality Circle approach in the ambulatory care in Sudbaden is described. Peer review in Quality Circle groups demands specific participants' skills. Thus, training courses for Quality Circle leaders have been set up to prepare moderators for their task. Attention is given to the goals and contents of training courses for physicians. Key elements are the supervisory role of the moderator and specific tasks in handling the group dicussions. Evaluation questionnaires after the courses showed that the participants (n = 41) judged the programme very positively.
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Implementation and evaluation of Quality Circles in general practice
Zeitschrift fur arztliche Fortbildung, 1995Co-Authors: Berndt Tausch, Martin Härter, Wilhelm Niebling, Dieter G, Mathias BergerAbstract:: In the beginning of 1993, society of panel doctors Sudbaden, Germany, has constituted a group of experts from the Department of General Medicine of the university hospital and practising general practitioners (GPs) to develop an organisational and conceptional framework for setting up Quality Circles. At present, 23 Quality Circles with 6-12 participants are holding regular meetings every 4 to 8 weeks in the region of Sudbaden. The group members, who are all physicians working in primary health care, are selecting and discussion topics which are important in general practice. In order to facilitate the discussions, the research group has developed predefined guidelines covering a wide range of common and important conditions in general practice (Hypertension, sleeping disorders, diabetes mellitus, COPD, dementia, lower back pain, cardio-vascular disease, depression, headache, vertigo etc). In presenting these structurized guidelines, the moderator prompts and encourage the group members to identify common problems in their own practices. The use of these guidelines in, Quality Circles and research may provide a starting point for developing consensus guidelines. The Quality Circle projects is given as systematic evaluation for both participants and moderators at different levels. Main objectives of the assessment are the recruitment, motivation and the specific goals of general practitioners to participate in Quality Circles. Currently, we are evaluating the development of Quality Circle for a period of 18 months.
Gerard Krause - One of the best experts on this subject based on the ideXlab platform.
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improvement of a national public health surveillance system through use of a Quality Circle
Eurosurveillance, 2006Co-Authors: Gerard Krause, Justus Benzler, G Reiprich, R GorgenAbstract:3Surveillance systems for infectious diseases build the basis for effective public health measures in the prevention and control of infectious diseases. Assessing and improving the Quality of such national surveillance systems is a challenge, as many different administrations and professions contribute to a complex system in which sensitive information must be exchanged in a reliable and timely fashion. We conducted a multidisciplinary Quality Circle on the national public health surveillance system in Germany which included clinicians, laboratory physicians, and staff from local and state health departments as well as from the Robert Koch-Institut. The recommendations resulting from the Quality Circle included proposals to change the federal law for the control of infectious diseases as well as practical activities such as the change of notification forms and the mailing of faxed information letters to clinicians. A number of recommendations have since been implemented, and some have resulted in measurable improvements. This demonstrates that the applied method of Quality Circle is a useful tool to improve the Quality of national public health surveillance systems.
