867 resultados para Continuous quality improvement.
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Trabalho de Projeto
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Num mercado globalizado, a procura contínua de vantagens competitivas é um fator crucial para o sucesso das organizações. A melhoria contínua dos processos é uma abordagem usual, uma vez que os resultados destas melhorias vão se traduzir diretamente na qualidade dos produtos. Neste contexto, a metodologia Failure Mode Effect Analysis (FMEA) é muito utilizada, especialmente pelas suas características proactivas, que permitem a identificação e a prevenção de erros do processo. Assim, quanto mais eficaz for a aplicação desta ferramenta, mais benefícios terá a organização. Assim, quando é utilizado com eficácia, o FMEA de Processo, além de ser um método poderoso na análise do processo, permite a melhoria contínua e a redução dos custos [1] . Este trabalho de dissertação teve como objetivo avaliar a eficácia da utilização da ferramenta do FMEA de processo numa organização certificada segundo a norma ISO/TS16949. A metodologia proposta passa pela análise de dados reais, ou seja, comparar as falhas verificadas no mercado com as falhas que tinham sido identificadas no FMEA. Assim, ao analisar o nível de falhas identificadas e não identificadas durante o FMEA e a projeção dessas falhas no mercado, consegue-se determinar se o FMEA foi mais ou menos eficaz, e ainda, identificar fatores que condicionam a melhor utilização da mesma. Este estudo, está organizado em três fases, a primeira apresenta a metodologia proposta , com a definição de um fluxograma do processo de avaliação e as métricas usadas, a segunda fase a aplicação do modelo proposto a dois casos de estudo, e uma última fase, que consiste na análise comparativa, individual e global, que visa, além de comparar esultados, identificar pontos fracos durante a execução do FMEA. Os resultados do caso de estudo indicam que a ferramenta do FMEA tem sido usada com eficácia, pois consegue-se identificar uma quantidade significativa de falhas potenciais e evitá-las. No entanto, existem ainda falhas que não foram identificadas no FMEA e que apareceram no cliente, e ainda, algumas falhas que foram identificadas e apareceram no cliente. As falhas traduzem-se em má qualidade e custos para o negócio, pelo que são propostas ações de melhoria. Pode-se concluir que uma boa utilização do FMEA pode ser um fator importante para a qualidade do serviço ao cliente, e ainda, com impacto dos custos.
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Quality control in health care should be performed by health professionals. To do so they must define indicators, set up studies aimed at measuring and analyzing quality of care, and implement quality assurance programs in health care systems. The elements of a quality improvement program of this kind are described, with special emphasis on the contribution of epidemiology in this field.
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BACKGROUND: Standard indicators of quality of care have been developed in the United States. Limited information exists about quality of care in countries with universal health care coverage.OBJECTIVE: To assess the quality of preventive care and care for cardiovascular risk factors in a country with universal health care coverage.DESIGN AND PARTICIPANTS: Retrospective cohort of a random sample of 1,002 patients aged 50-80 years followed for 2 years from all Swiss university primary care settings.MAIN MEASURES: We used indicators derived from RAND's Quality Assessment Tools. Each indicator was scored by dividing the number of episodes when recommended care was delivered by the number of times patients were eligible for indicators. Aggregate scores were calculated by taking into account the number of eligible patients for each indicator.KEY RESULTS: Overall, patients (44% women) received 69% of recommended preventive care, but rates differed by indicators. Indicators assessing annual blood pressure and weight measurements (both 95%) were more likely to be met than indicators assessing smoking cessation counseling (72%), breast (40%) and colon cancer screening (35%; all p < 0.001 for comparisons with blood pressure and weight measurements). Eighty-three percent of patients received the recommended care for cardiovascular risk factors, including > 75% for hypertension, dyslipidemia and diabetes. However, foot examination was performed only in 50% of patients with diabetes. Prevention indicators were more likely to be met in men (72.2% vs 65.3% in women, p < 0.001) and patients < 65 years (70.1% vs 68.0% in those a parts per thousand yen65 years, p = 0.047).CONCLUSIONS: Using standardized tools, these adults received 69% of recommended preventive care and 83% of care for cardiovascular risk factors in Switzerland, a country with universal coverage. Prevention indicator rates were lower for women and the elderly, and for cancer screening. Our study helps pave the way for targeted quality improvement initiatives and broader assessment of health care in Continental Europe.
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En el curs acadèmic 2007-2008 s'ha implementat l’autoavaluació formativa en les assignatures de Dret Financer i Tributari I i II de la Llicenciatura en Dret de la Universitat Oberta de Catalunya, com a conseqüència del Projecte de millora de la qualitat docent concedit per l'AGAUR l’any 2006. Es tracta d'unes assignatures en les quals se segueix des del curs acadèmic 2004-2005 un sistema d’avaluació continua enfocada per competències, amb molt bona acollida tant pels docents com pels estudiants. Mitjançant aquesta experiència docent, ideada com a complement de l’avaluació contínua, i que consisteix en l'elaboració d'activitats d’autoavaluació formativa de diferent tipologia enfocades per competències, es pretén ajudar l’estudiant a desenvolupar i millorar les competències d'ambdues assignatures de forma autònoma en el marc de l'Espai Europeu d’Educació Superior.
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Work Internship Placements (WIP) is a new and transversal enterprise internships programme, which is focused on quality improvement, academic control and satisfaction of collaborating enterprises. This programme is addressed to the engineering students of the PolytechnicSchool at the University of Girona (UdG) in Spain. The fundamental WIP infrastructure combines a web-based intranet platform, that provides a complete set of WIP tools, with a protocol of procedures and tasks that are observed and followed at all internship stages by every participating agent, i.e. enterprises, students, coaching professors and administrative staff. Our new programme is centered on a broader, more holistic internship placement procedure than the traditional “career and academic goals” approach. The WIP programme has been found to be a valuable asset in addressing enterprise and student needs in the experiential project
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The report of significant decrease of the inpatient hospital mortality and morbidity with an efficient insulin therapy has demonstrated the need of a good glycaemic control for patients hospitalised in acute care. However, one is faced with numerous difficulties in the hospital management of patients with hyperglycaemia, errors often occur when prescribing insulin, and the management skills are insufficient. Our goal is to change the medical and nursing practices to evolve towards an efficient and safe management of the hospitalised patient. The model we lay out in this article is based upon observation of the therapeutic support of patients with a chronic condition, whilst using a systemic management approach.
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The Board is authorized to request water quality improvement applications from soil and water conservation districts and local watershed improvement committees and award grants to these entities. These grants are issued from the Watershed Improvement Fund. During 2006, the Fund was allocated $5 million for state fiscal year 2007 for water quality improvements from the tobacco settlement trust fund. On September 20, 2006, the Board awarded grants to sixteen applicants. Total amount allocated to these projects was $4,915,066.
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The Board, codified in Chapter 466A, is an independent, self-governing body directed to improve the quality of water in the state. The Board is authorized to request water quality improvement applications from soil and water conservation districts, local watershed improvement committees, cities, public water supply utilities, and county conservation boards and award grants to these entities. These grants are issued from the Watershed Improvement Fund. In 2007, the Fund was allocated $5 million for state fiscal year 2008 for water quality improvements from the tobacco settlement trust fund. On September 24. 2007, the Board awarded grants to ten applicants. Total amount allocated to these projects is $2.656.842. A second Request for applications is under way and will close February 22, 2008.
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The Board, codified in Chapter 466A, is an independent, self-governing body directed to improve the quality of water in the state. The Board is authorized to request water quality improvement applications from soil and water conservation districts, local watershed improvement committees, cities, public water supply utilities, and county conservation boards and award grants to these entities. These grants are issued from the Watershed Improvement Fund. In 2008, the Fund was allocated $5 million for state fiscal year 2009 for water quality improvements from the general fund. On February 22, 2008, the Board awarded grants from the SFY 2008 allocation from the Tobacco Settlement Trust Fund to seven applicants. Total amount allocated to these projects is $2,115,694. A Request For Applications was issued Last spring for the SFY 2009 appropriations. On September 12, the Board awarded grants to nine applicants. Total amount allocated to these projects is $3,513,531. A second Request for Applications is underway for the SFY 2009 allocation and will close January 30, 2009.
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The Board, codified in Chapter 466A, is an independent, self-governing body directed to award grants for water quality improvement and flood prevention in the state. The Board is authorized to request applications from soil and water conservation districts, local watershed improvement committees, public water supply utilities, counties, county conservation boards and cities and award grants to these entities. These grants are issued from the Watershed Improvement Fund. Annual appropriations of $5 million plus interest earned on the Watershed Improvement Fund allowed the Board to issue two Request For Applications in 2009. On February 27, the Board awarded grants to seven applicants for a total of $2,366,861. On September 21, the Board awarded grants to thirteen applicants for a total of $5,120,832. In addition to providing environmental benefits, these implementation projects stimulate economic recovery and create jobs through the purchasing oflocal goods and services.
Resumo:
The Board, codified in Chapter 466A, is an independent, self-governing body directed to award grants for water quality improvement and flood prevention in the state. The Board is authorized to request applications from soil and water conservation districts, local watershed improvement committees, public water supply utilities, counties, county conservation boards and cities and award grants to these entities. These grants are issued from the Watershed Improvement Fund. Annual appropriations plus interest earned on the Watershed Improvement Fund allowed the Board to issue three Request For Applications in 2010. On February 19, the Board awarded grants to five applicants for a total of $1,647,600. On July 23, the Board awarded grants to five applicants for a total of $796,500. Finally, on November 5, the Board awarded grants to eight applicants for a total of $1,203,500.
Resumo:
The Board, codified in Chapter 466A, is an independent, self-governing body directed to award grants for water quality improvement and flood prevention in the state. The Board is authorized to request applications from soil and water conservation districts, local watershed improvement committees, public water supply utilities, counties, county conservation boards and cities and award grants to these entities. These grants are funded by the Watershed Improvement Fund. Although no appropriation was received in FY2012, returned funds from some prior years' grants plus interest earned on the Watershed Improvement Fund allowed the Board to issue one Request For Applications in 2011. On September 9, the Board awarded grants to eight applicants for a total of $1,506,309. In addition to providing environmental benefits, these implementation projects stimulate economic recovery, empower local groups to improve water quality and create jobs through the purchase oflocal goods and services.
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The Board, codified in Chapter 466A, is an independent, self-goveming body directed to award grants for water quality improvement and flood prevention in the state. The Board is authorized to request applications from soil and water conservation districts, local watershed improvement committees, public water supply utilities, counties, county conservation boards and cities and award grants to these entities. These grants are funded by the Watershed Improvement Fund. Annual appropriations, funds from the Animal Agriculture Compliance Fund Penalties, canyover funds plus interest earned on the Watershed Improvement Fund allowed the Board to issue a Request For Applications from June 15 to July 27,2012. On August 17, the Board awarded grants to twelve applicants for a total of $946,952. In addition to providing environmental benefits, these implementation projects stimulate economic recovery and create jobs through the purchasing of local goods and services. A second Request For Applications was open from October 9 to December 14, 2012. Applications from this request will be reviewed in February 2013.
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The Watershed Improvement Board is an independent, self-governing body which awards grants for water quality improvement in the state. Eligible applicants include soil and water conservation districts, local watershed improvement committees, public water supply utilities, counties, county conservation boards and cities. These grants are funded by the Watershed Improvement Fund. Funding for these grants comes from annual appropriations and funds from the Animal Agriculture Compliance Fund Penalties. The Board awarded ten grants totalling $2,307,554 this year. In addition to providing environmental benefits, these implementation projects help stimulate economic activity and create jobs through the purchase of local goods and services. Additional grants will be awarded this spring.