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Park, Lee, and Jeong: Development of QI Activity Evaluation Framework Based on PDCA and Case Study on Quality Improvement Activities
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2012; 18(2): 222-233.

Published online: 30 June 2012

DOI: https://doi.org/10.11111/jkana.2012.18.2.222

Development of QI Activity Evaluation Framework Based on PDCA and Case Study on Quality Improvement Activities

Yeon Hwa Park1, Myung-Ha Lee2, Seok Hee Jeong3

1Nurse, Quality Improvement Team, Chonbuk National University Hospital, Korea.

2Professor, College of Nursing, Chonbuk National University, Korea.

3Assistant Professor, College of Nursing, Chonbuk National University, Korea.

Correspondence: Jeong, Seok Hee. College of Nursing, Chonbuk National University 567 Baekje-daero, deokjin-gu, Jeonju-si, Jeollabuk-do 561-756, Republic of Korea. Tel: 82-63-270-3117, Fax: 82-63-270-3127, awesomeprof@jbnu.ac.kr

Received 16 April 2012       Revised 29 May 2012       Accepted 13 June 2012

Copyright © 2012 Korean Academy of Nursing Administration

Abstract

Purpose

This study was conducted to develop an evaluation framework for QI activity in medical institutions and to analyze QI activity cases by applying the developed evaluation framework.

Method

A four-phase process was employed to develop the evaluation framework, and a descriptive survey was used for the QI case study. Data were collected in April, 2010 by examining 157 QI activity cases presented at conferences and published in Journal of Korean Society of Quality Assurance in Health Care over the past three years. Developed QI activity evaluation instruments were used for data collection. Data were analyzed using the SPSS 18.0 for Windows program.

Result

A QI Activity Evaluation Framework was developed. This framework consisted of 45 items. The department with the highest level of QI participation was the nursing department. The most frequent QI activity theme was patient safety. QI activity levels in Korean medical institutions are relatively equalized without significant differences according to institution characteristics.

Conclusions

From the quality aspect of QI activity, more systematic and scientific approaches are required to upgrade QI activity. This study could provide methodological guidelines for QI activity and be useful in setting goals and directions for QI activity in medical institutions in Korea.

Keywords: Quality improvement, Evaluation framework, PDCA, Case study

Figures and Tables

Table 1
Validity of the Quality Improvement Evaluation Framework (N=14)
jkana-18-222-i001
Table 2
Characteristics of the Studies and Comparison of QI Activity Scores (N=157)
jkana-18-222-i002

*Multiple answers

Table 3
Score of QI Activity by Stage and Suitable Rate of Items (N=157)
jkana-18-222-i003
Table 4
Frequency of Yearly Themes Presented on QI Activity Cases (N=157)
jkana-18-222-i004

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