Volume 5, Issue 3 (10-2021)                   EBHPME 2021, 5(3): 157-165 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Jabarbeigi R, Kalhor R, Rafiei S, Hashemi F. Assessing Cost of Quality in a Medical Device Division of a Training Hospital: A Case Study in Iran. EBHPME 2021; 5 (3) :157-165
URL: http://jebhpme.ssu.ac.ir/article-1-322-en.html
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran , sima.rafie@gmail.com
Abstract:   (1535 Views)
Background: Cost of Quality is an approach that helps organizations evaluate the extent to which their resources are used to prevent poor quality activities, assess the quality of provided services, or evaluate the number of resources that are wasted due to the internal and external failures occurring in a system. The research objective was to measure the Cost of Quality(CoQ) in a medical device division of a hospital in Qazvin, Iran.
Methods: We performed a qualitative study in the medical device division in a public hospital affiliated with Qazvin University of Medical Sciences, Iran in 2020. To measure and report the (CoQ) in the division, the Prevention-Appraisal-Failure (PAF) model was used. Data were collected through document review, semi-structured interview, and group discussion, which were entered into the Excel software to calculate their distribution and frequencies using the descriptive statistics method.
Results: Among different cost categories, the highest amount of expenditures belonged to internal and external failure costs. Results also revealed that several factors were responsible for the failures, including lack of knowledge of personnel about the proper use of medical devices; failure to periodically perform calibration on due dates; lack of adequate supervision; stress and work pressure among employees; and lack of managerial commitment toward the importance of preventive maintenance.
Conclusion: In order to decrease the number of failures occurring in a working system, it is required to increase personnel's knowledge about the proper use of medical devices, perform calibration of devices on due dates, increase managerial commitment toward preventive and quality appraisal activities and apply systematic supervision.
Full-Text [PDF 1532 kb]   (489 Downloads) |   |   Full-Text (HTML)  (342 Views)  
Type of Study: Original article | Subject: Healt care Management
Received: 2020/11/4 | Accepted: 2021/10/4 | Published: 2021/10/4

1. 1. Sharma K. Managing quality in health care. WHO South-East Asia Journal of Public Health. 2012; 1(1): 119-20. [DOI:10.4103/2224-3151.206909]
2. Naghavian M, Naghshine A, Abdi M, Jahani MA. The evaluation of performance indicators in the health care centers of Babol University Of Medical Sciences by the pabon lasso model (2011-2014). Journal of Babol University of Medical Sciences. 2015; 17(3): 76-82.
3. Tsuboi S, Uehara R, Oguma T, Kojo T, Enkh-Oyun T, Kotani K, et al. [Satisfaction with hospital care among diabetic outpatients and its associated factors. Secondary use of official statistics]. [Nihon koshu eisei zasshi] Japanese Journal of Public Health. 2014; 61(10): 613-24.
4. Dellana S, Kros JF. An exploration of quality management practices, perceptions and program maturity in the supply chain. International Journal of Operation and Production Management. 2014; 12(4): 786-806. [DOI:10.1108/IJOPM-03-2013-0105]
5. Crosby PB. Quality is free: The art of making quality certain: McGraw-hill New York; 1979.
6. Zugarramurdi A, Parin MA, Gadaleta L, Lupin HM. A quality cost model for food processing plants. Journal of Food Engineering. 2007; 83(3): 414-21. [DOI:10.1016/j.jfoodeng.2007.03.029]
7. Azizi J, Taleghani M, Esmaielpoor F, Gudarzvand Chegini M. Effect of the quality costing system on implementation and execution of optimum total quality management. International Journal of Business and Management. 2010; 5(8): 19-26. [DOI:10.5539/ijbm.v5n8p19]
8. Srivastava SK. Towards estimating cost of quality in supply chains. Total Quality Management. 2008; 19(3): 193-208. [DOI:10.1080/14783360701600605]
9. Bamford D, Land N. The application and use of the PAF quality costing model within a footwear company. International Journal of Quality and Reliability Management. 2006; 23: 265-78. [DOI:10.1108/02656710610648224]
10. Hwang GH, Aspinwall EM. Quality cost models and their application: A review. Total Quality Management. 1996; 7(3): 267-82. [DOI:10.1080/09544129650034837]
11. Jahantigh F, Dehghani S. Developing a model for quality managemnet in the supply chain of a hospital: Applying game theory. Supply Chain Management. 2015; 17(50): 68-81.
12. Kowalski JC. Needed: A strategic approach to supply chain management: hospital senior financial executives need to recalculate the strategic significance of the supply chain--and plan accordingly. Healthcare Financial Management. 2009; 63(6): 90-9.
13. Seyedi M, Heydari A, Khoramirad A, Ahmari H. Comparative study of patiebnt satisfaction, physical space and medical equipment between governmental and private hospitals. Iran Journal of Nursing. 2009; 22(59).
14. Priyan S, Uthayakumar R. Optimal inventory management strategies for pharmaceutical company and hospital supply chain in a fuzzy-stochastic environment. Operations Research for Health Care. 2014; 3(4): 177-90. [DOI:10.1016/j.orhc.2014.08.001]
15. American College of Physicians. controlling health care costs while promoting the best possible health outcomes. Philadelphia: American College of Physicians; Policy Monograph. (Available from American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.) 2009. Available from URL: https://www.acponline.org/system/files/documents/advocacy/current_policy_papers/assets/controlling_healthcare_costs.pdf. Last access: 13 September, 2021.
16. Sorenson C, Drummond M, Khan B. Medical technology as a key driver of rising health expenditure: Disentangling the relationship. ClinicoEconomics and Outcomes Research. 2013; 5: 223-34. [DOI:10.2147/CEOR.S39634]
17. Zarandi H, Ghafari E, Arab M, Mozdabadi S. Accrual-based accounting system versus cash-based accounting: An empirical study in municipality organization. Management Science Letters. 2013; 4: 251-6. [DOI:10.5267/j.msl.2012.10.035]
18. Al-Dujaili M. Study of the relation between types of the quality costs and its impact on productivity and costs: A verification in manufacturing industries. Total Quality Management & Business Excellence. 2012; 24: 1-23. [DOI:10.1080/14783363.2012.669552]
19. Kerfai N, Bejar Ghadhab B, Malouche D. Performance measurement and quality costing in Tunisian manufacturing companies. The TQM Journal. 2016; 28(4): 588-96. [DOI:10.1108/TQM-10-2013-0119]
20. Schiffauerova A, Thomson V. A review of research on cost of quality models and best practices. International Journal of Quality & Reliability Management. 2006; 23. [DOI:10.1108/02656710610672470]
21. Tran DT, Johnson M. Classifying nursing errors in clinical management within an Australian hospital. International Nursing Review. 2010; 57(4): 454-62. [DOI:10.1111/j.1466-7657.2010.00846.x]
22. Gilchrist J, Mandelbaum BR, Melancon H, Ryan GW, Silvers HJ, Griffin LY, et al. A randomized controlled trial to prevent noncontact anterior cruciate ligament injury in female collegiate soccer players. The American Journal of Sports Medicine. 2008; 36(8): 1476-83. [DOI:10.1177/0363546508318188]
23. Bonfante P, Genre A. Mechanisms underlying beneficial plant-fungus interactions in mycorrhizal symbiosis. Nature Communications. 2010; 1(1): 1-11. [DOI:10.1038/ncomms1046]
24. Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. Exploring relationships between patient safety culture and patients' assessments of hospital care. Journal of Patient Safety. 2012; 8(3). [DOI:10.1097/PTS.0b013e318258ca46]
25. Rahimi H, Shafeghat T, Kharazmi E. Using failure modes and effects analysis techniques in assessment of medical records errors in Qadir hospital Shiraz in 2012-2013. International Journal of Health System and Disaster Management. 2013; 1: 92. [DOI:10.4103/2347-9019.128122]
26. Linden JV, Wagner K, Voytovich AE, Sheehan J. Transfusion errors in New York State: An analysis of 10 years' experience. Transfusion. 2000; 40(10): 1207-13. [DOI:10.1046/j.1537-2995.2000.40101207.x]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Evidence Based Health Policy, Management and Economics

Designed & Developed by : Yektaweb