Design of a total quality management system applicable to pharmacies of the public health network of Ecuador
DOI:
https://doi.org/10.53591/rug.v133i2.1381Keywords:
Good practices, quality control, total quality, hospital pharmacy, RPISAbstract
Good Practices in a universal framework establish quality control as a key in the proper management of a clinical or hospital pharmacy beyond being a means of verification. The administration of the total quality of medicines in the hospital field involves the collaboration of the integral health team, where the pharmaceutical professional not only has a role framed in being a specialist in medicines, but also the services provided by his department at the hospital are rooted in the framework of total quality (TC). This approach based on TC administration far exceeds the occupations commonly performed by the personnel currently working in most hospitals nationwide, so both new and existing processes have to adjust to this new paradigm. The present work through the development of a total quality management manual applicable to hospital pharmacies of the Comprehensive Public Health Network (RPIS) in Ecuador seeks to provide the basic guidelines for the design of a TC management system applicable to pharmacies of Basic Hospitals (Category II-4) and General Hospitals (Category
II-5) of the second level of hospital care of the RPIS.
References
Ministerio de Salud publica. Norma Para La Aplicación Del Sistema De Distribución
De Medicamentos Por Dosis Unitaria En Los Hospitales De La Red Integral De Salud.
Farmacia Hospitalaria. 2013.
L. D, F. C, D. Z, A. V, C.M. D, M. B. Developing internal/managerial inspections within
the orthopedics & traumatology wards. Osteoporos Int. 2018;
Yousef N, Yousef F. Using total quality management approach to improve patient
safety by preventing medication error incidences. BMC Health Serv Res. 2017;
MSP. Manual del Modelo de Atención Integral del Sistema Nacional de Salud Familiar
Comunitario e Intercultural (MAIS - FCI). Minist Salud publica del Ecuador. 2012;
Scott L. Medication errors: Technical Series on Safer Primary Care. World Health
Organization. 2016.
Aldhwaihi K, Umaru N, Pezzolesi C, Schifano F. A systematic review of the nature of
dispensing errors in hospital pharmacies. Integr Pharm Res Pract. 2016;
Jacobs S, Johnson S, Hassell K. Managing workplace stress in community pharmacy
organisations: lessons from a review of the wider stress management and prevention
literature. International Journal of Pharmacy Practice. 2018.
Seawright KW, Young ST. A quality definition continuum. Interfaces (Providence).
;26(3):107–13.
Ghani JA, Jamaluddin H, Rahman MNA, Deros BM. Philosophy of taguchi approach
and method in design of experiment. Vol. 6, Asian Journal of Scientific Research.
p. 27–37.
Silvestro R. Feigenbaum. 2015; Available from:
/9781118785317.weom100210
Tellis GJ, Johnson J. The value of quality. Mark Sci. 2007;26(6):758–73
Augustin-Jean L, Ilbert H, Saavedra-Rivano N. The Multidimensional Definition of
Quality. Geogr Indic Int Agric Trade Chall Asia. 2012;(January 2012):1–263.
Hoe LC, Mansori S. The Effects of Product Quality on Customer Satisfaction and
Loyalty: Evidence from Malaysian Engineering Industry. Int J Ind Mark. 2018;3(1):20.
Kim-Soon N. Quality Management System and Practices. Qual Manag Pract. 2012;
Pambreni Y, Khatibi A, Ferdous Azam SM, Tham J. The influence of total quality
management toward organization performance. Manag Sci Lett. 2019;9(9):1397–406.
Meftah Abusa F, Gibson P. Experiences of TQM elements on organisational
performance and future opportunities for a developing country. Int J Qual Reliab
Manag. 2013;30(9):920–41.
Upadhyai R, Jain AK, Roy H, Pant V. A Review of Healthcare Service Quality
Dimensions and their Measurement. J Health Manag. 2019;21(1):102–27.
Brasaite I, Kaunonen M, Suominen T. Healthcare professionals’ knowledge, attitudes
and skills regarding patient safety: A systematic literature review. Scand J Caring Sci.
;29(1):30–50.
Daniel BDF. “Evaluating the Quality of Medical Care”: Donabedian’s Classic Article
Years Later. The Milbank Quaterly [Internet]. 2016;94(2):237–41. Available from:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4911723/pdf/MILQ-94-237.pdf
Piligrimiene Ž, Bučiuniene I. Different perspectives on health care quality: Is the
consensus possible? Eng Econ. 2008;1(56):104–11.
Sweta D’Cunha S. The Measurement of Service Quality in Healthcare: A Study in a
Selected Hospital. -. Int J Heal Sci Res. 2015;5(7):333–45.
Jacobi J. Farmacéuticos Clínicos: Profesionales Esenciales Del Equipo De Atención
Clínica. Rev Médica Clínica Las Condes [Internet]. 2016;27(5):578–84. Available
from: http://dx.doi.org/10.1016/j.rmclc.2016.09.004
Detoni KB, Martins M, Do G, Oliveira IV, Alves MR, Gonzáles MM, et al.
Comprehensive Medication Management Services in a Brazilian Speciality
Pharmacy : a Qualitative Assessment. Int J Pharm Pharm Sci. 2017;9(3).
Maqbool M, Dar MA, Rasool S, Mir SA. Clinical Pharmacy Practice in Health Care
System : a Review. Eur J Pharm Med Res. 2019;6(April):1–5.
De Andrés-Lázaro AM, Andreu ÒM. Contribution of clinical pharmacists to patient’s
care in the Emergency Department. Farm Hosp. 2018;42(6):217–8.
Roden DM, Xu H, Denny JC, Wilke RA. Electronic medical records as a tool in clinical
pharmacology: Opportunities and challenges. Clin Pharmacol Ther.
;91(6):1083–6.
Balasubramanian M. Total Quality Management [TQM] in the Healthcare Industry –
Challenges, Barriers and Implementation Developing a Framework for TQM
Implementation in a Healthcare Setup. Sci J Public Heal. 2016;4(4):271.
Alzoubi MM, Hayati KS, Rosliza AM, Ahmad AA, Al-Hamdan ZM. Total quality
management in the health-care context: Integrating the literature and directing future
research. Risk Manag Healthc Policy. 2019;12:167–77.
I DWV, Dora Y, Évora M. Total Quality Management and hospital nursing: an
integrative literature review. Rev Bras Enferm. 2015;68(5):660–7.
Talib F, Rahman Z. Critical success factors of TQM in service organizations: A
proposed model. Serv Mark Q. 2010;31(3):363–80.
Gupta KS, Rokade V. Importance of Quality in Health Care Sector: A Review. J Health
Manag. 2016;18(1):84–94.
Crossland L, Janamian T, Jackson CL. Key elements of high-quality practice
organisation in primary health care: A systematic review. Med J Aust.
;201(3):47–51.
Gadolin C, Andersson T. Healthcare quality improvement work: a professional
employee perspective. Int J Health Care Qual Assur. 2017;30(5):410–23.
Patange V chandra. A Study on Implementation of Total Quality Management in
Businesses. Int J Eng Sci Innov Technol. 2013;2(3):2319–5967
HALIS M, R. TWATI M, HALIS M. Total quality management implementation in the
healthcare industry: Findings from Libya. Manag Issues Healthc Syst. 2017;3(1):4–
Godwin HN, Sanborn MD. Total quality management in hospital pharmacy. Am Pharm
[Internet]. 1995;NS35(10):51–60. Available from: http://dx.doi.org/10.1016/S0160
(15)30053-2
ASPH; SANOFI AVENTIS. Pharmacist ’ s Role in Quality Improvement. 2016;
Available from: https://www.ashp.org/-/media/assets/pharmacy-practice/resource
centers/leadership/leadership-of-profession-pharmacists-role-quality-improvement
guide
JICA. Manual for Implementation of 5 S in Hospital Setting. 2015;1–153. Available
from: website: www.hsmdghs-bd.org
National Learning Consortium. Continuous Quality Improvement (CQI) Strategies to
Optimize your Practice. Heal Inf Technol Res Cent [Internet]. 2013; Available from:
https://www.healthit.gov/sites/default/files/tools/nlc_continuousqualityimprovementpri
mer.pdf
Recuero Galve L, Martí Gil C, Martínez Valdivieso L, Sánchez Gundín J, Flor García
A BHD. QUALITY MANAGEMENT SYSTEM : ANALYSIS AND IMPROVEMENT IN
AN ONCOLOGY PHARMACY UNIT 21 th Congress of European Association of
Hospitals Pharmacists. Sescam [Internet]. 2008;21. Available from:
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0. International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
