Health Information and Administration: Standards and Evaluation of Healthcare Quality, Safety, and Person-Centered Care
Abstract
Background: Healthcare quality is a multidimensional concept, defined by both clinical outcomes (safety, effectiveness) and person-centered experiences (dignity, communication). This dual identity of individuals as both "patients" and "customers" necessitates a management approach that integrates clinical excellence with service excellence. The evolution of quality management, from pioneers like Codman and Semmelweis to the adoption of industrial models from Shewhart and Deming, has provided the foundational tools for modern healthcare improvement.
Aim: This article synthesizes the principles of healthcare quality management, aiming to outline its function, the standards that obligate it, and its clinical significance. It seeks to demonstrate how the disciplined application of quality methods can bridge the gap between administrative efficiency and ethical, person-centered care delivery.
Methods: The paper is a comprehensive review that analyzes the function of quality management through iterative cycles like Plan-Do-Study-Act (PDSA) and tools like Statistical Process Control (SPC). It examines the hierarchy of standards, from federal regulations and accrediting bodies like The Joint Commission to professional society guidelines and pay-for-performance incentives. Methods for evaluation, prioritization, and team-based improvement are detailed.
Results: Robust quality management, when effectively implemented, leads to improved patient safety, enhanced clinical outcomes, and a better care experience. However, challenges persist, including data fragmentation, cultural resistance, and misaligned incentives, which can hinder improvement efforts. Success depends on leadership commitment, a supportive safety culture, and the active engagement of interdisciplinary teams.
Conclusion: High-quality healthcare emerges from a system that seamlessly integrates rigorous standards, data-driven evaluation, and a person-centered ethos. Quality management is the essential engine for this integration, translating ethical obligations into reliable, safe, and valuable care through disciplined, iterative learning.
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Authors
Copyright (c) 2025 Laila Mohammed Sulaiman Aljohani, Mahir Hasan Muhamad Alealaasi, Rajeh Abdullah Ayed Al-awfi, Norah Nuwaydis Khlifah Alshammari, Layla Mohammed Suleiman Al-Juhani, Aisha Nasser Madi Al-Omairi, Layla Atiq Allah Salim Al-Juhani, Hussein Abdullah Saleh Al-Juhani
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