Module 5 - Chapter 4 - Quality Concepts

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Questions and Answers

Which of the following is an example of a quality aspect that teams should measure and report on?

  • Trends in administrative hours worked
  • Total number of staff trained
  • Number of committees formed
  • Trends in infections rates (correct)

What principle emphasizes that it is better to prevent issues rather than fix them later?

  • Inspection is key to quality
  • Quality at the source
  • Employee training is essential
  • Prevention is better than cure (correct)

Who is recognized as one of the foremost quality experts, emphasizing management’s role in ensuring quality excellence?

  • Ishikawa Kaoru
  • Joseph Juran
  • Dr. W. Edwards Deming (correct)
  • Philip Crosby

Which of the following does NOT represent quality aspects relevant to specific teams?

<p>Employee turnover rate (B)</p> Signup and view all the answers

What role does visual management play in a quality-focused workplace?

<p>It helps detect problems quickly. (C)</p> Signup and view all the answers

What is meant by 'quality at the source'?

<p>Quality assurance should happen during the process of production. (B)</p> Signup and view all the answers

Which of the following is NOT a key responsibility of teams regarding quality assurance?

<p>Adjusting budgets based on quality reports (C)</p> Signup and view all the answers

Effective involvement of everyone in a company to ensure quality requires a change in which of the following?

<p>Employee behaviors toward quality (B)</p> Signup and view all the answers

Who is in a better position to assure quality in a process?

<p>The people who process the work (C)</p> Signup and view all the answers

What happens when someone else checks the work of a team?

<p>Ownership of the process is taken away (B)</p> Signup and view all the answers

What is the primary purpose of Standard Operating Procedures (SOPs)?

<p>To assure quality and facilitate continuous improvement (D)</p> Signup and view all the answers

According to Peter Wickens, how should SOPs be defined?

<p>As the best current work method for achieving quality, cost and delivery time in a safe manner (D)</p> Signup and view all the answers

Why might work instructions created by technical specialists fail to work effectively?

<p>They do not account for all conditions and work types (A)</p> Signup and view all the answers

Who should be involved in setting up SOPs?

<p>Technical specialists and operational specialists (A)</p> Signup and view all the answers

What is a key factor in maintaining effective SOPs?

<p>Reviewing them occasionally to keep them up to date (D)</p> Signup and view all the answers

What is implied by the phrase 'best current method' in relation to SOPs?

<p>It must be regularly adapted to reflect new findings (B)</p> Signup and view all the answers

What is one key criterion for an effective Standard Operating Procedure (SOP)?

<p>Must guarantee ways of meeting quality standards (C)</p> Signup and view all the answers

In what way can SOPs serve a training purpose?

<p>By facilitating training of new team members and improving existing skills (B)</p> Signup and view all the answers

Which of the following is NOT typically included in an SOP?

<p>Main steps in the wrong sequence (B)</p> Signup and view all the answers

What does 'NCR' stand for in quality management?

<p>Non-conformance Report (B)</p> Signup and view all the answers

What is the vision related to client complaints and non-conformance?

<p>To achieve zero client complaints or non-conformances (D)</p> Signup and view all the answers

How should quality problems be approached according to the quest for zero defects?

<p>By promptly addressing every quality issue (D)</p> Signup and view all the answers

Which component is associated with the corrective action process?

<p>Documentation of root causes and actions taken (D)</p> Signup and view all the answers

What is a primary purpose of a Non-conformance Report (NCR)?

<p>To report deviations from set standards or specifications (B)</p> Signup and view all the answers

What is the primary benefit of implementing built-in quality in processes?

<p>To continuously improve quality by addressing root causes (B)</p> Signup and view all the answers

Which of the following statements is true regarding quality control?

<p>It might inadvertently decrease the quality of work (D)</p> Signup and view all the answers

What is the role of visual management in a quality-focused workplace?

<p>To increase awareness about quality through constant visibility (D)</p> Signup and view all the answers

What should teams be allowed to do when they identify a quality issue?

<p>Stop the process to address the problem (D)</p> Signup and view all the answers

Which approach is emphasized for achieving right first-time quality?

<p>Creating a performance-driven team with autonomy (A)</p> Signup and view all the answers

What is the recommended method for inspection when implementing quality controls?

<p>To simplify inspections and utilize technology (B)</p> Signup and view all the answers

What is a potential disadvantage of relying on traditional quality control methods?

<p>It may cause disengagement from the quality process (B)</p> Signup and view all the answers

Which action is suggested when difficult judgments about quality must be made?

<p>Let the client of the next process make the judgment (B)</p> Signup and view all the answers

What is the primary purpose of formally recording non-conformance?

<p>To ensure it is not forgotten (C)</p> Signup and view all the answers

Which of the following methods can be used for root cause analysis?

<p>Fishbone diagram (B)</p> Signup and view all the answers

What is the first step in the non-conformance process?

<p>Identify the non-conformance (B)</p> Signup and view all the answers

What component is necessary in the system for client complaints?

<p>Space for corrective action to be captured (B)</p> Signup and view all the answers

What happens to a non-conformance once it has been successfully addressed?

<p>It gets ‘closed off’ in the system (C)</p> Signup and view all the answers

Which of the following is a key benefit of the client complaint and non-conformance reporting system?

<p>Facilitates the quest for zero defects (C)</p> Signup and view all the answers

What should be included in the action plan created after identifying the root cause?

<p>Due dates and responsible persons (C)</p> Signup and view all the answers

Why is it important to report monthly to management on NCR and CCR trends?

<p>To monitor and identify quality issues over time (C)</p> Signup and view all the answers

What is the primary goal of tracking CCR and NCR trends in management meetings?

<p>To assess the quality of root cause analysis and the effectiveness of actions. (C)</p> Signup and view all the answers

Which statement accurately describes the relationship between time-to-detect (TTD), time-to-correct (TTC), and error rate?

<p>Longer TTDs lead to increased error rates. (B)</p> Signup and view all the answers

How can teams effectively reduce TTD?

<p>By minimizing backlog and promoting self-inspection. (A)</p> Signup and view all the answers

What approach is suggested to minimize time-to-correct (TTC)?

<p>Stopping ongoing work to address quality problems immediately. (A)</p> Signup and view all the answers

What does the term 'poka-yoke' refer to in a lean context?

<p>A tool designed to prevent mistakes from becoming defects. (A)</p> Signup and view all the answers

Which approach is NOT associated with mistake-proofing devices?

<p>Assuming all errors are avoidable by design. (B)</p> Signup and view all the answers

What distinguishes a mistake from a defect in the context of quality management?

<p>Defects occur when a mistake enters the final product. (A)</p> Signup and view all the answers

What was the original term for the concept later known as 'poka-yoke'?

<p>Fool-proofing. (B)</p> Signup and view all the answers

Flashcards

Quality Indicators

Key indicators such as patient experience, medication errors, infection rates, cost of poor quality, waste, errors in administrative departments, unplanned breakdowns, and first-time pass rate should be displayed and discussed in Performance-Driven Teams.

Quality-Focused Workplace

A management approach that prioritizes building a culture where quality is valued and prioritized at all levels.

Management Commitment & Involvement

Management commitment and involvement are crucial for building a quality-focused workplace. It requires dedication from the leadership team.

Employee Involvement

Empowering employees to think and act with a focus on quality in every task they perform.

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Quality at the Source

Addressing quality issues at their source rather than relying solely on quality control checks later in the process.

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Quality Assurance

The practice of making quality checks and improvements throughout the production process, not just at the end.

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Visual Management

Visual management boards are used to display key indicators, track progress, and promote transparency in a quality-focused workplace.

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Prevention over Cure

Focusing on preventing quality issues before they arise is a proactive approach that ensures high-quality outcomes.

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Quality Assurance by Those Involved

The concept that those directly involved in a process are best equipped to ensure its quality.

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Standard Operating Procedure (SOP)

A structured, documented guide outlining the best practices for a specific process, ensuring consistency and quality.

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Continuous Improvement of SOPs

The process of regularly reviewing and updating SOPs to reflect changes in practices, information, or technology.

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Self-Monitoring Quality

The practice of allowing individuals directly involved in a process to monitor its quality, empowering them to make improvements.

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Updating SOPs

The process of incorporating improvements and changes into SOPs to maintain their effectiveness and relevancy.

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Reflecting Changes in SOP

The act of updating an SOP to incorporate a change or improvement that has been implemented.

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Best Current Work Method

A key principle in SOP development, ensuring the method outlined is the most effective known at the time.

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Collaboration in SOP Development

The involvement of both technical specialists and operational specialists in developing SOPs, ensuring accurate and practical guidelines.

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Quality Prevention

Preventing quality issues before they occur is significantly more cost-effective than detecting and fixing them after they arise.

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Quality Control

Quality control is a separate function from quality improvement. It's used to ensure that products or services meet specified standards but doesn't address root causes of quality problems.

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Built-in Quality

Building quality into processes involves empowering teams to proactively improve quality by identifying and addressing root causes of problems, implementing mistake-proofing measures, enhancing process capabilities, and taking swift corrective actions.

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Performance-Driven Teams

Performance-driven teams have autonomy to manage all aspects of quality, which means they have the necessary skills, knowledge, and authority to make decisions without relying on external approval.

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Comprehensive Inspections

The ideal scenario is to inspect every task, as this allows for early detection and correction of any issues. However, it is not always feasible due to resource constraints.

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Client-Driven Quality

In situations where complex quality judgments are necessary, it is often best to involve the next process or client in the decision-making process.

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Immediate Feedback

Providing immediate feedback upon identifying non-conformances helps ensure timely corrective actions and prevents escalation of quality problems.

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What is an SOP?

A formal, written document detailing how to complete a task, including steps, key points, quality checks, and training requirements.

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How do SOPs act as quality aids?

Ensuring that all team members understand the critical aspects of a task to meet quality standards.

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How are SOPs used for training?

SOPs can be used to train new employees and refine the skills of existing team members.

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How are SOPs used for performance monitoring?

SOPs can be used to monitor individual and team performance by providing a baseline for comparison.

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Why are SOPs important for control?

SOPs establish a baseline for the current best process, ensuring everyone follows the same approach.

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How are SOPs used for auditing?

SOPs can be used as documentation for audits, demonstrating compliance and adherence to processes.

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What is a CCR?

A report filed when a client expresses dissatisfaction with a product or service.

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What is an NCR?

A report filed when a product or service deviates from established standards or specifications.

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Non-Conformance Report (NCR)

A written record of a deviation from set standards or requirements.

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Root Cause Analysis

A structured process for identifying and addressing the underlying causes of problems.

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Fishbone Diagram

A visual tool to identify and organize potential causes of a problem.

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Corrective Action

A set of actions taken to correct a non-conformance and prevent its recurrence.

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Action Plan

A structured plan detailing the steps to address a non-conformance, including timelines and responsibilities.

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Trend Analysis

Regularly tracking and analyzing NCRs and CCRs to identify trends and areas for improvement.

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Client Complaint Report (CCR)

A system for collecting, analyzing, and responding to customer feedback.

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Non-conformance and Client Complaint System

A system for managing quality issues, complaints, and non-conformances.

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Time-to-Detect (TTD)

The time it takes to identify a quality problem.

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Time-to-Correct (TTC)

The time it takes to fix a quality problem.

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Mistake-Proofing (Poka-Yoke)

A technique used to prevent mistakes from happening.

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Mistake

A mistake that gets detected and doesn't reach the customer.

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Defect

A mistake that reaches the customer.

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Poka-Yoke

A technique used to prevent defects by eliminating the possibility of making a mistake.

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Self-Inspection

The process of carrying out an inspection on your own work to identify and correct errors before moving on.

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Study Notes

Quality Assurance Module

  • Quality assurance requires understanding, implementation, and maintenance of fundamental concepts.
  • Principles should be studied even if successful implementation of a concept is believed.
  • Chapter covers: measurement of quality, creating a quality workplace, standard operating procedures, client complaints/non-conformance reporting, and mistake-proofing devices.

Measurement of Quality

  • Quality journeys require knowing where to start and focus.
  • Quality measurements are crucial for overall management systems.
  • What can't be measured can't be managed or improved.
  • Good work outputs are the only metrics that matter.

Quality Improvement

  • Quality concerns are often mixed with good and bad, considered as a total output.
  • Quality problems and waste points need identification.
  • Measuring the extent of poor quality is vital.

Root Cause of Errors

  • Quality performance monitoring allows for focused improvement on critical areas.
  • There are easy fix improvements and larger issues requiring more substantial improvement.
  • Continuous awareness through continuous improvement teams (as in module 3) helps.
  • Process quality can be measured in ways such as first-time pass rate and the percentage of process errors.

Quality Focussed Workplace

  • Quality involves everyone.
  • Management commitment to building quality culture and quality-focused workplace is paramount.
  • Deming emphasized management involvement as key for quality excellence.
  • Behaviours of employees need to change towards assuring quality in every process.
  • Quality at source means ensuring quality at production point, not at control point.
  • Visual management (helps quickly detect and address problems).
  • Preventing problems is better than fixing them, cheaper, and easier. Proactive quality control is more valuable.

Quality Control

  • Quality control alone will not decrease frequency/severity of quality issues.
  • Quality control may lead to apathy and so require investment in time, money and effort if better quality is the aim.

Quality into Processes

  • Building quality means understanding and practicing built-in quality and team member responsibility.
  • Teams should continuously focus on improving quality, solving root causes, mistake-proofing processes, and taking quick action.
  • Implement quality controls by examining all tasks performed rather than just sampling.
  • Simplify inspection rather than making it complex and use technology for quality control whenever possible.
  • Difficult judgments should be left to the next part of the process to decide.
  • Feedback is best given as soon as problems arise.
  • The team should have the power to halt the process if required.

Visual Management

  • Visual management helps increase quality awareness.
  • Ongoing improvement is supported through constant visualization.
  • Using visuals in operating areas will help show what is correct or not.

Right First-Time Quality

  • Quality should be managed autonomously by team members.

Standard Operating Procedures (SOPs)

  • SOPs are used to maintain and assure quality.
  • SOPs serve as the basis for continuous improvement.
  • When changes or improvements are proposed, SOPs are the starting point for revision.
  • The best current method known for achieving quality, cost, and delivery time is determined for procedures.
  • Procedures must be current, not static; considering ongoing improvement efforts, and changes to people, materials, or even the environment.
  • Clear criteria including guaranteed ways of meeting quality standards must be adhered to.

Client Complaints/Non-Conformance

  • CCRs/NCRs/CASs are critical components of quality management.
  • Attitudes toward quality improvement are crucial and need a zero defect vision.
  • Non-conformance (against standards) includes internal and external issues with any process/products.
  • Root cause analysis of the problem will help understand its origin to create effective corrective measures.
  • This system ensures problems are handled in a timely manner and prevents issues from being forgotten.

Mistake-Proofing Devices (Poka-Yoke)

  • Mistake-proofing devices are used to prevent defects.
  • They are useful from a process improvement, or quality management perspective.
  • They can be seen as helpful methods for preventing human error, especially in assembly lines.

Measurement of Quality (More detail)

  • Measurement of quality needs to be related to different teams/departments.
  • Specific measurement should be noted. (Examples provided to further specify)

Creating Quality Focussed Workplace (More detail)

  • Specific actions to change mindsets should be identified.

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