Sunday, 21 October 2012

War on Terror and Pakistan

Pakistan witnessed several terrorist attacks in the country after 2001. Medium scale sectarian violence is reported to have existed in the 90’s too which is, itself, alarming news for the security, law and order situation of the country. Once known as the “Land of the Pure”, Pakistan has clearly diverted from its initial ideology through which it sought independence. For a country like Pakistan, where the magnificent Quaid-e-Azam dreamt of peace, prosperity and progress through the underlying principles of Unity, Faith and Discipline in the country, the future now looks grim due to Pakistan being declared as a frontline state (as before in Cold War era). From September 2001 till present, the country’s sovereignty and integrity has been brutally targeted by the American intervention, Indian intelligence under the banner of the Research and Analysis Wing (RAW), terrorist groups hugely concentrated in the North Western part of the republic and none other than indigenous Islamic groups having close alignments and sympathies with the gruesome Taliban and the Al-Qaeda network. US based unmanned spy planes known as “drones” have operated, silently, from Pakistani bases like Terbela and Afghanistan on “special permission” by the government of, then, President General (R) Pervez Musharraf which was continued when Pakistan’s largest political league, the Pakistan’s Peoples’ Party (PPP) won the largest number of seats in the country’s National Assembly (Lower House) and, successfully, formed a coalition with the other crucial political parties in the country like Pakistan Muslim League (Nawaz Group) led by the former Prime Minister of Pakistan, Mian Nawaz Sharif. Also coalition parties like Khyber Pakhtunkhwa (KPK) province based Awami National Party led by Asfand Yar Wali Khan, Karachi based Muttahida Qaumi Movement (MQM) led by Altaf Hussain and the Jamiat-e-Ulama-e Islam (Fazl Group) founded by Maulana Fazl-ur-Rehman, also dominant in KPK, supported Peoples Party’s stance. General (R) Musharraf went on to seek voluntary exile due to abnormal situation in the country due to the assassination of former Prime Minister of Pakistan, Ms. Benazir Bhutto who also headed the Pakistan Peoples’ Party and was a charismatic leader of international repute also known as the ‘Daughter of the East”. Once again, terrorist attack was never ruled out.

Initially, when, Musharraf overthrew the incumbent Nawaz Sharif’s government and declared Martial Law in the country, the interests of the United States of America took a U-turn followed by the collapse of the twin towers and the associated buildings in Manhattan, NY due to plane hijacking by Muslim terrorists. US, hugely, rested the blame on Al-Qaeda, and the world, for the second time, saw Osama bin Laden as the face behind the attacks on the World Trade Centre. Then, the young generation of the 21st Century, were forced to hear a new name “Taliban”. Taliban was a term which was once popular, on a small scale, as being a local Afghan militia, which overthrew the first Afghan government of the 90’s which was riddled with unabated infighting, and set peace in the larger part of Afghanistan by overcoming skirmishes among various ethnic groups. Taliban also brought reforms under its Islamic policies by eradicating the production of heroine, reduction in crime by giving severe punishments to the criminals and oppressors, restricting the woman folk to go in local marketplaces without a veil which further reduced issues related to sensual behaviour in the society like adultery and rape, ensuring Islamic education in its suburbs to the local population. The war veteran Mullah Muhammad Umar is the founder and Amir of Taliban. The Taliban had cultivated excellent ties with Pakistan in the governments of Ms. Benazir Bhutto and Mian Nawaz Sharif. America is not ignorant of the fact that the Taliban and the Al-Qaeda’s leadership comprises of the members who were once trained by CIA, with the help of Pakistan’s intelligence organization, the Inter Services Intelligence (ISI). When the interests of USA changed after the 9/11 attacks, Pakistan, to its utter disappointment, realized that the militia it had once trained, had gone out of control and had gained immense power and influence on military grounds and the moral support of the local populations of the North-West territory. Sympathy with the Taliban also existed, and still does, in a segment of Pakistani society due to the common bonds of Islamic brotherhood and old anti-Soviet jihadi elements. Moreover, there is a public outcry to revisit the strategic ties with the United States.

Anyhow, Musharraf started a series of operations against the Islamic fundamentalists, largely under the pressure of America. The Bush Administration gave more than $10 Billion in aid to Pakistan. Pervez Musharraf was intelligent enough to form an alliance with the US and the Northern Alliance (an afghan based anti-taliban group). The US also compensated Pakistan by, annually, reimbursing $1 Billion to keep Pakistan on track. Sometimes, the aid was temporarily suspended so that the republic took things seriously because a faction of Pakistani authorities was against rooting out militant groups. The wisdom of Islamabad in such a strategic move was due to the fact that economic progress was at stakes. Moreover, Musharraf wanted the defence of the country to be at par with India which has been a perennial threat to Pakistan since the partition of 1947. Pakistan went to war with India in 1948, 1965, 1971, 1999 in which Pakistan achieved some success but had realized that to contain a comparatively bigger power, Pakistan had to overcome its weaknesses, economic hurdles and also to win the confidence of the nation. In a bid to tilt the balance of power in the favour of the Pakistanis, Musharraf knew that American alliance was necessary. However, the major blunder of the Musharraf led regime was that it failed to, properly, assess the situation. Once, Pakistan had supported the Taliban in a bid to maintain its influence in Af-Pak region and keep the Indian Army, operating in Afghanistan, away. The situation further crumbled when the militants took safe havens in the Northern Areas and the Federally Administered Tribal Areas (FATA) of the country. The locals, especially the Sunni sect of Muslims pledged support to the Taliban which, consequently, witnessed a local Taliban militia known as the Tehrik-e-Taliban Pakistan (TTP). Moreover, Musharraf’s army conducted operation on the Lal Masjid also made his government and the, once prestigious, armed forces very unpopular. The permission granted to the US to operate on Pakistani territory also raged debate on all levels ranging from the Parliament to the local streets down to the common man. This “special permission” was regarded as “interference on the country’s sovereignty”. Some defence analysts and a large faction of the society including the bureaucracy and the discontented groups among the Army also feared, and went as far as suggesting, that USA had an eye on Pakistan’s nuclear arsenal. Had United States been a true ally of Pakistan, it should not have developed much better ties with India.

Pakistan has played a vital role in the war against terrorism. It has been a key ally in this war and suffered a lot. Despite its enormous efforts in war against terrorism, Pakistan has been criticized by the US. It is a fact that US cannot win without Pakistan’s help, as 75 present of US/NATO supplies pass through Pakistan and the country has deployed more than 120,000 of its troops in tribal areas. It has lost more than three thousand soldiers in the war against terrorism.

Pakistan has established 1500 checkpoints along the border with Afghanistan, and is the only US ally which has captured or killed more than 700 Al-Qaeda members. Despite all these efforts Pakistan has been blamed for not doing enough.

Additionally, the benefits of this war are still not clear. The American raids in Iraq and Afghanistan might have claimed some success in targeting the top terrorists of Al-Qaeda network but the loss of thousands of civilian lives, destruction of the Iraqi infrastructure, an imbalance in the law and order situation of Iraqi authorities, dampens the original benefits which were to be achieved by wiping out terrorism and making the world a better place to live. Countries like Cuba, Vietnam and North Korea have, successfully, countered American agenda and are still thriving. Other countries like Brazil and Venezuela are on the roads of huge economic progress without American interference. Even Turkey analyzed the situation properly and only extended logistic support to North Atlantic Treaty Organization (NATO) on “limited” scale so that the things which Pakistan faces now would never arise. The catastrophe which Pakistan faced was largely due to little or no bargain by the leadership. For Asian developing countries like Pakistan, it is a must to become hard bargainers when dealing with super powers, a lesson which Pakistan had learned in the Cold War. Just to run after “hot” dollars isn’t enough. The price is paid by the masses. More than 32000 people in Pakistan have died due to the terrorist attacks and, largely, due to standing with America. Now the common man is confused whether this war is “ours or theirs”. Taking an example of Srilanka, which spent nearly three decades fighting off the Indian - backed Tamil Tigers, the Srilankan Army was trained by Pakistan Army. But the Srilankan armed forces dealt with the Tamil Tigers themselves, no America was present at its borders. And eventually, the situation finally settled.

Let me remind the readers here that Pakistan has faced $68 Billion worth of losses due to this war while the US aid up till now stands at nearly $16 Billion. Moreover, in a newspaper, Pervez Musharraf has mentioned that “had I not formed an alliance with America, the US would have formed partnership with India and would have handpicked Pakistan’s nuclear assets. Further, it is possible that Pakistan would have been wiped out of the world map because American mood was WAR.” War on Terror is an interesting, yet, very confusing topic, a debatable scenario where the gulf of opinion and criticism is a very wide one. It is a fear driven war where pros and cons are less important than the interests of the super powers involved.

The recent assassination of Osama bin Laden in Abbottabad by the US Navy SEALS has mounted more pressure on the defence sector of the Islamic Republic of Pakistan. Pakistani cricketer and politician Imran Khan, still, calls for a political solution to the problem and bitterly criticises the presence of NATO on Afghan soil as being the sole reason Pakistan is facing the bitter fate of her involvement in this US led war. Pakistan is facing a threatening economic situation, slow or negative industrial growth, corruption at its peak, loss of thousands of lives due to terrorist bombings etc. To counter such an aggravating scenario, a good leadership is the need of the hour. No doubt, Pakistan has been a true ally of the US and has withstood major losses without complain. The US must realize this! If Pakistan wants to control the situation and end the war in its favour, the North Waziristan and Wana area should end fighting. This is only possible if the leadership makes the first move. Secondly, the borders of the Durrand Line need to be sealed. Pakistan needs to, again, divert its 150000 army towards the eastern borders to maintain the balance of power in the region. The Indians are enjoying the show, seeing its enemy collapse on its own! This must be stopped if Pakistan wants to prosper. Moreover, Osama’s presence in the country is not clear. There is no footage of his dead body and the so-called funeral and dumping of his body in the Arabian Sea casts doubt on the validity of Osama’s presence. We can consider this propaganda against us. India is also mounting diplomatic pressure on us. Moreover, Indian economy is growing rapidly which is again what Pakistan doesn’t like. The level of contentment of our neighbour is clearly indicated due to the peace in its territory unlike ours where the law and order situation is very futile. Indian Army and intellegencia is operating in Afghanistan, building infrastructure and providing electricity to Kabul and its suburbs, educating the masses, setting up relief camps and channelling charity to the Afghan population; all in a bid to increase the Indian Influence. ISI is not unaware of this. It is always best for a nation like us to seek a middle way out but the incumbent leadership fails to do so due to its puppet nature and weak stance on matters of foreign policy.

I would like to add here that this “WAR ON TERROR” is different than the conventional wars. This is not a war of weapons. It is a war of communication and information technology. Al-Qaeda is a very organized group. Take a look at its top two leaders. Osama was a civil engineer, Aiman-al-Zawahiri a surgeon. It is pertinent to take note that these two were once allies of USA. USA ignores that blood is thicker than oil. The attacks on humanity just for the sake of supremacy always bounce back. This has been proven in the history of the globe. Afghanistan is a strategic place, no doubt. But for that, one has to pay the price. An English general once remarked that when invading Afghanistan, first make a retreat plan. War on Terror, in general, can be rightfully considered as another move to assert US dominance in the world. But this time, there are problems within America. The economic growth has slowed down and the world is witnessing the emergence of new global stakeholders like the Peoples Republic of China, India and Brazil which are also the largest holders of Federal US currency in their respective reserve banks. USA now needs to reassess the situation and end this war on a fairer ground, otherwise, America and its NATO allies may face a far embarrassing defeat than the one witnessed in the Vietnam War.

The solution to end this disastrous war calls for immediate withdrawal of NATO from Afghanistan, peace settlement with the tribal areas and the Pakistani authorities, a political solution with the militant groups and calling for “slow” weapon disarm. In the name of humanity, such measures will prove helpful for Pakistan as well as for India. If Pakistan doesn't get close to turmoil, it will desire to live with peace and establish good ties with India and call for a political situation in the disputed territory of the State of Azad Jammu and Kashmir. Moreover, India needs to avoid its conventional, stubborn attitude in its diplomacy to reap benefits as a growing superpower in Asia. Pakistan is a key player and an important member of SAARC and can also serve as the controller to initiate and maintain the peace process in the world due to its strategic location on the World Map. For such issues to be kept in mind, the solution to humanity is PEACE.

The important factor here is security. PNS Mehran incident is the latest one in Pakistan where insurgents attacked a naval base in Karachi and destroyed 3 PC3 Orion planes. If such incidents keep on continuing, the whole structure of the most important ally of USA in its War Against Terrorism can dismantle. Therefore, Pakistan needs to strengthen its defences and improve its intelligence network which is now being overwhelmed and outnumbered by the intelligence sharing policy of CIA and RAW. These events cast doubt to the apparent fact of friendship with USA. Is USA really our friend? Or is it an enemy in disguise? Was there really a need to react so massively to the 9/11 attacks? Who is Osama bin Laden? Is he dead or alive? Does he exist now or is he just a face, a pretext to destroy the Muslims of the World?

So many questions arise in one’s mind and this War on Terror analysis drives people (including me) schizophrenic! But, conclusively, this war needs to end on fairer ground. Mediation efforts should be started and a political solution to the problem be made in order to save the whole world from the dangerous network of terrorism. Otherwise, we will eventually realize that we are destroying ourselves.

Review of Press and Publication Ordinance of 1963


This ordinance was passed in Field Marshal Ayub Khan’s regime. Power was granted to a district magistrate for the declaration purpose of a newspaper after a personal interview with the applicant. The reason behind channelizing the process was to ensure that the newspaper owner had enough financial resources. To ensure the following of rules of media and its ethics, this ordinance also intended to ensure that the newspaper editor had reasonable command on journalism. To ensure the protection of Pakistan’s interests, the declaration was liable to be rejected. However, if we review this critically, such a move was dominantly intended to safeguard the interests of the government at that time. Ayub Khan was vigilant and wise enough to understand the potential power media had. One cannot ignore the power of media!

The salient feature which said that “no foreigner shall be allowed to own or hold a newspaper until by special permission from government. If permitted, the foreign owner still cannot hold more than 25% of the entire proprietary inserts.” I, personally, believe that this feature wanted the protection of Pakistan’s international interests on a serious basis.

To further control the activities of Press, the Speaker(s) of National and Provincial Assemblies were given power to forbid publications whenever deemed necessary. This act gave immense power to the assemblies by helping them only project what they intended to. The government, through Press and Publication Ordinance of 1963 gained immense power over the Press!

A good measure to curtail the activities of Press was the issuance of the list of 15 offences under Section 24(1). This helped in controlling the Press from the ethical point of view. Journalists could not adopt an aggressive approach. To further help the government and the Press regarding the transparency issue, financial accounts were to be maintained by the publishers and printers. This move helped the Press as a whole to overcome financial crisis.

A very good step taken in PPO was the imposition of penalties by law if the newspapers missed/omitted the features of what paper publishing news should contain. If print line wasn’t published, fines were levied to the newspaper. This was done to ensure uniformity in the pattern of newspaper printing among all newspapers. Keeping the press without declaration was illegal and false statements in the declaration were disallowed in order to achieve the supremacy of law.

From a critical point of view, the ordinance was intended to channelize the workings of the Press. However, from the implementation point-of-view, such measures had a certain degree of failure too. The reason behind that is that in 1963, Pakistan was in an infancy stage of development. The literacy rate of the country was very low. People had little know-how about what happened around the country due to lack of technological development and effective means of communication. Moreover, the government had stressed on accountability while the Press wanted freedom of speech. If a midway would have been found, our media would have been much better than it is now. If the concept of an accountable freedom of speech could have been enforced, things would have presented themselves from a unique angle. The journalists at the time who were strong supporters of democracy were, obviously, opposing Ayub Khan’s military rule. So, the issuance of ordinances, even if intended for a good purpose were generally perceived as an attack on the freedom and independence of media as a whole. This perception still exists with modifications. However, this ordinance on the brighter side provided a deep-rooted framework in the working of the media organizations and successful media owners adopted and conformed to such policies.

Interview of a Crime Reporter of Geo TV


Interview Report

Interview Team
Salman Jamal
Imran Mehmood
Qurrat-ul-Ain
Hira Khurram (not present at Interview)
Komal Quddus

Reporter Name: AHMAD FRAZ (CRIME REPORTER)

Salman: Briefly introduce yourself

Reporter: My name is Ahmad Fraz and I am a crime reporter for the last 22 years. I started my career from “Khabrein” newspaper. At that time, print media was a dominant force in Pakistan. But in 2002, when electronic media gained scope, I switched over and in electronic media I have been working up till now since 2002.

Salman: How do you feel about your successful transition from print media to electronic media?

Reporter: I claim that print media is much easier to handle (for a reporter) as compared to electronic media. The reason behind this is the swiftness which is present in electronic media. We have to work tirelessly in electronic media. But in print media, things are (and were) easier because meeting deadlines were easy and we just had to submit our reports in the evening through fax. The time we spend (in electronic media) on field is a lot and much more time is spent in the office where our scripts have to be written and things have to be edited and then presented on TV.

Salman: If (you are terming) electronic media is more difficult than print media, then what is the “charm” which still keeps you intact here in electronic media?

Reporter: Good question! Actually, print media’s salary structure is weak. As compared to that, “salary” which is the basic pulling factor, has a better salary structure in electronic media. Incentives and allowances are good.

Salman: What are the challenges faced by a reporter who is struggling in this field as a newbie? Be very brief! Narrate down some possible solutions.

Reporter: You are basically talking about a reporter. A reporter is that person who can report things efficiently and accurately, who has links and good public relations. A person who has good links with people can easily extract necessary information and report this information effectively. A reporter who works for a newspaper organization or a news channel on TV (all over the world) is, no doubt, an ambassador of the news organization. If I report something through a telephonic conversation, the office won’t counter check me. They will believe on me. The basic challenges are not that difficult to counter. Meeting deadlines is important. And you have to be punctual. Reporter must have good writing skills!

Salman: How do you meet your deadlines?

Reporter: We have deadlines every day. At 8 in the evening, we have to file our reports so they can be on aired timely. No matter what we cover, whatever assignment we are on, 8pm is the submission time every day 24/7, 365 days a year.

Qurrat-ul-Ain: 8pm? So you have to meet your deadlines without a relaxation?

Reporter: No relaxation! If I am assigned something, I have to do it on time. TIMELINESS IS THE KEY!

Salman: Have you always been a crime reporter?

Reporter: Yes! My beat of reporting has always been crime. I have reported a lot of incidents for the last 22 years.

Imran: Sir, you must have faced a lot of problems in crime reporting because this is a sensitive issue and reporters get threatened. How has been your experience?

Reporter: It is a challenging field. While reporting on criminal issues, I have had many experiences where I have been threatened. Once, on my way to Balochistan, I was caught by tribal leaders and they forced me to sleep in our car and after a lot of negotiation, they set me free. There are many other incidents and the list is very long. We have to collect information. Information is hidden from us. There are fights too. Abuses are also hurled at us. But we have to be patient and abstain from conflicts and finish up our deadlines.

Imran: How did you find your experience in Khabrein?

Reporter: Khabrein is a small organization. I love working at Geo.

Imran: This career of reporting must have brought changes in your personality. If you want to share, please do not hesitate to do so.

Reporter: I get angrier now as compared to in the past.

Qurrat-ul-Ain: Why?

Reporter: The work here is fast. People here turn into stress freaks and caffeine addicts. (It) Involves lots of stress. Sometimes, I even have to miss the meals!

Salman: Lets wind the clocks back 22 years. How were your first 30 days?

Reporter: I used to have a cycle. I had to travel to different locations on the cycle. And that was a really tough job. I completed my BA and MA from University of the Punjab while working in this field of reporting.

Komal: Sir, where do you see yourself after 1 year?

Reporter: I see myself in the United States of America. Working over there is easier.

Komal: Any particular thing that you feel you wanted to do but couldn’t get the time and means?

Reporter: Yes! I want to interview Daud Ibrahim. And then I will feel that I have fulfilled the right of crime reporting.

Interviewing Team: Sir, thank you for giving your valuable time.

Reporter: You welcome!

Laptop Scams in Punjab, Pakistan


The General Elections to the National and Provincial Legislatures are nearby. Obviously, all the political parties are interested to gain maximum mandate from the masses in Pakistan which one can call as “jostling for power”. Talking about Punjab, two parties have a notable agenda that differs from each other. This has created a political “parting of the ways”. Keeping biasness away from the context of this specific blog post let me elaborate the true facts regarding the distribution of laptops by the Punjab Government led by the Pakistan Muslim League Nawaz (PML – N) to the students of public sector universities. Thankfully, there has been transparency in the distribution of laptops to the students. But when it comes to digging the facts, one gets shocked! The first issue I want to discuss is the fund allocation for such an expensive project. It has been revealed on print and electronic media that our provincial primary education will suffer because a large percentage of funds were diverted from the primary education budget for buying and distributing laptops to students. I will not quote exact figures. You can research that yourself for the time being because figures can get controversial and I do not want to give a projection of myself as being aligned to any particular mindset or school of thought.

The second issue that needs to be highlighted is the specifications of the laptops. Initially, the laptops came with 4 GB of RAM and i3 Processors with the Operating System as Microsoft Windows 7. But when the students received the laptops, the laptops had 2 GB of RAM and Intel Pentium 2.2 GHz Processor with Linux Ubuntu as the Operating System. This shows that there has been a massive scale corruption. When I discuss this issue in a gathering among my friends having taste for politics, the N League supporters term it as a propaganda against them by Pakistan Tehrik – e – Insaf and Pakistan Peoples’ Party. Other N league supporters laugh out by saying: O yaar laptop to mil gaiy naa (O man, at least you guys got laptops). Somewhat similar sort of ignorance is seen among students who are content with what they have got. For them, getting a laptop is a big achievement regardless of how they got it and who were made to suffer for this cause. It has been a bad example somewhat similar to Capitalism in the country where the educationally deprived primary school students will suffer due to this laptop affair. In a developing country like Pakistan, economic growth is necessary. But life is not always about economics. Ethics also play an important role in society. Honesty and sincerity count satisfactorily better than money provided the ones at the verdicts’ end are men of God and naught of the Lairs of the Devil.

My point here is: THINGS MUST BE DONE THROUGH EQUALITY. Primary education is the specific educational window which is lagging behind in Pakistan. By this laptop scheme, primary educational system may succumb to further deterioration due to paucity of funds. The youth must wake up and come out of this luxury of laptops and ask for a better treat where laptops should be given but in a fairer way so that everyone gets the equal right to good education and the laptop product should be in the way they were imported.

THINK! I will be looking forward to your comments and suggestions! Thank you!

Monday, 30 April 2012

Establishing Hospital Quality Assurance Programs


Establishing Hospital Quality Assurance Programs
·         A comprehensive definition of hospital quality assurance would be as follows. The maximum achievable result for every patient, the prevention of iatrogenic (physician-induced) complications and expert attention to the patient and the family in a manner that is cost effective and well documented.
Traditionally, doctors have always enjoyed a great deal of freedom in their practices. Till some time back, the techniques for monitoring and assessing the quality of care they provided in the hospital were based on internal peer reviews. But with the growth of consumer awareness movements, public concern of health care priorities, governmental concerns about rocketing healthcare costs, new hospital accreditation guidelines and financial constraints of health institutions, hospital quality assurance has become compulsory for hospitals to project the quality of care, they provide.
Role Of Medical Staff In Quality Improvement Programs
Physicians and hospital administrators now face the challenge of setting up vigorous and comprehensive systems of quality monitoring. In addition, they must also know how to avoid incidents that inhibit the implementation of such quality systems. Evaluation is especially important to detect and rectify - as early as possible - any negative result of the introduction of new measures to cut down costs.
Implementation of quality enhancement program in a hospital does not imply that a foreign authority specialized in hospital quality assurance has been authorized to challenge the professional decisions of physicians or administrators. It also does not signify the introduction of yet another bureaucratic policy that would divert attention, time and energy from the most important duty of caring for patients. In reality, quality monitoring simply refers to the systematic documentation and analysis of specific activities in the health care industry. In fact, the conformance of a hospital to quality standards is a true reflection of the overall quality of care they provide.
In spite of good intentions of quality checking, there are plenty of internal factors that impede the implementation of hospital quality assurance policies. For instance, some clinical and administrative personnel are still reluctant to summarize and document discussions held during death reviews or medical rounds due to potential legal complications. Obviously, if hospital quality management has to achieve its defined goals of identifying and rectifying issues and improving the quality of care, the personnel must feel comfortable with documenting evaluation activities.
The success of all hospital quality programs depend on the interest and commitment of the administrators, physicians, nurses and paramedical staff. A lack of interest is far more damaging than any technical error in the evaluative process. Thus coordinators of hospital quality assurance courses must select strategies that evoke interest and commitment and does not burden the staff with activities they do not believe in.
Towards Effective Implementation Of Quality Programs
The hospital administration must understand that quality monitoring activities are an indispensable part of quality management goals. Therefore adequate personnel and financial support must be provided to ensure training of the medical staff in matters of quality guarantee. Ideally, quality monitoring activities must be seen as routine exercises to be performed with dedication and diligence and not as burdensome tasks that have to be carried out since it has been made compulsory.
Hospital quality assurance activities extend beyond the usual sources of information like medical charts or service records. With additional sources – like resource allocation, rates of utilization and results of consumer surveys that provide insight into the broader dimensions of medical care, it is possible to enhance the value of these quality programs.
Valuable Guidelines For Quality Assurance Checklists
·         Every company relies on quality assurance checklist to effectively track, examine and verify all quality enhancement programs before, during and after implementation. Such a checklist is meant to provide business owners, project designers and other employees with valuable guidance in determining and planning all quality monitoring activities within the company. The checklist includes quality checking activities to be implemented throughout the product lifecycle.
The basic objectives of quality checking programs include providing the management with the necessary data that informs about the product quality and verifying that the products conform to specified standards and requirements. To fulfill these objectives and other quality standards of the company,quality assurance checklist
primarily involves the following activities
o    Periodic review of the quality activities by the senior management
o    Regular review of the quality activities and products by independent quality professionals
o    Identifying, documenting and controlling deviations in quality activities

Requirements For Checklist Documentation
Here are some of the important documents included in a checklist and the vital documentation procedures that a company has to fulfill
o    Quality Manual – This document includes comprehensive details related to the quality management system of an organization. It defines each procedure, process, expectation and justification if there are exclusions for a procedure. It also describes how the quality assurance checklist can help the organization monitor its records and management reviews. Generally, the quality manual - that can be either in a hard copy or soft copy form – provides a guarantee that assurance of quality has been achieved.
o    The complete list of documented activities – This document helps define the appropriate measures to create, implement, endorse and review the quality processes included in the system.
o    Records regulation – The regulation or control of records in an organization is necessary to establish that it satisfactorily conforms to the defined procedures. Since it helps determine and confirm if the quality programs in QA checklist are still effective, records regulation is an important aspect of the checklist.
o    Management responsibilities – This record is a declaration of the company commitment to quality as well as a reference to their role in implementing quality management policies. It includes planning, communication - both external and internal - and customer focus. It also describes the responsibility and authority rules established by the management.
o    Human resources – This aspect of the checklist deals with the personnel who are involved in the quality programs of the organization. It also establishes the qualifications required by the personnel to be able to ensure the competence specified in QA checklist . This section of the checklist also details the necessary education, skills, training and work experience required of each employee in order to efficiently carry out quality improvement tasks.
o    Product realization – This is another significant component of the checklist that details the processes involved in manufacturing a product. Since product realization must fulfill the criteria included in the quality manual, it is a very useful guideline during the design and manufacturing process. If any deviations are found, the product will be classified as non-compliant.
o    Measuring the outcome – In this part of the checklist, the organization offers evidence of performance in QA checklist activities - including how they assess, analyze, amend and advance their quality processes. This analysis of the actual outcome also shows how much the company conforms to the quality management system. This document must be able to provide proof of compliance in an easy-to-follow format such as statistical data.
Are Quality Control and Quality Assurance The Same
·         Most people use the two terms quality control and quality assurance synonymously to refer to the same concept. While on the face of it, it sounds okay but in effect, this is an incorrect tendency that points at an inadequate understanding of quality management systems and processes.
Here is the explanation of the two quality processes, their differences and the importance of understanding these differences.
All About Quality Control
Definition
Quality control is a failure detection system that uses a testing technique to identify errors or flaws in products and tests the end products at specified intervals.
The main issue of using this system is that if the products are not subject to tests at regular intervals, the cost of tests will outweigh the benefits to the company.
Processes
Quality control and assurance feature entirely different tasks. The processes of quality control involve calibration, sampling and documenting reviews.
Who Does The Job
Quality control tasks are usually carried out by experts who are directly involved with the design, research or manufacture of a product. A quality monitoring professional just has to report to his department – no further.
Functions Of Quality Control Software
With a web-based system, quality control software helps automate all electronic tests and checks. Such checks include automatic distribution of training exams, customer complaint documentation and record keeping of documents or electronic forms related to QC and QA processes.
All About Assurance of Quality
Definition
Assurance of quality is a failure prevention system that predicts almost everything about product safety, quality standards and legality that could possibly go wrong and then takes steps to control and prevent flawed products or services from reaching the advanced stages of the supply chain.
Processes
Quality guarantee processes involve implementing real-time quality checks in every department of the company like designing, research, manufacturing and marketing.
Who Does The Job
Unlike quality control tests, assurance of quality tests are conducted by third party quality monitoring companies or corporate administrators. This is a major difference between quality control and quality assurance .
Functions Of Quality Check Software
Quality software offers tracking and analytics features. The most important requirement of quality monitoring software is the flexibility to be customized according to the specific needs of the client.
Distinguishing Quality Control From Assurance
It is very necessary to treat quality control activities as different from the tasks of assurance of quality due to the following reasons
o    A product that is subject to regular quality control checks will not be entirely successful if the assurance processes that monitor the tests are not efficient.
o    Another important fact is that QC and QA tasks must not be assigned to the same person. Since the activities of quality monitoring maintains a smooth progress of quality control functions, delegating these two jobs to one person will result in a conflict of interest.
o    It is often found that while some companies concentrate more on quality control, others focus mainly on assurance of quality. For efficient running and quality products, both these processes must be subject to proper evaluation and management.

To ensure a solid foundation for a well-managed and regulated company, it is essential to understand why it is important to implement quality control and quality assurance activities and how these activities can be successfully accomplished.
Quality Assurance Consulting To Enhance Systems
·         Based on the needs of an organization, quality control consulting firms analyze and estimate the existing quality system before offering recommendations or guidance to implement a streamlined quality monitoring system. This ensures a better position in the marketplace for the organization that is able to adopt operational enhancement strategies to foster competitiveness and guarantee long-term success.
Regardless of the size of an organization, quality improvement systems are able to offer the resources and support to achieve and maintain nationally accepted codes of practice. These quality improvement resources are designed to boost customer satisfaction while creating an environment that optimizes operational performance. Quality monitoring strategies and practices are founded on the principles of real-time quality assurance consulting , total quality management and Lean Enterprise.
Quality Programs To Enhance Operational Efficiency
With the exponential increase in market competitiveness in the last decade, there has been an ever-increasing demand for operational excellence. That means, the modern economy cannot afford to bear additional operational costs due to lack of planning or inefficient practices. This is where the significance of quality improvement programs comes in.
Quality enhancement programs use engineering analysis, customer loyalty strategies and principles of Lean enterprise and Total Quality Management to effectively strengthen the quality practices of small and medium enterprises. No wonder more and more organizations are turning to quality control consulting companies after realizing how quality consultants can help them attain outstanding benefits in overall performance. Numerous organizations in local government, financial services, healthcare, education, real estate and construction are now eager to implement these strategies to streamline their entire operations and satisfy customer expectations.
Functions Of Quality Consultants
Some of the major tasks undertaken by quality consultants are as follows
o    Quality professionals aid in the implementation and execution of nationally recognized standards of quality.
o    Quality experts are specialized in establishing a systematic approach towards investigating and identifying the root cause analysis and then effectively acting on the results to properly manage the corrective action system of the organization.
o    Quality control consulting companies aid in evaluating the degree of compliance between the established quality standards and the current quality improvement system of the organization.
o    Quality checking professionals are skilled in creating the right audit plan for an organization and then performing pre-certification audits or internal audits either of specific processes or of the entire quality system.
o    In addition to undertaking internal audits, quality monitoring experts also offer guidance to address improvement issues identified by a third-party company, a regulatory agency or a customer.
o    Quality checking professionals provide valuable assistance in developing documents that are compliant with the particular quality control system.
o    Quality consulting experts also evaluate if the quality control policies and procedures of an organization are being implemented in the right manner.
o    Quality management specialists offer documentation services to simplify the process of collecting, developing and composing policies and procedures that adhere to established standards of quality management.
o    Quality experts evaluate records and establish a quality process to monitor if the quality management system is functioning as effectively and efficiently as it should be.
o    Another beneficial service is correction of documents that do not conform to quality standards. Quality professionals aid in restructuring documents so that they meet recognized standards of quality.
o    Quality control consulting services may also include support of audit registration. This is a crucial step that ensures that the company stands a good chance of receiving quality certification.

Quality Control vs Quality Assurance – The Difference Between Them

·         Many people including some quality professionals do not know what quality control vs quality assurance is. Both these terms are often used interchangeably. However, both terms are different in meaning as well as purpose.
Given here are main points of quality control vs. quality assurance
Approach
Quality guarantee or assurance is based on process approach. Quality monitoring and its assurance ensure that the processes and systems are developed and adhered in such a way that the deliverables are of good quality. This process is meant to produce defect-free goods or services which means being right the first time with no or minimum rework. Quality control is product-based approach. It checks whether the deliverables satisfy the quality requirements as well as the specifications of the customers or not. Depending upon the results, suitable corrective action is taken by quality control personals.
Sequence
One of the major points of quality control vs. QA is that assurance of quality is done before starting a project whereas the quality control begins once the product has been manufactured. During assurance of quality or monitoring process, the requirements of the customers are defined. Based on those requirements, the processes and systems are established and documented. All this is done to ensure that the requirements of the customers are met stringently. After manufacturing the product, the quality control process begins. Based on the customer requirements and standards developed during the quality guarantee process, the quality control personal check whether the manufactured product meets all those requirements or not. So, assurance of quality is a proactive or preventive process to avoid defects whereas quality control is a corrective process to identify the defects in order to correct them.
Activities
Most activities falling under the purview of quality guarantee or its assurance are performed by managers, customers, and third party auditors. These activities include process documentation, establishing standards, developing checklists, conducting internal audits, conducting external audits, failure mode effect analysis and training. Engineers, inspectors, and supervisors on the shop floor perform quality control activities. Their activities include performing and receiving inspection, final inspection, in-process inspection etc.
Interdependence
Both, quality control and assurance of quality are largely interdependent. The quality guarantee department relies mostly on the feedback provided by the quality control department. For example, if there are recurrent problem with the quality of the products, then the quality control department provides feedback to the quality monitoring and assurance personnel that there is a problem in the process or system that is causing product quality problems. Then the assurance of quality department determines the root cause of the problem and then brings changes to the process to ensure that there are no quality issues in future. Similarly, the quality control department follows the guidelines and standards established by assurance of quality department to check whether deliverables meet the quality requirements or not. Hence, both these departments are essential to maintain good quality of the deliverables.
Although both quality control and quality guarantee are different processes, but because of their strong interdependence, it becomes difficult to pin point the differences between the two. In fact, there is a very thin line that separates the two functions. Moreover in some organizations, one department performs the functions of both. All this leads to confusion between quality control vs quality assurance . 
Key Aspects of Quality Assurance Quality Control
·         Today, quality assurance quality control is a proven management concept that is intended to enhance organizational functions - like design, finance, engineering, production, marketing and customer service - to fulfill organizational objectives and customer expectations. Quality programs consider a company as an integrated collection of processes. Therefore, quality-monitoring programs maintain that companies must continuously endeavor to improve these processes by enhancing the knowledge and experience factors of its employees.
Quality checking activities have a simple objective - to consistently do things right, the first time. Although these activities were originally limited to manufacturing processes, more and more companies in various industries are now recognizing the significance of quality assurance quality control as an effective management tool equally applicable in public sector and service organizations. Different industries continue to create their own versions of quality programs from a common concept.
Important Activities
To successfully implement quality systems in an organization, it is crucial to focus on 8 key aspects. These are integrity, ethics, training, trust, leadership, teamwork, communication and recognition. All these aspects must be practiced by all personnel in departments like R&D, engineering, manufacturing, HR, sales, marketing and purchasing.
Quality systems constitute the foundation for many activities in an organization. Some of these activities include
o    Implementing all policies of quality assurance quality control related to meeting customer expectations
o    100 percent commitment from all the employees, including the senior management
o    Adopting measures to reduce product and service costs
o    Ensuring reduction in development cycle time
o    Empowering just-in-time improvement teams
o    Integration of strategic planning
o    Ensuring focus on improvement plans and vital processes
o    Meeting challenges of benchmarking and defined goals
o    Involving and empowering staff in the quality programs
o    Streamlining the smooth functioning of quality systems
o    Confirming ownership of line management
o    Recognizing and celebrating achievement of quality-related goals

Advancing By Minimizing Errors
The basic objective of quality assurance quality control is to ensure continuous enhancement of all processes in an organization from top-level decision-making and strategic planning to accurate execution of work on the shop floor. By avoiding mistakes and defects, quality monitoring continues to improve employees, processes, technology and capabilities.
The central idea in quality improvement is that although people make mistakes, most of these errors actually stem from faulty processes or systems. Once such flawed systems are identified, the occurrence of errors can be reduced or even eliminated through preventive measures that include
o    Preventing errors from occurring through mistake-proofing
o    Preventing a flawed product from passing down the quality assurance quality control chain through inspections at various levels
o    Stopping the production process until the defect is identified and corrected

Significance of Current Reality
The current reality of an organization relates to the history, current position, new quality processes, employee skill level and overall proceedings within the organization. In case the current reality does not seem favorable, the implementation of quality monitoring processes must be delayed until the situation changes into one in which quality processes are likely to succeed.
If a company has a track record of impressive responsiveness to quality enhancement policies, it is a good candidate for quality control policies. Such a company that is able to change its operations according to changing needs obviously responds better to quality measures and thus reaps higher profits.