Dissertations / Theses on the topic 'Quality performance measurement'
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Choisne, Franck R. (Franck Remi Didier) Carleton University Dissertation Management Studies. ""Performance measurement for total quality management."." Ottawa, 1994.
Find full textMacDougall, James Clark. "Performance contracts and quality management : an integrated view." Thesis, University of Stirling, 1993. http://hdl.handle.net/1893/2148.
Full textBellingan, Werner. "Improving the service quality of a civil consulting engineering firm through benchmarking." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/743.
Full textEspinoza, Omar A. "Quality Measurement in the Wood Products Supply Chain." Diss., Virginia Tech, 2009. http://hdl.handle.net/10919/37791.
Full textPh. D.
Turner, Jeffrey L. "A correlation between quality management metrics and technical performance measurement." Thesis, Monterey, Calif. : Naval Postgraduate School, 2007. http://bosun.nps.edu/uhtbin/hyperion.exe/07Mar%5FTurner.pdf.
Full textThesis Advisor(s): John Osmundson, J. Bret Michael. "March 2007." Includes bibliographical references (p.129-130). Also available in print.
Axelsson, Mattias, and Johan Sonesson. "Business Process Performance Measurement for Rollout Success." Thesis, Blekinge Tekniska Högskola, Avdelningen för programvarusystem, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-2920.
Full textVikten av förbättringar i affärsprocesser i syfte att öka produktkvaliteten i mjukvaruindustrin ökar stadigt. Kvalitetsansvariga i industrin behöver effektiva och påtagliga verktyg för beslutsfattande i utvecklingsprojekt och för lokalisering av förbättringsområden. Mätningsprogram är en utbredd ansats för kvalitetsförbättring i mjukvaruprocesser men användning av heltäckande kvalitetsmodeller är resurskrävande. Dessa fokuserar inte primärt på mätpunkter vilket blottar behovet av en snabb och direkt teknik för identifiering och definiering av mätpunkter i projekt som saknar resurser eller behov av heltäckande mätningsprogram. Denna uppsats undersöker och jämför rådande kvalitetssäkringsmodeller med mätpunkter, vilket resulterar i Measurement Discovery Process utifrån valda delar av PSM- och GQM-modellerna. Processen appliceras på ett industriellt projekt med nämnda förutsättningar, vilket skapar en uppsättning mätpunkter som sedan utvärderas. Detta ligger även till grund för utvärdering av Measurement Discovery Process. Appliceringen och utvärderingen av processen synliggör dess generella applicerbarhet på projekt med liknande begränsningar såväl som vikten av formella processer i målprojektet och omfattande domänkunskap hos de som implementerar mätningarna. Measurement Discovery Process är föremål för framtida förbättringar men samtidigt ett tydligt steg mot snabbt framtagande av konkreta prestandamått för kvalitetsförbättring i affärsprocesser.
Mattias Axelsson: +46 708 67 53 81 Johan Sonesson: +46 709 72 74 30 / +46 40 12 48 03
Hamali, Jamil. "Quality management systems and performance measurement in a public sector organisation." Thesis, University of Salford, 1999. http://usir.salford.ac.uk/14762/.
Full textBasic, Selma. "Developing process quality measurement in shipbuilding industry." Thesis, Blekinge Tekniska Högskola, Institutionen för industriell ekonomi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-18887.
Full textSherikar, Amruth, Suresh Jange, and S. L. Sangam. "Performance measurement of quality services in academic and research libraries in India." School of Communication & Information, Nanyang Technological University, 2006. http://hdl.handle.net/10150/105669.
Full textNajmi, Manoochehr. "An integrated framework for post-ISO 9000 quality development within manufacturing organisations." Thesis, University of Liverpool, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.366401.
Full textLapré, Frederik Albert Ludwig. "Service quality in nursing homes : a construct, measurement and performance model to increase client focus." Thesis, University of Bradford, 2012. http://hdl.handle.net/10454/5773.
Full textOsman, Ismail I. "Performance measures for contracting companies : a study of the Arab Contractors Company." Thesis, Loughborough University, 2002. https://dspace.lboro.ac.uk/2134/6812.
Full textKollberg, Beata. "Performance Measurement Systems in Swedish Health Care Services." Doctoral thesis, Linköping : Department of Management and Engineering, Linköpings universitet, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-9302.
Full textGutierrez, Alcantara Flor Monica. "Building a performance measurement internal auditing framework for the ISO 9001 quality management system." Thesis, University of Nottingham, 2013. http://eprints.nottingham.ac.uk/13353/.
Full textChoinière, Denis. "Zeolite in pig diet : effect on growth performance and air quality." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0028/MQ50736.pdf.
Full textSastry, Padma. "Measuring multidemensional performance attributes: method and application to measurement of service quality of local telephone companies." The Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=osu1147824579.
Full textNair, Dev. "State Medicaid Agencies Approaches to Quality Improvement: Implications for Policy, Practice and Health Outcomes." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/iph_theses/59.
Full textCaroli, Vivek. "Development of a measurement-based approach for monitoring the changes in an evolving quality management system." Thesis, This resource online, 1994. http://scholar.lib.vt.edu/theses/available/etd-05042010-020330/.
Full textGhosh, Aloke Kr. "Towards design and implementation of an approach on CMM (Capability Maturity Model) for the quality performance measurement of manufacturing industries." Thesis, University of North Bengal, 2003. http://ir.nbu.ac.in/handle/123456789/3635.
Full textBeange, Kristen. "Validation of Wearable Sensor Performance and Placement for the Evaluation of Spine Movement Quality." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38698.
Full textShakoorian, Amirali. "Performance Assessment of Building Commissioning Process as a Quality Assurance System." Diss., Georgia Institute of Technology, 2006. http://hdl.handle.net/1853/10534.
Full textHorná, Klára. "Hodnocení výkonnosti vybraného podniku podle modelu Start Plus a návrhy na zlepšení." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2018. http://www.nusl.cz/ntk/nusl-377583.
Full textSastry, Padma K. "Measuring multidemensional performance attributes method and application to measurement of service quality of local telephone companies /." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1147824579.
Full textWang, Tianjin. "A service quality model matched by a customised instrument for measurement of retail service sector performance." Thesis, University of the West of Scotland, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.388216.
Full textMuharrem, Firat Yilmaz. "Six Sigma within Construction Context : As a Quality Initiative, Performance Indicator/Improver, Management strategy." Thesis, KTH, Fastigheter och byggande, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101095.
Full textNolte, Ernst Hendrik. "Image compression quality measurement : a comparison of the performance of JPEG and fractal compression on satellite images." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51796.
Full textENGLISH ABSTRACT: The purpose of this thesis is to investigate the nature of digital image compression and the calculation of the quality of the compressed images. The work is focused on greyscale images in the domain of satellite images and aerial photographs. Two compression techniques are studied in detail namely the JPEG and fractal compression methods. Implementations of both these techniques are then applied to a set of test images. The rest of this thesis is dedicated to investigating the measurement of the loss of quality that was introduced by the compression. A general method for quality measurement (signal To Noise Ratio) is discussed as well as a technique that was presented in literature quite recently (Grey Block Distance). Hereafter, a new measure is presented. After this, a means of comparing the performance of these measures is presented. It was found that the new measure for image quality estimation performed marginally better than the SNR algorithm. Lastly, some possible improvements on this technique are mentioned and the validity of the method used for comparing the quality measures is discussed.
AFRIKAANSE OPSOMMING: Die doel van hierdie tesis is om ondersoek in te stel na die aard van digitale beeldsamepersing en die berekening van beeldkwaliteit na samepersing. Daar word gekonsentreer op grysvlak beelde in die spesifieke domein van satellietbeelde en lugfotos. Twee spesifieke samepersingstegnieke word in diepte ondersoek naamlik die JPEG en fraktale samepersingsmetodes. Implementasies van beide hierdie tegnieke word op 'n stel toetsbeelde aangewend. Die res van hierdie tesis word dan gewy aan die ondersoek van die meting van die kwaliteitsverlies van hierdie saamgeperste beelde. Daar word gekyk na 'n metode wat in algemene gebruik in die praktyk is asook na 'n nuwer metode wat onlangs in die literatuur veskyn het. Hierna word 'n nuwe tegniek bekendgestel. Verder word daar 'n vergelyking van hierdie mates en 'n ondersoek na die interpretasie van die 'kwaliteit' van hierdie kwaliteitsmate gedoen. Daar is gevind dat die nuwe maatstaf vir kwaliteit net so goed en selfs beter werk as die algemene maat vir beeldkwaliteit naamlik die Sein tot Ruis Verhouding. Laastens word daar moontlike verbeterings op die maatstaf genoem en daar volg 'n bespreking oor die geldigheid van die metode wat gevolg is om die kwaliteit van die kwaliteitsmate te bepaal
Hirsch, Annemarie G. "Examination of the Use of Electronic Health Record Data for Measuring Performance in Diabetes Care." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1337189274.
Full textMedina-Borja, N. Alexandra. "A Non-Parametric Approach to Evaluate the Performance of Social Service Organizations." Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/27311.
Full textPh. D.
Mafanya, Nosiphelele. "The effectiveness of employee performance management system in a selected provincial department of the Western Cape South Africa." Thesis, Cape Peninsula University of Technology, 2015. http://hdl.handle.net/20.500.11838/2103.
Full textThe main aim of this study was to assess the effectiveness of the PMS applied by the SAPS, using the case of Nyanga Metropole. The primary objective of this study was to assess the effectiveness of employee performance management systems at the SAPS, in the Western Cape Province. The secondary objective of this study is to understand and investigate challenges experienced by SAPS while the PMS is implemented. To determine the existing practice and awareness of performance appraisal. To measure cooperation and coordination among members and other partners which will therefore assist in connecting jurisdictional tensions and prevent conflicts amongst members of SAPS and the community. To recommend workable approaches for improving the PMS, and suggest the performance management programmes that should be implemented and monitored for support of the SAPS. The rationale for selecting Nyanga was because it is a less developed location and also has a high poverty rate and lots of crime, which lead to affecting police member’s performance. The study employed mixed methods where data was triangulated between qualitative and quantitative sources. Mixed methods research provides strengths that offset the weaknesses of both quantitative and qualitative research. Mixed methods research provides more evidence for studying a research problem than either quantitative or qualitative research alone (Creswell, 2009: 12-13).
Ghosh, Aloke Kumar. "Towards design and implementation of an approach on CMM (Capability maturing model) for the quality performance measurement of manufacturing industries." Thesis, University of North Bengal, 2003. http://ir.nbu.ac.in/handle/123456789/3660.
Full textGhosh, Aloke Kumar. "Towards design and implementation of an approach on CMM(Capability maturing model)for the quality performance measurement of manufacturing industries." Thesis, University of North Bengal, 2003. http://hdl.handle.net/123456789/1162.
Full textMoodley, Nishendra. "Performance management in developmental local government: a search for an effective and workable approach." Thesis, University of the Western Cape, 2003. http://etd.uwc.ac.za/index.php?module=etd&.
Full textRen, Lanbin. "Park-above-Parking Downtown: A Spatial-Based Investigation." Thesis, University of Oregon, 2013. http://hdl.handle.net/1794/12958.
Full textStudený, Michal. "Hodnocení výkonnosti vybraného podniku podle modelu Start Plus." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2017. http://www.nusl.cz/ntk/nusl-319204.
Full textKadoya, Yoshihiko. "Managing the Human Service Market: The Case of Long-Term Care in Japan." Thesis, The University of Sydney, 2011. http://hdl.handle.net/2123/7602.
Full textOmruuzun, Fatih. "A New Framework For Evaluation Of Field Based Academic Performances Of Higher Education Institutions." Master's thesis, METU, 2011. http://etd.lib.metu.edu.tr/upload/12613732/index.pdf.
Full textAgriculture &
Environmental Sciences (AGE) Clinical Medicine (MED) Engineering, Computing &
Technology (ENG) Life Sciences (LIFE) Natural Sciences (SCI) Social Sciences (SOC) Institutions in this study has been evaluated according to data that have been collected from ISI - Web of Knowledge for the indicators listed below. Article Count (last year) Total Document Count (last 5 years) Cumulative Journal Impact (last 5 years) Total Citation Count (last 5 years) H-Index (average of last 5 years) The results indicate that status of universities from the point of academic performance varies according to the research field.
Strydom, Carla. "Business excellence : an integrated approach." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52722.
Full textSome digitised pages may appear illegible due to the condition of the original hard copy
ENGLISH ABSTRACT: To compete in the global economy South African, organisations have been forced to become more competitive with other organisations worldwide. These changes have necessitated analysis of improved management techniques, stakeholder needs and requirements, business orientation and people management skills in order to ensure that the most efficient systems and structures are implemented. In this project, the systematic approach towards business excellence is discussed. Business excellence can only be achieved by implementing a structured approach towards business performance. This approach starts with the stakeholder needs, which are incorporated into the organisation's policies and strategies. The organisation must align its process and capabilities with the strategy in order to achieve the desired business results. This whole process is driven by leadership and a performance culture. The Denison Organisational Culture Model is based on managerial practices that have an impact on performance, and is introduced as a framework for measuring the organisational culture. The SAEF Model for performance excellence is a framework for measuring the organisation's progress towards achieving performance excellence, and is supported by the principles of continuous improvement and TOM. The self-assessment process, as prescribed by the South African Excellence foundation, is reviewed as a process to measure performance against the SAEF Model framework. A process for integrating results of the self-assessment exercises into the business planning process is presented. Lastly, guidelines on benchmarking, surveys and performance measurement are discussed as a toolkit for successful self-assessment.
Farquhar, MaryBeth Anne. "Actor Networks in Health Care: Translating Values into Measures of Hospital Performance." Diss., Virginia Tech, 2008. http://hdl.handle.net/10919/28312.
Full textPh. D.
Waehrens, Eva Ejlersen. "Measuring quality of occupational performance based on self-report and observation development and validation of instruments to evaluate ADL task performance /." Doctoral thesis, Umeå : Umeå university, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-33848.
Full textSegovia, Villarreal Santiago Eduardo. "Linking worker health and well-being with business performance measures in the maquiladora manufacturing industry in the US-Mexico Border Region." To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2008. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.
Full textOlsen, Eric Oscar. "Lean manufacturing management the relationship between practice and firm level financial performance /." Connect to this title online, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1086113492.
Full textTitle from first page of PDF file. Document formatted into pages; contains xvii, 220 p. : ill. (some col.). Advisor: Peter T. Ward, Dept. of Business Administration. Includes bibliographical references (p. 197-203).
Pienaar, Gideon Johannes. "Optimal objective achievement via balance of control." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52978.
Full textENGLISH ABSTRACT: Organisations need assurance that strategy is executed as planned and objectives are met, when matching organisational capabilities with the opportunities in the market. Control can give management such an assurance and is ultimately the responsibility of management. It is not however only management that may be interested with proper control in an organisation, all stakeholders wants some degree and form of control to safeguard their interest in an organisation. Management has a daunting task on their hands to ensure an organisation achieve its objectives as effectively, efficiently and economically as possible, while keeping all stakeholders informed and happy. Vast amounts of resources will be used to achieve objectives and management needs to strike a balance between protection of these resources and empowering employees to utilise these resources. A balance between the control systems over the different resources must also be in place. Management needs to have a balanced focus regarding the measurement of activities and behaviour relating to specific objectives, due to the time, cost, quality and innovation effects of control systems. A balance between costs and benefits of control systems must also be obtained. Control needs to be integrated as part of the management process to ensure optimal achievement of objectives. A holistic approach towards control and the usage of a sound control environment combined with relevant, organisational specific control systems that are flexible can ensure balance of control. All employees of an organisation have control responsibilities and must give inputs in the control process. Employees must view control as an aid and not as a stumbling block, when trying to achieve objectives. Management must be empowered and empower employees to have the relevant knowledge regarding control and control systems that can be used, when to use them and how to use them. These control systems must be continuously improved to ensure sustained, optimal achievement of objectives.
AFRIKAANSE OPSOMMING: Organisasies benodig versekering dat strategie uitgevoer word soos beplan en dat doelwitte bereik word, wanneer die organisasie se vermoë gepas word teen geleenthede in die mark. Beheer kan vir bestuur so 'n versekering gee en is eintlik bestuur se verantwoordelikheid. Dit is egter nie net bestuur wat belang kan stel in voldoende beheer nie, maar alle belanghebbers soek 'n mate en vorm van beheer oor 'n organisasie, om hul belange te beskerm. Bestuur het 'n uitdagende taak op hande om te verseker dat doelwitte doeltreffend, doelmatig en ekonomies bereik word, terwyl alle belanghebbers ingelig en gelukkig gehou word. Groot hoeveelhede hulpbronne word gebruik om doelwitte te bereik en bestuur moet 'n balans verkry tussen die beskerming van hulpbronne en die bemagtiging van werkers in die aanwending van die hulpbronne. 'n Balans tussen die beheer stelsels oor die verskillende hulpbronne moet ook in plek wees. Weens die tyd, koste, kwaliteit en innovasie effek van beheer moet bestuur 'n gebalanseerde fokus hê rakende die meting van aktiwiteite en gedrag betreffende spesifieke doelwitte. 'n Balans tussen die kostes en voordele van beheerstelsels moet ook verkry word. Beheer moet 'n ge-integreerde deel van die bestuursproses wees om optimale doelwit bereiking te verseker. 'n Holistiese benadering rakende beheer en die gebruik van 'n voldoende beheer omgewing, gekombineer met relevante, organisasie spesifieke beheer stelsels wat buigsaam is, kan balans van beheer verseker. Alle werkers in 'n organisasie het beheer verantwoordelikhede en moet insette verskaf in die beheer proses. Werkers moet beheer as 'n hulpmiddel ag en nie 'n struikelblok nie, wanneer doelwit bereiking nagestreef word. Bestuur moet bemagtig wees en werkers bemagtig om oor die nodige kennis rakende beheer en beheer stelsels te beskik, watter beheer stelsel gebruik kan word, wanneer om dit te gebruik en hoe om dit te gebruik. Die beheer stelsels moet aaneenlopend verbeter word om volgehoue, optimale doelwit bereiking te verseker.
Kokt, Deseré. "The impact of organisational culture on service delivery in Group4 Securicor (G4S)." Thesis, Bloemfontein : Central University of Technology, Free State, 2007. http://hdl.handle.net/11462/88.
Full textIn the face of international crime and terrorism, private security together with public policing and the military is playing a crucial role. The domain of private security is a fairly neglected field of study, especially in South Africa, making this investigation a substantial contribution. With the focus on the impact of organisational culture on the levels of service delivery in South Africa’s largest security company, Group4 Securicor (G4S), a model is proposed for aligning organisational culture with levels of service excellence within the company. Data was collected by means of a structured questionnaire with a preceding pilot study. The Competing Values Framework (CVF) and the Baldrige criteria served respectively as guideline for the development of the culture and quality sections of the questionnaire. Although organisational culture and service excellence are well-researched topics, no other investigation applies these aspects to the private security industry. The results show that organisational cultural impacts on service excellence in G4S.
Everhart, Chichi Kate. "Strategies for Measuring Quality Care in Healthcare Organizations in the United States." ScholarWorks, 2018. http://scholarworks.waldenu.edu/dissertations/4851.
Full textMela, Carol. "An Analysis of the School Board of Brevard County Instructional Personnel Performance Appraisal Instrument and the Validity of its Components." Doctoral diss., University of Central Florida, 2013. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5671.
Full textEd.D.
Doctorate
Teaching, Learning, and Leadership
Education and Human Performance
Educational Leadership; Previous Leadership Certificate
Lööf, Viktor, and Rasmus Tandrup. "Tvärorganisatoriska förbättringsmöjligheter : En fallstudie om kvalitetsbrister inom order-till-leveransprocessen." Thesis, Linnéuniversitetet, Institutionen för ekonomistyrning och logistik (ELO), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-67227.
Full textCourse: Thesis in logistics and controller for the MBA program, 30 hp. 4FE18E & 4FE19E, VT17 Authors: Viktor Lööf and Rasmus Tandrup Supervisor: Hana Hultén Examiner: Helena Forslund Title: Interorganizational improvements - A case study of quality deficiencies within the order-to-delivery process Background: Due to the increased role of suppliers within the supply chain the order-to- delivery process has been described as one of the most important processes in a company. By identifying quality deficiencies within the order-to-delivery process and developing measures addressing how these can be minimized the overall quality of the process can be improved. To ensure the results of quality improvements companies also need to manage the performance of the process. Managing performance is however connected to obstacles when integrating performance measurement between buyer and supplier within the order-to-delivery process. Purpose: The purpose of this study is to identify quality deficiencies within the case company’s order-to-delivery process and develop improvement measures addressed to reduce the identified deficiencies. Furthermore, the purpose is to create an understanding of obstacles to integrating performance measurement between buyer and supplier within the order-to-delivery process. Method: This study is based on a qualitative approach. In line with the purpose of the study a case study has been conducted at an E-commerce company. The empirical data has been collected through observations, interviews and a focus group. Conclusions: The majority of quality deficiencies found within the studied order-to- delivery process are related to the dimension information quality. To reduce these deficiencies an EDI-solution between buyer and supplier is proposed, providing conditions to create and communicate accurate information at the right time. Most of the obstacles to integrating performance measurement within the order-to-delivery process identified were connected to how the actual measurement is performed. The results of the study are summarized in table 8 and figure 30.
Cibíková, Blanka. "Hodnocení výkonnosti podniku." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2014. http://www.nusl.cz/ntk/nusl-224409.
Full textOdontidou, Eleni. "Measuring and Evaluating the Supply Chain by implementing the BSC and investigating the quality of the Supply Chain: A case study at Giraff Technologies." Thesis, Mälardalens högskola, Akademin för innovation, design och teknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-20278.
Full textSAFARI, KHATOUNI ALI. "Experimentation and Characterization of Mobile Broadband Networks." Doctoral thesis, Politecnico di Torino, 2018. http://hdl.handle.net/11583/2708886.
Full textBaba, Djara Monita Jean. "Performance measurement of district level hospitals in low income countries: participatory development of an instrument to assess inputs, processes, and outputs for evidence-based management and quality improvement." Thesis, Boston University, 2014. https://hdl.handle.net/2144/10935.
Full textBACKGROUND: The potential of hospital performance measurement (HPM) to contribute to improved quality of care and patient outcomes is underrepresented in the health system strengthening literature and no standardized HPM instrument exists for hospitals in developing countries. The problem centered Participatory Action Research (PAR) approach is particularly suited to addressing complex organizational problems in low resource settings and is gaining acceptance as an applied research method in healthcare settings. METHODS: This quasi-experimental study using the PAR approach was carried out in 4 hospitals in Cameroon. Quantitative (415 surveys) and qualitative (129 interviews and 77 observations) methods examined how participating in the design of a HPM instrument influences health personnel's knowledge, attitude, interest, and intention to continue use of performance measurement for quality improvement. Changes in scores for the above outcomes from before and after implementation of the performance indicators were compared to scores from a non-participating control hospital at the same time points. RESULTS: Personnel designed and pilot tested performance measurement indicators in all hospital services. Hospitals that actively participated in instrument design showed a statistically significant increase in HPM knowledge and attitude, and were more likely to report intention to continue using HPM as compared to the non-participating hospital. Hospital personnel participating in the design process were more aware of the workload barriers to implementing HPM but nonetheless were more motivated to continue the HPM effort. In addition, the PAR approach fostered ownership, increased skills, raised awareness of performance gaps, and led to a contextually appropriate tool. CONCLUSIONS: The results of this study demonstrate the feasibility of designing and implementing an HPM instrument in a low-resource health care system and highlight the positive benefits of the PAR approach. Further research is needed to determine the effect of regular HPM on quality of care and its sustainability over time in resource constrained settings.