How can we recognize Continuos University Children’s ...How can we recognize Continuos Quality...
Transcript of How can we recognize Continuos University Children’s ...How can we recognize Continuos Quality...
How can we recognize Continuos Quality Improvement in theUniversity Children’s Hospital?
Elena Antoñanzas Baztan; Nurse Manager, Complejo Hospitalario de Navarra
Sonia Font Bosch, Accident and Emergency Nurse, Denia’s Hospital Evija Paceja, National Latvian co-ordinator 20
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Latvia
Latvia Riga
Area (km2) 64.589 307,17
Population(hab)
2.003.000 696. 618
Density(hab/km2)
34,3 2,848
GDP (PP) 11,620 $ --------
Health % of GDP
6 --------
CHILDREN’S HOSPITAL 1899. 21.SEPTEMBER
Number of beds 475
2053 employees: • 540 nurses• 210 assitent nurses• 512 physicians
200, 000 outpatients25, 000 inpatients
How Can we recognize continuos qualityimprovement in the University Children´sHospital?1. Systematic Data Guided Activities
2. Aiming to Change Routine Work Processes
3. Creating a Culture of Quality Improvement
4. Specific Predefined Aims
5. Using Evidence Relevant to the Problem
6. Designing with Local Conditions in Mind
7. Iterative Development and Testing
8. Multidisciplincary Teams from Target Organizations
9. Data Feedback to Implementers
10. Specific Named Improvement Methods
11. Set of Specific Changes
* International Journal for Quality in Health Care 2012; Volume 26, Numeber I: pp. 6 -15 Advance Access Publication: 4 December 2013
1. Is the use of aims and measures an
example of a data-guided activity?
• Reduce the incidence of hospitalization for a duration of up to 24 hours get availability by activating the day hospital work.
• Reduce the incidence of re-hospitalization within 72h after discharge is Quality Score for more detailed assessment of complications.
• Patient-satisfaction index for healthcare in-the introduction of clinical guidelines and recommendations.“Patient is the center of the whole process."
6. What are the implications when an
intervention is developed elsewhere and implemented locally using CQI?
8. Can CQI sometimes be carried out by just one
discipline?
Marking hazard situations, week points of system, prioritize next working groups, improvements, SOP (Emergency, rapid response for inpatients, clients, reporting of critical results, medication of high risks drugs, etc.)
Cooperation with internal auditors – valuable information both ways (reports on PS events related to i/v catheters and ongoing audit on peripheral i/v SOP – better understanding what to improve
9. Is continuous feedback an important aspect of
the ethical conduct of research? Is it important to report in publications?
10. Is it important standardized procedures?
Changes in processes, procedures (for example- triage nurse evaluates and sign Ambulance referral, etc.)
11. Does ‘set of specific changes’ imply pre-
determined changes?
How specific changes in one department imply changes in all hospital…..
Photo: Medicine Museum of Riga