Quality Improvement and Patient Safety Advance Nursing Practice Ppt
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Transcript of Quality Improvement and Patient Safety Advance Nursing Practice Ppt
QUALITY IMPROVEMENT AND
PATIENT SAFETY
WHAT IS QUALITY ?WHAT IS QUALITY ?
Appropriate application of Appropriate application of
medical knowledge with due medical knowledge with due
regard to the balance between regard to the balance between
the hazard inherent in every the hazard inherent in every
medical intervention and the medical intervention and the
benefits expected from itbenefits expected from it
It is, however more complex than It is, however more complex than
this.this.
WHAT IS QUALITY ASSURANCE
Quality assurance as making sure that the services provided by thehospital are the best possible given existing resources and current medical knowledge.
QUALITY FROM WHOSE QUALITY FROM WHOSE POINT OF VIEW ?POINT OF VIEW ?
Provider of Health care ServicesProvider of Health care Services
Recipient of the Health care servicesRecipient of the Health care services
Organizer of the Health care servicesOrganizer of the Health care services
PROVIDERS CONCERNSPROVIDERS CONCERNSTo provide care as per established To provide care as per established
normsnorms
Adequate resourcesAdequate resources
Self satisfaction with the final Self satisfaction with the final
outcomeoutcome
Should contribute to enhancement Should contribute to enhancement
of skills, competence and add to of skills, competence and add to
experienceexperience
RECIPIENTS CONCERNSRECIPIENTS CONCERNSAccessibility
Affordability
Prompt attention
Less waiting time
Early diagnosis and cure
Return to Productivity as early as possible
Humane Treatment ie to be treated with empathy , respect and concern
ORGANISERS CONCERNSORGANISERS CONCERNS
Responsible to the Society for the Responsible to the Society for the
funds spent on health carefunds spent on health care
To ensure safety of public and prevent To ensure safety of public and prevent
inappropriate or suboptimal careinappropriate or suboptimal care
To meet the requirements of the To meet the requirements of the
recipient and provider of the health recipient and provider of the health
care services at care services at Acceptable costsAcceptable costs
QUALITY IMPROVEMENT APPROACHES
CredentialingLicensureAccreditationCertificationChart recognition
QUALITY ASSURANCE CYCLE
NEW TRENDS IN QUALITY ASSURANCE
Quality councilConcurrent monitoringHigh volume case assessmentHigh risk assessmentStandard of quality careInter disciplinary quality assuranceAutomation of data sourcesPerformance of the staff
WHAT IS ACCREDITATION
Accreditation is an external Accreditation is an external review of quality with four review of quality with four
principal components:principal components: It is based on written and published It is based on written and published
standardsstandards Reviews are conducted by Reviews are conducted by
professional peersprofessional peers The accreditation process is The accreditation process is
administered by an independent bodyadministered by an independent body The aim of accreditation is to The aim of accreditation is to
encourage organizational encourage organizational development.development.
Focus of standardsFocus of standards
Patient SafetyPatient Safety
Staff and employee safetyStaff and employee safety
Environment and community safetyEnvironment and community safety
Information Education and Information Education and
CommunicationCommunication
Accreditation ProcessAccreditation Process
ApplicationsApplications Screening of the ApplicationsScreening of the Applications Pre-assessment surveyPre-assessment survey Assessment SurveyAssessment Survey Review of the recommendations of the Review of the recommendations of the
assessing body by the Accreditation assessing body by the Accreditation CommitteeCommittee
Recommendations to the boardRecommendations to the board Accreditation decisionAccreditation decision
DOCUMENT REVIEWDOCUMENT REVIEW
• Quality ManualQuality Manual
• Various Policies and ProceduresVarious Policies and Procedures
• Minutes of Meetings of various committeesMinutes of Meetings of various committees
• Medical RecordsMedical Records
• Medical / Nursing AuditMedical / Nursing Audit
• Adverse EventsAdverse Events
• HAIHAI
• Action Taken ReportsAction Taken Reports
• Personal Records of StaffPersonal Records of Staff
OBSERVATIONSOBSERVATIONS
• Facility SafetyFacility Safety
• Level of compliance with laid down Level of compliance with laid down
policies and procedurespolicies and procedures
• BMW ManagementBMW Management
• Standard PrecautionsStandard Precautions
• Patient carePatient care
• Fire SafetyFire Safety
• Equipment ManagementEquipment Management
PROBLEMS AND PROBLEMS AND CHALLENGESCHALLENGES
HCOs are very enthusiastic HCOs are very enthusiastic
Ill preparedIll prepared
Initial preparation is shoddyInitial preparation is shoddy
Resources required initiallyResources required initially
Benefits have a longer gestation Benefits have a longer gestation
period period
PROBLEMS AND PROBLEMS AND CHALLENGESCHALLENGES
Quality Consciousness at all levels Quality Consciousness at all levels will take timewill take time
Sustenance and consistency of Sustenance and consistency of efforts will be requiredefforts will be required
Commitment on a consistent basisCommitment on a consistent basisHigh rates of attrition will require High rates of attrition will require
repeated and continual trainingrepeated and continual trainingPublic Sector will take a longer Public Sector will take a longer
time to get into the processtime to get into the processQuality and consistency of Quality and consistency of
assessors and assessments assessors and assessments
These May Look These May Look
Difficult Initially, But Difficult Initially, But
the First steps are the First steps are
Never easy.Never easy.
Also Nothing Is Also Nothing Is
ImpossibleImpossible
For,For,
ImpossibleImpossible
MeansMeans
I’ M PossibleI’ M Possible
Quality Norms and Accreditation??
Response of Medical Fraternity
Expected ResponseExpected Response
THE CURRENT STATUS OF THE CURRENT STATUS OF ACCREDITATION IN INDIAACCREDITATION IN INDIA
Initializing phase is over. Initializing phase is over.
Phase of consolidation.Phase of consolidation.
The initial steps have been difficult The initial steps have been difficult
but the journey has begun.but the journey has begun.
The journey has to continue……….The journey has to continue……….
Especially since ---------------------------Especially since ---------------------------
ACCREDITATION IS A JOURNEYACCREDITATION IS A JOURNEY
AND AND
NOT A DESTINATION.NOT A DESTINATION.
BON VOYAGE !!!!!BON VOYAGE !!!!!