Quality assurance in nursing management

Post on 27-May-2015

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QUALITY ASSURANCE

Megan Jayle Carreon

“For an organization to be truly effective, each part must properly work together because each part, each activity, each person in the organization affects each other.”

QUALITY ASSURANCE

Quality

- Degree of excellence and assurance

- Formal guarantee of a degree of excellence

- Gives people with different functions in the organization a common language for improvement

- Exists to the degree that service is efficient, well-executed, effective, appropriate and meets costumer’s satisfaction.

QUALITY ASSURANCE

Assurance- Achieving a sense of

accomplishment- Implies a guarantee of

excellence

QUALITY ASSURANCE

- Process of evaluation that is applied to the health care system and the provision of health care services by health workers

- Promotes collegial and sharing relationships among workers instead of a feeling of threat when observed and evaluated.

Primary purpose is to measure and improve the quality of nursing delivered in the agency

Quality of care

- Degree to which health services for individuals and population increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Quality of care

- The balance of benefits and harm to a client, of effectiveness and efficiency, and appropriateness of care.

PRINCIPLES UNDERLYING QUALITY ASSURANCE EFFORTS

1. All health professionals should collaborate

2. Coordination

3. Resource expenditures

4. Focus on critical factors

5. Adequate documentation

6. Effective monitoring of the nursing process

7. Feedback to practitioners is essential

8. Peer pressure

9. Reorganization

10. Collection and analysis of data should be utilized

QUALITY ASSURANCE METHODS

1.Concurrent patient care audits

2.Retrospective patient care audits

3.Peer review

4.Quality circles

DEVELOPING QUALITY ASSURANCE CRITERIA

Common approaches to evaluation

Structure approachProcess approachOutcome approach

Structure approach

Includes the physical setting, instrumentalities and conditions through which nursing care is given such as the philosophy and the objectives, the building, the organizational structure, financial resources and equipment.

Process approach

Includes the steps in the nursing process in compliance with established standards of nursing practice.

Outcome approach

Identifies desirable changes in the patients health status such as modification of symptoms, signs, knowledge, attitudes and satisfaction, skill, level, and compliance with the regimen.