Quality improvement issues and focus on safety EXAM 2

What is quality

A degree of excellence

Sentinel Event

• an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof

• signal the need for investigation ex: supposed to take out the right kidney and they take out the left

• The terms “sentinel event” and “medical error” are not synonymous; not all sentinel events occur because of an error and not all errors result in sentinel events.

quality assurance

• the provision of service that meet an appropriate standard

• problem resolution all departments are included that are involved in the issue at hand

Who was the first nurse to engage in quality improvement activities?

flo

quality improvement

a continuous process involving all levels of the organization working together across departmental lines to produce better services for health care clients

Cornerstones of Quality Management

Customer defines quality.

Organizational support for all employees to develop quality knowledge and skills and to begin thinking of their work as a series of processes that can be more deeply understood and improved through data measurements.

Belief in the people who are working to serve the customer.

Using TQI/CQI to correct a problem

• Identify the area for improvement.

• Organize a team.

• Clarify the work process.

• Identify and understand all variation sources

• Select the improvement

• Implement the improvement

• Check and compare results with desired outcome

• Take steps to maintain improved performance and suggest ways to further improve the process.

The Joint Commission

• Address efficacy of health care interventions and appropriateness of services delivered.

• Looks at how well services are delivered to consumers.

• Evidence of actual performance and continued improvement.

• Importance of CQI

• Availability of needed health care intervention

• Timeliness of services

• Effectiveness of health care interventions

• Continuity of health care services across various health care settings

• Safety of patient and others

• Efficiencies of provided care and services

• Respect given to consumers and caring with which services are rendered.

Clinical Indicators

• Aspects of clinical care that can be measured to show the degree to which care is or is not carried out as it should be.

• assess particular health structures, processes, and outcomes.

• can be rate- or mean-based, providing a quantitative basis for quality improvement, or sentinel, identifying incidents of care that trigger further investigation.

• can assess aspects of the structure, process, or outcome of health care.

• can be generic measures that are relevant for most patients or disease-specific, expressing the quality of care for patients with specific diagnoses.

defining characteristics of nursing practice

human response

theory application

nursing actions

outcomes