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    Quality Assurance in Nursing

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    Sathish Rajamani
    The document discusses quality control and quality assurance in healthcare. It defines quality control as activities used to evaluate, monitor, and regulate services provided to clients. Quality assurance aims to define standards of nursing practice and use those standards to evaluate and improve client care. There are two main approaches to ensure quality - quality by inspection and quality by prevention. Various methods are discussed including credentialing, licensure, accreditation, certification, peer review, and nursing audits.

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    Quality Assurance in Nursing

    Uploaded by

    Sathish Rajamani
    13K views17 pages
    The document discusses quality control and quality assurance in healthcare. It defines quality control as activities used to evaluate, monitor, and regulate services provided to clients. Quality assurance aims to define standards of nursing practice and use those standards to evaluate and improve client care. There are two main approaches to ensure quality - quality by inspection and quality by prevention. Various methods are discussed including credentialing, licensure, accreditation, certification, peer review, and nursing audits.

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    Quality Assurance in Nursing

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    The document discusses quality control and quality assurance in healthcare. It defines quality control as activities used to evaluate, monitor, and regulate services provided to clients. Quality assurance aims to define standards of nursing practice and use those standards to evaluate and improve client care. There are two main approaches to ensure quality - quality by inspection and quality by prevention. Various methods are discussed including credentialing, licensure, accreditation, certification, peer review, and nursing audits.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    13K views17 pages

    Quality Assurance in Nursing

    Uploaded by

    Sathish Rajamani
    The document discusses quality control and quality assurance in healthcare. It defines quality control as activities used to evaluate, monitor, and regulate services provided to clients. Quality assurance aims to define standards of nursing practice and use those standards to evaluate and improve client care. There are two main approaches to ensure quality - quality by inspection and quality by prevention. Various methods are discussed including credentialing, licensure, accreditation, certification, peer review, and nursing audits.

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    The key takeaways are the definitions of quality control, quality management, quality assessment, and quality audit.

    The two different approaches to ensure quality are quality by inspection and quality as opportunity.

    The two main objectives of quality assurance are to ensure the delivery of quality client care and to demonstrate the efforts of health care providers to provide the best possible results.

    PRESENTED BY: Sathish RAJAMANI

    Quality control

    Refers to the activities that are used to evaluate, monitor or regulate services rendered to the client. : Refers to the system of management of quality with in the institution - the design, structure and functioning of the quality system : Involves assessing the standards of an institution against external criteria : Refers to the systematic & official examination of record, process, environment or account performance.

    Quality management

    Quality Assessment

    Quality audit structure, to evaluate

    Standards : levels actual compared. Quality Improvement

    Standards are desired & achievable of performance against which performance in practice is : This is a process that uses clinical and technical skills to produce service. The focus is on whole systems, not just on the performance of individual.

    Quality Assurance refers to the process of achieving excellence in the service rendered to every client Quality Assurance is the defining of Nursing practice through well written Nursing standards and the use of those standards as a basis for evaluation on improvement of client care- Marker (1998)

    According to Jonas (2002), the two main Objectives are :

    To ensure the delivery of quality client care To demonstrate the efforts of the health care providers to provide the best possible results

    Other specific Objective of the Nursing process are :

    Formulate plan of care Attend to the patients physical and non-physical needs Evaluate achievement of Nursing care Support delivery of Nursing care with Administrative and Managerial Services

    There are two different approaches to ensure Quality


    a) Quality

    by Inspection as Opportunity

    b) Quality

    A.

    GENERAL APPROACH:

    Credentialing Licensure Accreditation Certification

    B.

    SPECIFIC APPROACHES:

    Peer Review Standard Nursing Audit

    Standard is a Quantitative or Qualitative measure against which someone or something is judged, compared or used to service as a example The ANA Standard of Practice Include:

    Standard 1 : Data collection Standard 2 : Nursing diagnosis Standard 3 : Goals Standard 4 : Priorities & prescribed Nursing approach Standard 5 : Nursing action (health maintenance) Standard 6 : Nursing action (maximize health capabilities) Standard 7 : Evaluation (progress or lack of progress is assessed)

    ETROSPECTIVE AUDITS: This refers to an in depth assessment of quality after the patient has been discharged and uses the patients chart as the source of data.

    ONCURRENT AUDITS: Its an evaluation method to inspect the Nursing staffs compliance with predetermined standards and criteria while the nurses are providing care.

    I.

    A SYSTEMATIC MODEL FOR IMPLEMENTATION OF UNIT BASED QUALITY ASSURANCE

    Basic Components of system are Input


    Throughout Output Feed back

    ANA MODEL FOR QUALITY ASSURANCE:

    1) 2) 3) 4) 5) 6) 7) 8)

    Establishment of standards or criteria Identify the information relevant to criteria. Determine ways to collect information Collect and analyze information Compare collected information with established criteria Make judgment about quality Provide information and if necessary take corrective action regarding findings of appropriate sources Determine ways to collect the information

    Lack of resources Personnel problems Improper maintenance Unreasonable patient and attendants Absence of well informed population Absence of accreditation law Lack of incident review procedures Lack of goods & hospital information system Absence of patient satisfaction surveys Lack of nursing care records Miscellaneous factors

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