PPT On QUALITY ASSURANCE IN NURSING

Download

QUALITY ASSURANCE IN NURSING Presentation Transcript:
1.QUALITY ASSURANCE

2.Quality Assurance is a program that guarantees quality patient care by tracking outcomes through scheduled reviews
Guidelines are developed for all the processes and when formally adopted becomes the QA program.

3.Definition
Quality Assurance Is The Monitoring Of Activities Of Client To Determine The Degree Of Excellence Attained In The Implementation Of The Activities”

4.QUALITY ASSURANCE IN NURSING
Quality Assurance In Nursing is a pledge to the public by the professional nurses that they will work toward the goal of an optimal achievable degree of excellence in the services rendered to every patient.
“QUALITY  ASSURANCE  IS  A  JOURNEY  AND
 NOT A DESTINATION”

5.An elderly patient with “night incontinence” should remain dry throughout the night as a result of an individualized  bladder training program.
A patient who is bedridden should be able to maintain joint motion as a result of a daily range-of-motion exercise program.

6.NEW TRENDS IN QUALITY ASSURANCE
Quality council
Concurrent monitoring
High volume case assessment
High risk assessment
Standard of quality care

7.NEW TRENDS IN QUALITY ASSURANCE
Inter disciplinary quality assurance
Automation of data sources
Performance of the staff
Managed Care
Evidence Based Practice

8.QUALITY COUNCIL
The interesting development in quality assurance programme is the use of quality councils.
The council is a governing body that oversees the quality of care patients receive.
 The council would be responsible for developing standards and assessing and monitoring the quality of care that patient receive.

9.Intermittent assessment of quality does a lot to improve nursing practices.
Earlier the primary focus was on presence or absence of documentation. But the presence of documentation might be a proxy to the fact. Concurrent monitoring provides a more scope to the best quality care.                                                                

10.HIGH VOLUME CASE ASSESSMENT
High volume cases are easy for nursing service to identify. One way to assess high volume cases is to look at hospital utilization data.
 If medical patients are admitted for cardiac problems, it is logical to monitor the care of cardiac patients.

11.HIGH RISK ASSESSMENT
Aspects of care in which there is high risk to the patient are monitored. Eg-
  Patient falls,
  Medication errors.

12.STANDARD OF QUALITY CARE
Standard of quality care are used as guidelines for the development of monitors.
The use of standard in the evaluation of care will have positive effect on the assurance of quality.

13.INTER DISCIPLINARY QUALITY ASSURANCE
The increased complexity of care often required the services of multiple health care professionals but no one discipline is totally responsible for patient outcomes.
Multidisciplinary quality assurance activities are required for the ultimate quality of patient care.                                               

14.AUTOMATION OF DATA SOURCES
Incident Reports, Direct Observation & Patient Interview has been explored now as data source for quality assurance studies.
Earlier patient record was the primary data source,
    but it was time consuming & also may not accurately reflect the quality of care that patient receives.

15.PERFORMANCE OF THE STAFF
One of the basic ways of ensuring the quality of patient care is competent, capable, and caring.
Ensuring competence require the development of structure and process standard in four areas:
Entry requirements
Performance expectations
Continuing education
Performance appraisal