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