New PPTX Presentation quality assurance in nursing.pptx

Quality assurance in nursing, objective, types , classification and nursing audit their types and methods

1. (C.G.) SUBJECT - NURSING MANAGEMENT SEMINAR ON QUALITY ASSURANCE

2. INTRODUCTION Quality assurance necessitates that institution and health professional render care in a most effective and economical manner, this entail a cost benefit strategies for optimum utilization of resources focus on cost effective methods and introduce systemic ongoing quality control programme to continuously moniter and improve the quality of care rendered.

3. DEFINITION 1. Quality assurance in a judgment concerning the process of cure based on the extent to which that cares contributes to valued outcomes.(Donabedium 1982) 2. Quality assurance is the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activites. (Bull,1985) 3. Quality assurance is defining of nursing practice through well writen nursing standards and the use of those standards as a basis for evaluation on improvement of client care. (Maker 1998)

4. HISTORY Dr. Edwin Chadwick(1842) Florence Nightingale (1854) American college of surgeon(1918) Dr. Avedes Donabedian(1966)

5. PRINCIPLES

6. PURPOSE Rising expectations of consumer of services Increasing pressure from national, international government and other professional bodies to demonstrate that the allocation of funds produces satisfactory results in terms of patient care. The increasing complexity of health care organizations Improvement of job satisfaction. Highly informed consumer To prevent rising medical errors Rise in health insurance industry Accreditation bodies Reducing global boundaries.

7. OBJECTIVE The successfully achieve sustained improvement in health care clinics need to design processes to meet the needs of patients. To design processes well and systematically monitor, analyze and improve their performance to improve patient outcomes. A designed system should include standardized predictable process based on best practices Public accountability - It provides evidence that the funds and being spend both effectively resulting in optimum utilization & the resource resulting in operational efficiency of sevices provided. Management improvement this is to provide quality assurance programme as a tool for manegerial problem solving. It includes identification of the problem in areas of technical quality, efficiency risk and patient satisfaction to assess its nature causes and taking effective actions to reduce or eliminate the identified probleon.

8. APPROACHES APPROACHES FOR A QUALITY ASSURANCE PROGRAM: Two major categories of approaches exist in quality assurance they are 1. General. 2. Specific.

9. CONTIN....... APPROACHES

10. ELEMENTS

11. FACTOR’S AFFECTING QUALITY ASSURANCE IN NURSING CARE Lack of resources. Personal problem. Improper maintenace. Unreasonable patient and attendants. Absence of well informed population. Absence of accreditation laws. Lack of incident review procedures. Lack of good hospital information system Absence of patient satisfaction survey Miscellaneous factor

12. CONCEPTS Quality Assurance originated in manufacturing industry. the idea was to “ensure that the product consistently achived customer satisfaction", Quality assurance is a dynamic process through which nurse assume accomitibility for quality of care they provide, It is a guarantee to the society that services provided by nurses are being regulated by members of profession.

13. PROCESS

14. STANDARDS Standards are the written formal statements to describe how an organization on a professional should delivered the health service and are guideline against which service can be assigned. Provide direction Reach agreement on expectation. Monitor in evaluate the result. Guide organizations people ,patient to obtain optimum result.

15. MODELS 1.DONABEDIAN MODEL(1985)

16. ANA MODEL

17. QULITY HEALTH OUTCOME MODEL

18. QUALITY TOOLS TOOLS CHRAT AUDIT PARETO DIAGRAMS HISTO GRAM RUN CHART FLOW CHART CONTROL CHART ROOT CAUSE QUALITY TOOLS FAILURE MODE

19. NURSING AUDIT

20. INTRODUCTION Nursing Audit management is the professional evaluation of the quality of the Patient care, by analysing through all the facilities, services rendered, measure involved in diagnosis, treatment and othes" conditions and activies that affect the Patient.

21. DEFINITION According to Ekson “Nursing audit refers to the assessment of the quality of clinical nursing” According to Goster Walfer “Nursing audit is the means by which nurses themselves can define standards from there point of view and describes the actual practice of nursing" According to phaneuf (1976) A method for evaluating quality of care through of nursing appraisal of nursing process as it is reflected in the patient care patients records for discharged patient.

22. PURPOSE Evaluate Nursing care given. Stimulate to better record. Focuses in care provided and not in care provider Contributes to research. Necessitating adequate documentation of nursing care provided to the client though the center nursing process. Directing attention to the design and utility of the charting record, Encouraging the use of the problem oriented nursing system. Supporting and becoming an instegral part of nursing by objective programme

23. CHARACTERISTICS OF NURSING AUDIT The improve the quality of nursing It compares actual practice with agreed standards of practice It involves peer review It requires the identification of Variations between practice and standard followed by the analysis of causes of such variations. It provide feedback for those whose record are audited. It includes follow-up or repeated an audit sometimes later to find out if the practice is fulfilling the agreed standards.

24. METHOD OF NURSING AUDIT METHOD

25. TYPES OF NURSING AUDIT .

26. AUDIT CYCLE

27. ADVANTAGES Patient is assured of good service. Better planning of quality improvement can be done. It develops openness to change. It provides assurance, by meeting evidence based practice. It increases understanding of client's expectations. It minimizes error or harm to patients. It reduces complaints or claims.

28. DISADVANTAGE It may be considered as a punishment to professional group. Medico- legal importance- They feel that they will be used in court of law as any document can be called for in a court law. Many components may make analysis difficult. It is time consuming It requires a team of trained auditors.