Quality Improvement in Nursing PDF

At the end of this session, the participants shall be able to; Understand the principles of quality management Discuss the advancing quality through regulation and accreditation Discuss the break through thinking to improve quality o Quality improvement is a formal approach to t...

At the end of this session, the participants shall be able to; Understand the principles of quality management Discuss the advancing quality through regulation and accreditation Discuss the break through thinking to improve quality o Quality improvement is a formal approach to the analysis of performance and systematic approach to improving it. QUALITY IMPROVEMENT IN HEALTH CARE o Quality improvement (QI) is the framework we use to systematically improve the ways care is delivered to patients. o Processes have characteristics that can be measured, analyzed, improved, and controlled.  Safe: Delivering health care that minimizes risks and harm to service users, including avoiding preventable injuries and reducing medical errors. oTimely: Reducing delays in providing and receiving health care. oEffective: Providing services based on scientific knowledge and evidence-based guidelines. oEfficient: Delivering health care in a manner that maximizes resource use and avoids waste. oPatient Centred /(Family Centred) : Providing care that takes into account. oStaff workload: minimise staff turn over and burn out. (Occupational Safety & Health) Quality improvement tools are standalone strategies or processes that can help you better understand, analyze, or communicate your QI efforts. 1. BRAINSTORMING Brainstorming is a group creativity technique by which efforts are made to find a conclusion for a specific problem by gathering a list of ideas spontaneously contributed by its members. 2.MULTIVOTING Multivoting provides a means of reducing a large list of options to a smaller list of the best options or top priorities 3. DATA COLLECTION TOOL Check lists Check sheets Surveys Log Books’ Medical Records 4. FLOW CHART A flowchart is a diagram that shows the step- by-step flow of operation to get a solution of a problem or to figure out the correct sequence of the process. 5. CAUSE AND EFFECT DIAGRAM (FISH BONE DIAGRAM) A cause and effect diagram examines why something happened or might happen by organizing potential causes into smaller categories. 6. PARETO DIAGRAM A Pareto diagram is a simple bar chart that ranks related measures in decreasing order of occurrence 7. HISTOGRAM A histogram is a graphical tool used to visualize data that can be produced with histogram ,where the height of each bar represents the number of observations falling within a range of rank-ordered data values. 8. CONTROL CHARTS The control chart is a graph used to study how a process changes over time. 9. SCATTER DIAGRAM Scatter Diagram or correlation diagram is a tool to describe changes in a dependent variable in relation to any change in the independent variable.  Credentialing Licensure Accreditation Certification Chart recognition  Reeval Identify uation values Identify standards Take action of criteria Secure Choose action measurement Identify Make course of measure action ment oQuality council oConcurrent monitoring oHigh volume case assessment oHigh risk assessment oStandard of quality care oInter disciplinary quality assurance oAutomation of data sources oPerformance of the staff  Review data Improve patient Evaluate nursing care and work environment Performance Identify areas for Formulate Goals improvement ▪ Monitor for early recognition of adverse events, complications and errors. ▪ Initiating deployment of appropriate and timely care to aid patients in these situations (Varkey, 2008)