Quality Of Patient Care Lecture Notes PDF

QUALITY OF PATIENT CARE Lecture : (Reem Mabrok) Dr : (Randa Mohamed) Date : 10 / 12 /2024 Outlines : ❑ Definition of quality. ❑ Definition of quality of care. ❑ Standard and criteria. ❑ Application tool.  Quality is doing: The right things ( what) To the right people ( to...

QUALITY OF PATIENT CARE Lecture : (Reem Mabrok) Dr : (Randa Mohamed) Date : 10 / 12 /2024 Outlines : ❑ Definition of quality. ❑ Definition of quality of care. ❑ Standard and criteria. ❑ Application tool.  Quality is doing: The right things ( what) To the right people ( to whom) At the right time ( when) And doing things first time right ( in an efficient manner ) Quality Of Care The degree of excellence that goes into patient care.  Standard Descriptive professional statement of desired or agreed level of performance against which the quality of care can be judged. Characteristics of standards: 1. Observable. 2. Achievable. 3. Measurable. Types Of Standards : There are many types but the most popular types classified according to the a frame of reference: Structure. Process. Outcome. Structure Standard The "set-up" of the institution Such as : Physical environment , building , facilities and equipment. Policies , philosophy rules and regulation. Job description and qualifications. Staff number and mix.  Process Standard The set of activities that goes on within hospital service and between practionners and patients. Such as : ❑Assessment techniques procedures. ❑Methods of delivering nursing care. ❑Methods of patient education. ❑Methods of documentation. Outcomes Standard Measures changes in the patient health status , this change may be due to nursing care , medical care or as a result of variety of service offered to the patient. Such as : Recovery rate. patient′s satisfaction. mortality rate. Criteria Is a predetermined measurable elements that will indicate if the standard is met and to what extent it is met. Characteristics Of Criteria : Observable. Achievable. Measurable. Types Of Criteria : Structure. process. outcome. Evaluating Performance By tools and methods : 1. Audit ( concurrent and retrospective ). 2. Tools (application tools ).  Application Tools : 1-structure monitoring tool ( monitor the structural setup necessary for providing quality patient care ) 2- Process monitoring tool (used to monitor the process of nursing care provided 3- Criteria based evaluation (procedure evaluation ) Is a tool of evaluating the quality of patient of patient care through evaluating each procedure being performed directly / indirectly to the patient.  The Scoring System is Ranked as Follow 1. Yes complete 2 2. Yes incomplete 1 3. No 0 4. Not applicable -2 The total score is calculating after the number of (not applicable ) response subtracted Then compare the result of the score as follow : Weak < 60 % Good 60 < 75 % Very good 75 < 85 % Excellent >85 %  Response Criteria Score Comments YC YI N N/A Preparing of nursing unit for admitting patients : Number of beds is adequate for patients with no crowding (6-8 beds/room)..................….. 2 Number of bedside tables is adequate, clean and......................... in good state of repair 2 Dressing packets are kept sterile, available for each single patient with a wound. -2 ……………………… STRUCTURE MONITORING CHECKLIST Oral/rectal thermometers are enough in number Only oral thermometer present (not adequate number) for individual use of patients. 1 1) Structure Monitoring Checklist Total score = 30 * 2 =60 Not applicable score = 1*-2=-2 Final total SCORE = (40⁄58)* 100 =69%...... )Good) Comments : Strengths :…………………………………………………… Weakness :………………………………………………….. Suggestion :………………………………………………….  2) Process Monitoring Checklist Total score :100*2 =200 Not applicable score : 5*-2= -10 Final total score : (115/190) *100 =60.5% good Comments : Strength...................................................... Weakness................................................... Suggestion ……………………………………………………  3) procedural Evaluation Select one procedure ❑Surgical dressing procedure (surgical ward ) ❑Administering oxygen therapy (ICU ) ❑Administering an intramuscular injection (medical ward ) procedural Evaluation Total score : 15*2 = 30 Not applicable score : 2*-2 =-4 Final total score : ( 12/26)* 100= 46 % (weak ) Comments : Strength ………………………………………………….. Weakness ………………………………………………… Suggestion …………………………………………………