Nursing A ConceptBased Approach to Learning VOLUME TWO
Nursing: A Concept-Based Approach to Learning VOLUME TWO EDITION VOLUME TWO || SECOND EDITION MODULE 50 Quality Improvement Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Concept of Quality Improvement • Quality improvement • Quality management § Evaluation of medical, nursing processes for quality and effectiveness compared to accepted standards § Before harming clients, errors in treatment Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
National Initiatives • Federal initiatives § With other groups, developed indicators and documentation for quality of care • National Database of Nursing Quality Indicators (NDNQI) • Patient Safety and Quality: An Evidence. Based Handbook for Nurses • National Patient Safety Goals Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
National Initiatives, continued • Federal initiatives § Patient Protection and Affordable Care Act (PPACA or ACA) § National Strategy for Quality Improvement in Health Care Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
National Initiatives, continued • State and local initiatives § Under ACA, states partly responsible for providing state health insurance for lowincome people § Community health centers (CHCs) • Serve medically underserved area or population • Comprehensive primary care • Fees on sliding scale Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Quality Improvement Process • Continuous, multistep, multilevel process • Identifies areas for improvement § Compares to leaders in quality care (benchmarking) Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Quality Improvement Process, continued • Analysis of current protocols and outcomes § Intradisciplinary assessment • Audits • Outcomes management § Interdisciplinary assessment • Utilization review Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Quality Improvement Process, continued • Benchmarking § Standards for structure, process, outcome § Indicators of performance • Targeting areas for improvement § Sentinel events • Root cause analysis § Breach of care § Risk management Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Quality Improvement Process, continued • Identifying factors that promote better outcomes § § § Root cause analysis Reducing medication errors Staffing practices in nursing Resource utilization Blame-free environment • Just culture § Personal responsibility Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
The Quality Improvement Process, continued • Implementation of new protocols • Evaluation of efficacy of new protocols § Quality assurance Nursing: A Concept-Based Approach to Learning Volume Two, Second Edition Copyright © 2015, 2011 by Pearson Education, Inc. All Rights Reserved
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