UNIT MQQ 553–QUALITY AND RISK MANAGEMENT LECTURER NAME: Benu Chatterjee TOPIC NAME Risk Management and Quality Improvement in Health Care Submission Date: 20th Nov 2014 Student Name: Bushra Zafar Student ID: 876036 TABLE OF CONTENTS Executive Summary 3 Introduction 4 Evaluation 5 Quality Nursing Care 5 Qualitative Measures 6 Risk Management Plan and Quality Improvement Plan 7 Conclusion 9 Bibliography 10 Executive Summary Introduction Quality improvement efforts and risk management are complementary, and together are key modules of clinical governance. Risk management reinforces quality management in healthcare. This leads to: • Improvement in quality and patient safety • Improvement in efficiency through productivity …show more content…
They are in the key position to introduce interventions and strategies related to patient safety. Once of the critical impact on patient safety by nurses in all settings is the capability to coordinate and integrate the numerous aspects of patient care provided by all involved. The five criteria to define ‘quality nursing care’ would be: • Sufficient number of nurses • Suitable mix of skillset (eg. registered nurses, nursing assistants etc…) • Nurses with clinical experience and education for the task at hand • Practical workload for nurses • Adequate resources to enable nurses to deliver the best possible care. One of the key responsibilities for nurses is to help the patients in understanding the medical intervention planned for them and the things they can do to assist in their case, including list of things they should and shouldn’t do during the treatment till recovery. Research has shown that some clinical quality measures are strongly related to good nursing care (NorthWestern Memorial Hospital, 2014). They way that a nurse performs each and every activity has a substantial impact on quality of healthcare. This can also be seen in the understanding of patients that a good relationship with a compassionate, well-informed and capable nurse can help in the well-being and effectiveness of the care they …show more content…
(SBS, Quality Improvement Steps Chapter 4, 2014) The Norma Lang model of quality assurance can be seen in Figure 2, and can be applied to improve the quality of nursing care: Figure 2 1. Description: This is the first phase and is where identification of the values is done that lead us to gaps in communications in nursing. A criterion for standard is then selected. 2. Measurement: This is the second phase and is where the measurement is done between what is practiced to what is the standard set internally/ externally. The outcome is then used to decide on what changes are required, if any. A SWOT Analysis (Strengths, Weaknesses, Opportunities, and Threats) can be used here. 3. Action: This is the third and final phase where the corrective action is identified, chosen and finally implemented. As quality assurance is a continuous process, the steps will be repeated indefinitely until no more changes are required.
Specifically, Mary and her new and seasoned nurses should agree on the best method that they would use in implementing the skills. In the view of Pilcher (2009), the process should come out of a collaboration among the nurses and should not be the single choice of one of them. In conclusion, the guarantee of patient safety, as well as the provision of quality services, has been the concern of most healthcare organizations. Nurses in the ICU Department ought to have plans on how they will ensure they follow the fundamental principals contained in the QSEN safety competencies.
(Andrews and Roy, 1991) This model includes the four space ideas of individual, wellbeing, environment, and nursing; it additionally includes a six-stage nursing procedure. Andrews and Roy (1991) state that the individual can be a
Established in 2002 by the Joint Commission to address the issue of safety in healthcare were various patient safety goals which dealt with many safety problems the accredited organization might face including medication and communication errors. The Joint Commission has also established National Patient Safety Goals for accredited organizations to follow in order to encourage patient safety by reevaluating the sentinel events data collected every year and revising the goals by omitting achieved goals and creating new ones. Hospitals evaluated by the Joint Commission must demonstrate compliance with the NPSGs as part of the accreditation process (Ellis & Hartley,
Key attributes that help in identifying qualities and characteristics of a professional nurse are knowledge, spirit of inquiry, accountability, autonomy, advocacy, collaboration and ethical values. Advocacy is the ability to comprehend the client’s perspective, educating them on the key areas surrounding their treatment and being knowledgeable of policies that will impact delivery of quality healthcare. Innovation requires fostering a culture that enhances client/family understanding of different outcomes, and showing initiative in new actionable ideas that will better treatment provided. Collaboration requires nurses to work hand in hand with other healthcare professionals in ensuring quality service are provided to a patient (Laws & Rules,
1 posts Re:Topic 5 DQ 2 Continuous Quality Improvement (CQI) is a strategic approach to providing the best healthcare possible. It is a preventative strategy that uses constant innovation to improve work processes and systems by reducing time-consuming, low-value activities. Time that was once spent on rework and crisis management is now spent on planning, coordination and control. As a nurse manager, one of my duties is to map out a sustainable plan that is efficient and effective enough to help my organization face the issues of performance and quality of care (Ballard, 2010).
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
Lewis, Stephens, and Ciak (2016) confirmed that the Quality and Safety Education for Nurses (QSEN) initiative was developed to determine competencies for nursing students based upon Institute of Medicine (IOM) recommendations with the main goal of QSEN is to establish a cultural change toward quality and safety. According to QSEN (2014), addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) are essential components of improving the quality and safety of the healthcare systems. Furthermore, the QSEN six competencies for nursing that targets the KSA to guarantee future graduates to develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement,
It has been over a decade that the need for improvement in healthcare outcomes, safety, and care have been identified. While gains have been made, there is still opportunity for improvement. Education of healthcare professionals in quality improvement is identified as important to this effort. While efforts are being made to add education in quality improvement into trainee nurse programs, less evidence is identified for education of practicing nurses. While limited evidence of training in QI is identified in the literature, critical elements of design that allow reproducibility and spread are absent.
Marjorie A. Rutherford is more knowledgeable in implementing the Nursing Intervention Classification (NIC) and Nursing Outcome Classification (NOC) and has more than thirty years of experience in performing this terminology. It is interesting her about the role of nurses in the caring for the patient. She focuses on a statistically important issue of the standardized nursing language. She can also highlight the points of an impressive conclusion that excites the target audience. She additionally explains how standardized nursing language will improve patient care.
The baccalaureate prepared nurse role is crucial in ensuring the successful implementation of quality management in healthcare. The major role of healthcare professionals such as nurses, doctors, and physicians is the delivery of high-quality patient care and safety. However, studies show that some factors that contribute to the low-quality patient care and safety include medical errors, adverse drug events, and negligence of health care providers. The baccalaureate prepared nurse has the responsibility of improving patient outcomes by taking part in quality management processes in the healthcare.
(Memel, p. 207). Quality improvement is a competency all nurses should possess in order to provide effective care while ensuring the overall safety of the client. The nurse of the future will be able to monitor outcomes and analyze data to modify and improve practices in order to continuously improve healthcare quality deliverance and system safety. References Hood, L. J. (2014).
The National Database of Nursing Quality Indicators (NDNQI) was established by ANA so they can evaluate patient outcomes. They continually collect and build on data obtained to further develop nursing knowledge, and have developed models
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge
It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.