Quality Flashcards
(46 cards)
The degree to which nursing services for healthcare consumers, groups, committees, and populations increase the likelihood of desirable outcomes and are consistent with evolving nursing knowledge.
Quality
Overarching philosophy that defines a healthcare culture emphasizing customer satisfaction, innovation, and employee involvement.
Quality Management
The ongoing process of innovation, improvements, prevention of error, and development of staff used by institutions that adopt the QM philosophy.
Quality Improvement
6 Criteria for Quality Care: Safe
Avoiding harm to patients from care intended to help them
6 Criteria for Quality Care: Effective
Providing services based on scientific knowledge to all who could benefit and avoiding providing to those who cannot (underuse v. misuse)
6 Criteria for Quality Care: Patient-Centered
Care is respectful of and responsive to individual patient preferences/needs/values and ensuring patient’s values guide clinical decisions.
6 Criteria for Quality Care: Timely
Reducing waits and harmful delays for both who receive and provide care
6 Criteria for Quality Care: Efficient
Avoiding waste of equipment, supplies, ideas, and energy
6 Criteria for Quality Care: Equitable
Providing care that does not vary in quality due to personal characteristics (race, gender, etc.)
What are the principles of QM/QI?
- Operates best in a flat, democratic organization with interdisciplinary involvement
- Shared commitment is essential for success; integration of goal of quality into vision, mission, philosophy
- Goal is to improve system/process, not place blame
- Focuses on patient-centered outcomes and relies on data-driven decisions
Independent group of items, people, or processes with a common purpose.
- Every step of work affects the following step
- Resources used in care delivery include personnel, facilities, materials, etc.
- (ex: staffing adequacy, effectiveness of charting, etc.)
Structure (QI Indicator)
Completion of specific tasks/treatments known to lead to better outcomes; achieving goals and relationships between separate systems & working together to meet them.
- (ex: timeliness/thoroughness of documentation, adherence to critical pathways or care plan)
Process (QI Indicator)
Direct measures of ultimate results of patient care, including patient experience of adverse events and patient’s health.
- Can be improved by examining process and relationships between
- Measures actual clinical progress
- Can be helpful in identifying opportunities for improvement
- (ex: patient falls, HAI rates, pt/nurse satisfaction)
Outcomes (QI Indicator)
A lifelong problem-solving approach that integrates the best evidence from well-designed research studies and evidence-based theories, clinical expertise, and evidence from assessment of the healthcare consumer’s history and condition, as well as the healthcare resources and patient’s preferences/values.
Evidence-Based Practice
Program that recognizes organizations for quality patient care, nursing excellence, and innovations in nursing practice.
- Nursing leaders align nursing goals with patient outcomes
- Lower burnout rates & higher satisfaction
- Higher levels of quality care by nurses supported by their organization resulting in improved patient outcomes
Magnet Program
Organizational strategy that supports nurses to have ownership, autonomy, and input in their professional practice.
Shared Governance
Initiatives that focus on key quality measures and provide comprehensive understanding and evaluation of the care an organization delivers and patient’s response to care.
- Care provided when a patient needs it in an affordable, safe, and effective manner
CMS Quality Initiatives
Review process that determines if an agency is meeting the defined standards of quality determined by the accrediting body.
- Standards vary but all share common goals of improving efficiency, equity, and delivery of high-quality care
Accreditation
National standards of care and treatment processes for common conditions used to reduce complications and improve patient outcomes.
- Compliances reports show how often the organization provides the recommended treatments
- HCO must report compliance to JCAHO, CMS, etc.
Core Measures
Core measures used by both CMS and JCAHO to improve care delivery by in healthcare organizations.
- (ex: vaccines, substance use, strokes, etc.)
National Hospital Inpatient Quality Measures
Guidelines specific to organizations accredited by JCAHO that focus on healthcare safety problems and ways to solve them.
- Updated annually to provide guidance for specific settings
- Documentation is PRIMARY EVIDENCE!
National Patient Safety Goals
What are the primary goals of NPSG?
- Identifying patients correctly
- Increased staff communication
- Safe medication use
- Prevent infection
- Prevent mistakes in surgery
An investigation of healthcare services performed by doctors, nurses, and other team members to ensure money is not wasted covering unnecessary/inefficient expenditures for proper treatment.
- Allows hospitals to objectively measure how their resources are being used to meed pt needs.
- Uses info from patient records, demographics
- Evaluate resource allocation, efficiency, quality
Utilization Review
The science and practice of integrating nursing knowledge with information and communication technologies to promote the health of people, families, and communities worldwide.
- Information/technology used to communicate, manage knowledge, mitigate error, and support decision-making.
Nursing Informatics
