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On Quality Assurance

This document discusses quality assurance in healthcare. It defines quality assurance as the evaluation of healthcare services and their impact on outcomes. The objectives of quality assurance are to achieve sustained improvement in healthcare through monitoring performance and designing processes to meet patient needs. Approaches include general frameworks as well as disease-specific models. Key elements encompass structure, process, and outcomes. Standards, models, and a quality assurance cycle are described to systematically evaluate and improve care delivery and patient outcomes.

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Sara Rizwan Khan Khan
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50 views23 pages

On Quality Assurance

This document discusses quality assurance in healthcare. It defines quality assurance as the evaluation of healthcare services and their impact on outcomes. The objectives of quality assurance are to achieve sustained improvement in healthcare through monitoring performance and designing processes to meet patient needs. Approaches include general frameworks as well as disease-specific models. Key elements encompass structure, process, and outcomes. Standards, models, and a quality assurance cycle are described to systematically evaluate and improve care delivery and patient outcomes.

Uploaded by

Sara Rizwan Khan Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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QUALITY

ASSURANCE
INTRODUCTION
DEFINITION
• “Quality assurance is the
judgment concerning the process
of acre based on the extent to
which that care contributes to
valued outcomes.”
• - Donabedian 1982
• “Quality assurance is the ongoing,
systematic, comprehensive
evaluation of health care services
and impact of these services on
health care services.”

- Kozier
OBJECTIVES
• To successfully achieve sustained
improvement in health care.
• Clinics need to design processes to
meet the needs of patients.
• To monitor, analyze and improve
their performance to improve
patient outcomes.
PURPOSES/ NEED
• Rising expectation of consumer of
services.
• Improvement of job satisfaction.
• Highly informed consumer.
• To prevent rising medical errors.
• Reducing global boundaries.
• Rise in health insurance industry.
PRINCIPLES
• Quality management (QM) most effectively
within a flat, democratic and organizational
structure.
• Managers and workers must be committed to
quality improvement.
• The goal of QM is to improve systems and
processes and not to assign blame.
• Customers define quality.
• Decisions must be based on data.
APPRAOCHES
• GENERAL APPROACH
• SPECIFIC APPROACH
ELEMENTS/ COMPONENTS

• Acc to Donabedian

• Structure element
• Process element
• outcome element
• Acc to Manwell, Shaw: 3A’s and 3 E’s
• 3A:
• Access to healthcare
• Acceptability
• Appropriateness and relevance to need
• 3 E’s:
• Effectiveness
• Equity
• Efficency
STANDARDS
• AREA OF QA:
• In-aptient dept
• Out-patient dept
• Emergency medical services
• Specialty services
• training
MODELS
• DONABEDIAN MODEL:
ANA MODEL
QUALITY HEALTH OUTCOME MODEL
PDSA MODEL
SIX SIGMA MODEL
QUALITY
ASSURANCE
CYCLE/ STEPS
NURSING AUDIT
• DEFINITON:
• “Nursing audit refers to the assessment of the
quality of clinical nursing.
• -Elison
• “It is a means by which nurses themselves can
define standards from their point of view and
describe the actual practice of nursing.”
• - Goster walfer
CHARACTERISTICS
• Improves quality of nursing care.
• Compares actual standards with
agreed standards of practice.
• It is formal and systemic.
• Involves peer review.
OBJECTIVES
• To evaluate the quality of nursing
care given.
• To achieve the desired and feasible
quality of care.
• To provide way for better records.
• To focus on care provided and care
provider
ADVANTAGES/ DISADVANTAGES
• ADVANTAGES

• Patient is assured of good service.


• It develops openness to change.
• It reduces complaints and blames.
• It increases the understanding of client’s
expressions.
DISADVANTAGES
• May be considered as a punishment to
professional group.
• Many components mat make analysis difficult.
• It is time consuming
• Requires a team of trained auditors
•THANK
YOU

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