Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 22 Quality Patient Care.

Copyright © 2006 Elsevier, Inc. All rights reserved

Chapter 22

Quality Patient Care



Standards of quality health care management Standards of nursing care (ANA) Accrediting group standards (JCAHO) Clinical practice treatment guidelines

(AHRQ) Standards of practice (each health care

agency)



JCAHO Publishes a Sentinel event alert monthly

An unexpected occurrence involving death or loss of limb or function

Sounds a warning of the need for immediate investigation and response


History and Evolution of Quality in Health Care (cont’d)

Who is Deming? Edward Deming—father of quality

improvement Method to prevent defects evolved to a

method to track and improve quality

Quality is everyone’s responsibility


History and Evolution of Quality in Health Care (cont’d)

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Primary agency for hospital accreditation Must meet certain quality standards to

pass inspection Mandated continuous quality

improvement JCAHO mandates specific quality

outcome measures for all hospitals


Just What Is the JCAHO?

Accrediting body for health care institutions that are Medicare and Medicaid funded

Address patient safety issues Require error reduction and design of

safe patient care processes


Just What Is the JCAHO? What are patient safety goals?

Improve accuracy of patient identification Improve the effectiveness of communication

among caregivers Improve the safety of using medications Improve the safety of using infusion pumps Reduce the risk of health care–associated

infections Accurately and completely reconcile

medications across the continuum of care Reduce the risk of patient harm resulting

from falls


Monitoring Quality of Health Care

What is quality assurance? Used synonymously with quality

improvement Process or activities used to monitor,

evaluate, and control services providing some measure of quality to consumers

Key Indicators


Monitoring Quality of Health Care (cont’d)

What are key indicators? JCAHO mandates certain key indicators

to monitor Advance directives, autopsy rates, AMAs

and elopement rates, blood product utilization rates, blood transfusion reaction rates, code blue rates, conscious sedation complication rates, fall rates, medication error rates, mortality rates, pain management effectiveness, restraint use, and surgical site infection rates


Quality Improvement Methods

Institutional values Commitment to CQI Empowerment of nurses Collect data systematically Working groups with sense of

collaboration

Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 22 Quality Patient Care.

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