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Terms in this set (18)
Plan Do Study Act
Develop a plan, do it, study or analyze what happened, act or determine what was learned.Now you can make changes based on what was learned.
Plan Do Study Act again
Review conditions or problems to see what needs changing. Select and intervention and do it. Study the results. If successful act on it and implement into daily unit practice.
Quality identify the gap that occurs between ideal care and actual care delivered. Quality improvement is approaching practice that measures the variance in ideal and actual care and implement strategies to close the gap.
quality care is safe, timely, effective, efficient, equitable and patient centered
Quality Improvement Purpose
Improves work processes to improve patient outcomes and efficiency of health systems.
Quality Improvement Focus
Measures effects of practice and or practice change on specific patient population.
Quality Improvement Data Sources
Data from patient records or patients who are in a specific area such as on a patient care unit or admitted to a particular hospital.
Quality Improvement Who Conducts Activity
Employees of health care agency, like nurses, physicians, pharmacists.
Where does Quality improvement begin?
At the staff level where problems are defined.
What does the Quality Improvement Committee review?
The consider activities that are high volume, over 50 percent of unit activity, high risk, potential for death or trauma, and problem areas, potential for patient, staff, or institution
unexpected occurrence involving death or serious physical or psychological injury
Higher levels of staffing by RN in hospitals equaled fewer negative patient outcomes
Community Health Accreditation Program. Require institutions to have guidelines for determining staffing ratios.
What does a nurse do when over assigned?
Write a grievance to your administrator. You cannot change your work load but if an event occurs you have documentation of being over patient load. Save all documentation for your own records.
Leaving the unit because you are overworked and are not caring for your patient.
Identifying best practices and comparing them to current organizational practices to improve performance. This process helps to support the claims of quality care delivered by the institution
What is an ACO, accountable care organization?
an organization of health care providers that agrees to be accountable for the quality, cost, and overall care of Medicare patients, for whom they provide the bulk of primary care services
What does benchmarking do?
Helps maintain quality, customer satisfaction, and continued improvement.
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