Quality assurance in health care system and the nurse's role in maintaining and supporting the quality assurance. quality control,quality maintenance and models of quality assurance are included.
Quality assurance in health care system and the nurse's role in maintaining and supporting the quality assurance. quality control,quality maintenance and models of quality assurance are included.
Hospitals in India have a high burden of infection in their Intensive Care Unit and general wards,many of which are resistant to antibiotic treatment.In antibiotic resistant infections are difficult and sometimes impossible to treat.They lead to longer hospital stays,increased treatment cost and in some cases death.
Quality assurance is a process of quality management that is focusses on maintaining the standards of nursing care and delivering quality nursing care to the patients.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
Hospitals in India have a high burden of infection in their Intensive Care Unit and general wards,many of which are resistant to antibiotic treatment.In antibiotic resistant infections are difficult and sometimes impossible to treat.They lead to longer hospital stays,increased treatment cost and in some cases death.
Quality assurance is a process of quality management that is focusses on maintaining the standards of nursing care and delivering quality nursing care to the patients.
There are several main dimensions most frequently used to measure hospitals performance via clinical efficiency ( Clinical quality , evidence -based practices , health improvement and outcomes for individual and patients)
A NURSE IS A…..
Patient care consultant
Educator
Manager
Recruiter
Therapist
Researcher
Administrator
Case manager
The list goes on…
A simple definition
FIVE RIGHTS
THE RIGHT PATIENT,
AT THE RIGHT TIME,
IN THE RIGHT SETTING,
RECEING THE RIGHT CARE
AT THE RIGHTTIME
IN THE RIGHTCOST.
Quality assurance
“Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities”. (Bull, 1985)
Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998).
QA in nursing comprise of set of related elements such as
planning for quality,
development of objectives setting and
actively communicating standards,
developing indicators,
setting thresholds,
collecting data to monitor compliance with set standards for nursing practice
and applying solutions to improve care
UALITY ASSURANCE PROCESS:
Establishment of standards or criteria
Identify the information relevant to criteria
Determine ways to collect information
Collect and analyze the information
Compare collected information with established criteria
Make a judgment about quality
Provide information and if necessary, take corrective action regarding findings of appropriate sources
Determine ways to communicate the information
1) Credentialing:
2) Licensure:
3) Accreditation:
3)CERTIFICATION
1) Credentialing
It is the formal recognition of professional or technical competence and attainment of minimum standards by a person or agency. According to Hinsvark (1981) credentialing process has four functional components
a) To produce a quality product
b) To confer a unique identity
c) To protect provider and public
d) To control the profession.
2) Licensure
Individual licensure is a contract between the profession and the state, in which the profession is granted control over entry into and exists from the profession and over quality of professional practice. The licensing process requires that regulations be written to define the scopes and limits of the professional’s practice.
3) Accreditation:
The indian nursing council has established standards for inspecting nursing education’s programs in india(NLN-US). In the part the accreditation process primarily evaluated on agency’s physical structure, organizational structure and personal qualification
4. Certification
Certification is usually a voluntary process with in the profession. A person’s educational achievements, experience and performance on examination are used to determine the person’s qualifications for functioning in an identified specialty area.
A nursing care standard
is a descriptive statement of desired quality against which to evaluate nursing care.
It is guideline. A guideline is a recommended path to safe conduct, an aid to professional performance.
A NURSE IS A…..
Patient care consultant
Educator
Manager
Recruiter
Therapist
Researcher
Administrator
Case manager
The list goes on…
A simple definition
FIVE RIGHTS
THE RIGHT PATIENT,
AT THE RIGHT TIME,
IN THE RIGHT SETTING,
RECEING THE RIGHT CARE
AT THE RIGHTTIME
IN THE RIGHTCOST.
Quality assurance
“Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities”. (Bull, 1985)
Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998).
QA in nursing comprise of set of related elements such as
planning for quality,
development of objectives setting and
actively communicating standards,
developing indicators,
setting thresholds,
collecting data to monitor compliance with set standards for nursing practice
and applying solutions to improve care
UALITY ASSURANCE PROCESS:
Establishment of standards or criteria
Identify the information relevant to criteria
Determine ways to collect information
Collect and analyze the information
Compare collected information with established criteria
Make a judgment about quality
Provide information and if necessary, take corrective action regarding findings of appropriate sources
Determine ways to communicate the information
1) Credentialing:
2) Licensure:
3) Accreditation:
3)CERTIFICATION
1) Credentialing
It is the formal recognition of professional or technical competence and attainment of minimum standards by a person or agency. According to Hinsvark (1981) credentialing process has four functional components
a) To produce a quality product
b) To confer a unique identity
c) To protect provider and public
d) To control the profession.
2) Licensure
Individual licensure is a contract between the profession and the state, in which the profession is granted control over entry into and exists from the profession and over quality of professional practice. The licensing process requires that regulations be written to define the scopes and limits of the professional’s practice.
3) Accreditation:
The indian nursing council has established standards for inspecting nursing education’s programs in india(NLN-US). In the part the accreditation process primarily evaluated on agency’s physical structure, organizational structure and personal qualification
4. Certification
Certification is usually a voluntary process with in the profession. A person’s educational achievements, experience and performance on examination are used to determine the person’s qualifications for functioning in an identified specialty area.
A nursing care standard
is a descriptive statement of desired quality against which to evaluate nursing care.
It is guideline. A guideline is a recommended path to safe conduct, an aid to professional performance.
The clinicalaudit.ie website is dedicated to improving patient care standards by providing information for anyone interested in clinical audit. Please download a copy of this PDF for offline viewing.
Quality assurance is a way of preventing mistakes and defects in manufactured products and avoiding problems when delivering products or services to customers; which ISO 9000 defines as "part of quality management focused on providing confidence that quality requirements will be fulfilled".
quality assurance slides include components, models, approaches, cycle of quality assurance is included in the slides.
the slide gives a brief ides regarding all the points and gives a comprehensive picture of the topic.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. Quality
Carrying out interventions correctly according
to pre-established standards and procedures,
with an aim of satisfying the customers of the
health system and maximizing results without
generating health risks or unnecessary costs.
Conformance to specification
5. Definitions
The Oxford English Dictionary (1988) defined quality as
“the degree or grade of excellence”.
Agency for health care research and quality defind
quality as “"the degree to which health care services
for individuals and populations increase the
likelihood of desired health outcomes and are
consistent with current professional knowledge."
6. Definitions
National Association of Quality Assurance Professionals
described quality as “the level of excellence produced and
documented in the process of patient care, based on the
best knowledge available and achievable at a particular
facility.”
the Community Health Accreditation Program defined
quality as “the degree to which consumers progress toward
a desired outcome”
Fitness for use
7. Dimensions of Quality
Technical competence
Access to service
Effectiveness
Efficiency
Amenities
Interpersonal relations
Continuity
Safety
8. Health care domain
• Relates to providing care processes and
achieving outcomes as supported by
scientific evidence
Effectiveness
• Relates to maximizing the quality of a
comparable unit of health care delivered or
unit of health benefit achieved for a given
unit of health care resources used
Efficiency
Equity
Patient centered
Safety
• Relates to obtaining needed care while
minimizing delays.
Timeliness
9. Health care domain
Effectiveness. Relates to providing care processes and
achieving outcomes as supported by scientific evidence.
Efficiency. Relates to maximizing the quality of a
comparable unit of health care delivered or unit of health
benefit achieved for a given unit of health care resources
used.
Equity. Relates to providing health care of equal quality to
those who may differ in personal characteristics other than
their clinical condition or preferences for care.
Patient centeredness. Relates to meeting patients' needs
and preferences and providing education and support.
Safety. Relates to actual or potential bodily harm.
Timeliness. Relates to obtaining needed care while
minimizing delays.
10. APPROACHES OF QUALITY
Quality Control (QC)
Total Quality Management (TQM)
Quality Assurance (QA)
Continuous Quality Improvement (CQI)
11. Quality Control
Quality control in health care organization refers to
activities that evaluate, monitor or regulate services
rendered to consumers.
Observe
• The process
Identify
• Variable characteristics
Track
• Variables through statistical methods
12. Quality Control Process
It is an eight-step process for monitoring and evaluating
performance. It must include the following steps:
Establish control criteria.
Identify the information relevant to the criteria.
Determine ways to collect the information.
Collect and analyze the information.
Compare collected information with the established criteria.
Make a judgment about quality.
Provide information and if necessary, take corrective action
regarding finding to appropriate source.
Determine when there is a need for re-evaluation.
13. Total Quality Management (TQM)
A way to continuously improve performance at every
level of operation in every functional area of on
organization using all available human and capital
resources.
Aim to reduce the waste and cost of poor quality.
The main elements of TQM are three:
- the customer, whose needs are paramount to the
determination of quality,
- the teamwork as a mean of achieving quality,
- the scientific approach to decision-making based on data
collection and analysis.
14. Quality Assurance
All of the activities that make it possible to
define standards, to measure and improve
the performance of services and health
providers so that care is as effective as
possible
15. Quality Assurance
defined as “the process for objectively and
systematically monitoring and evaluating the quality
and appropriateness of patient care, for pursuing
opportunities to improve patient care for resolving
identified problem”.
The focus of quality assurance is the discovery and
correction of errors. These activities are carried out by,
quality assurance personnel or department personnel.
16. Quality Assurance
Standards, norms,
guidelines)
One cannot measure that
which one has not defined
Define Quality
• The variation in standards
One cannot improve that
which one has not
measured
Measure
Quality
• Comply with norms
Improve
Quality
17. Continuous Quality Improvement
(CQI)
CQI is a cyclical process.
It involves identifying an area where there is an
opportunity for improvement then outline the
sequence of activities that should occur in order to
solve that problem, and implementing them.
Once the cycle is completed it has to be determined
whether the problem has been solved.
If the problem continues, the cycle should be repeated.
18.
19.
20. Continuous Quality Improvement
Cycle (CQIC)
There are seven steps involved in implementing CQI
cycle:
Step 1 identify an area where opportunities for
improvement exists.
Step 2 define a problem within that area, and outline
the sequence of activities (the process) that should
occur in that problem area.
Step 3 establish the desired outcomes of the process
and the requirements needed to achieve them.
21. Continuous Quality Improvement
Cycle (CQIC) cont.
Step 4 select specific steps in the process, and for
each step list the factors that prevent the achievement
of desired outcome.
Step 5 collect and analyze data about the factors that
are preventing the achievement of the desired
outcomes of the desired steps.
Step 6 take corrective action to improve the process.
Step 7 monitor the results of the action taken