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Nabh quality improvement in ed 06.07 17
This document discusses quality improvement in emergency departments. It outlines the stages of quality improvement as structure, process, and outcome. For structure, it discusses factors like the number of beds, staffing ratios, and available support services. For process, it lists key quality indicators that are measured, such as initial assessment time, medication errors, and times to dispatch ambulances or perform procedures. It emphasizes the importance of documentation, decision making skills, communication, ongoing training, and using tools like Plan-Do-Study-Act cycles to continuously improve quality. Strong leadership, a culture of safety, stakeholder involvement, standardizing care processes, and data analysis are strategies recommended for quality improvement efforts.
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Nabh quality improvement in ed 06.07 17
- 1. Quality Improvement in Emergencydepartment Dr. Venugopalan PP DA,DNB,MNAMS,MEM-GWU Director ,Emergency Medicine Aster DM Healthcare
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- 8. Structure Structure No of beds ineach zone Staff patient ratio Support services available- Ambulance, Pharmacy, Isolation room
- 10. Quality Indicators inED Process Initial assessment time taken Medication error Time taken to dispatch ambulance Door to balloon time & Door to needle time
- 12. Initial evaluation Focused andTime bound
- 13. Quality care inED Documentation
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- 17. Decision making ED isthe place where the decision making skill decide the quality and errors
- 18. Best communication Emergency departmentis the face of hospital
- 19. Ongoing training Academic programsare the corner stone
- 20. Outcome Mortality rate CPR survival rate Patientsatisfaction Infection rates
- 21. Quality improvement tools •Plan-Do-Study- Act • Root cause analysis • Failure Mode Effect Analysis • Six sigma & Lean application • Fish bone diagram • Brainstorming
- 43. Quality improvement strategies •Strong leadership commitment • A culture of safety and improvement • Stakeholders involvement and team • Multidisciplinary team participation • Standardizing care processes • Appropriate use of technology • Continuous data collection and analysis • Change takes time so stay focused
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