2. Definitions
QUALITY :
“Quality of a service is defined as the totality of features and
characteristics of a service that bear on its ability to satisfy the
stated and implied needs of the patients.”
-International Organization for Standardization (ISO 8402)
QUALITY ASSURANCE :
“Quality assurance is defined as all activities undertaken to predate
and prevent poor quality.”
-Neetvert (1992)
3. Objectives Of Quality Assurance
According to Jonas (2000), the two main objectives are;
To ensure the delivery of quality client care.
To demonstrate the efforts of the health care providers to provide the
best possible results.
Other specific objectives are;
Formulate plan of care.
Attend the patients physical and non-physical needs.
Evaluate achievement of nursing care.
Support delivery of nursing care with administrative and managerial
services
4. General Principles
Fit for purpose
The product should be suitable for the intended purpose.
Right first time
Mistakes should be eliminated.
5. Methods and Components of Quality Assurance
Methods
Retrospective quality assurance
Concurrent quality assurance
Components
Strategic or organizational level (dealing with the quality policy, objectives and
management and usually produced as the Quality Manual);
Tactical or functional level (dealing with general practices such as training, facilities etc);
and
Operational level (dealing with the Standard Operating Procedures (SOPs) worksheets
and other aspects of day to day operations).
7. Quality Assurance Process
1. Planning for quality assurance.
2. Developing guidelines and setting standards.
3. Communicating standards and specifications.
4. Monitoring quality.
5. Identifying problems and selecting opportunities for improvement.
6. Defining the problem operationally.
7. Choosing a team.
8. Analyzing and studying the problem to identify its root causes.
9. Developing solutions and actions for improvement.
10. Implementing and evaluating quality improvement efforts,
8. Importance of Q/A in Health care
▪ Improve the health status of the population.
▪ Ensure the right of the people to access quality health services.
▪ Meet consumers need expectations.
▪ Maximize utilization of resources and reduce cost.
▪ Ensure effective and efficient utilization of limited resources.
▪ Standardize health care services and reduce variation.
▪ Ensure safety and minimize risk.
▪ Fulfill the ethical and professional duty of health professional.
9. The hindering factors
Lack of policy, plan, and unclear strategy.
Weak leadership.
Corruption and transparency issues.
Poor skill.
Lack/adequacy of resources.
No unity and integrity.
Lack of trust.
Misuse of authority.
Different perceptions with in leaders and workers.