Quality improvement requires in any field to provide best services to the community in the health care system. it is uploaded to aware the the paramedics & nursing personnel to improve the quality care & helps educators to teach their students.
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.
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
Introduction
Definition
Objectives
Factors influencing patient care
Organization of nursing services
Role of Nurse Administrator (In General)
Problems & Challenges
Conclusion
References
Duties and responsibilities of various category of nursing personnelSMVDCoN ,J&K
In a field as varied as nursing, there is no typical answer. Responsibilities can range from making acute treatment decisions to providing inoculations in schools. The key unifying characteristic in every role is the skill and drive that it takes to be a nurse. Through long-term monitoring of patients’ behavior and knowledge-based expertise, nurses are best placed to take an all-encompassing view of a patient’s wellbeing.
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
Introduction
Definition
Objectives
Factors influencing patient care
Organization of nursing services
Role of Nurse Administrator (In General)
Problems & Challenges
Conclusion
References
Duties and responsibilities of various category of nursing personnelSMVDCoN ,J&K
In a field as varied as nursing, there is no typical answer. Responsibilities can range from making acute treatment decisions to providing inoculations in schools. The key unifying characteristic in every role is the skill and drive that it takes to be a nurse. Through long-term monitoring of patients’ behavior and knowledge-based expertise, nurses are best placed to take an all-encompassing view of a patient’s wellbeing.
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".
Nursing leadership and management course / Total Quality MnagementMouad Hourani
What is Quality?
Definition of Quality in healthcare?
Quality Evolution .
Quality control.
Quality Assurance.
Total Quality Management.
Old vs. TQM Approach.
The Deming, Juran and Crosby philosophies.
Quality Principles.
Why Quality?
Quality perspectives.
Key Dimensions of Quality.
Good Managers (Leaders)
Controlling Dr.Rangappa.S.Ashi Associate Professor SDM Institute of Nursing S...rangappa
The process of monitoring , comparing , correcting performance and taking action to ensure desired results.
Making right things happen in the right ways and at the right time.
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.
UNIT-5: CONGENITAL MALFORMATION IN PAEDIATRICSANJAY SIR
THIS PRESENTATION IS UPLOADED TO CREATE AWARENESS ABOUT COMMON CONGENITAL PROBLEMS AMONG CHILDRENS. IT IS ALSO HELPFULL TO THE EDUCATORS OF MEDICAL, DENTAL, NURSING AND HEALTH CARE PROFESSIONS TO TEACH THEIR STUDENTS.
THIS PRESENTATION IS UPLOADED TO HELP MEDICAL, NURSING & ALLIED HEALTH SCIENCES EDUCATOR FOR THEIR STUDENTS. IT WILL ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT OUR BODY STRUCTURE.
THIS PRESENTATION IS UPLOADED TO HELP THE EDUCATOR OF MEDICAL, NURSING & ALLIE HEALTH SCIENCES TO TEACH THEIR STUDENTS ABOUT THE NERVOUS SYSTEM. IT WILL ALSO CREATE AWARENESS AMONG THE COMMON PEOPLE REGARDING NERVOUS SYSTEM.
PREVENTION OF CORONA VIRUS INFECTION AMONG HEALTH WORKERS & PATIENTSSANJAY SIR
This presentation is for health care workers & patients to limit the transmission of corona virus infections. it also helps educator of medical, nursing & paramedics to teach their students about control & prevention strategies. it also create awareness among HCWs & common people.
this presentation is uploaded specially for the Nursing Faculties and paramedics regarding the Body Mechanics specially in the subject Nursing Foundation , Unit- X. it is also useful to common people about poor body posture in relation to their occupation and adverse effect of poor body mechanics, it is also useful to all nursing officers and para medics.
it is uploaded to create awareness among the common public regarding dimension of health. Specially prepared for students. health care providers and paramedics to learn about it. educators can also use for their students.
This presentation will help the U.G, P,G, students ,scholars and researcher and others to make a research proposal to conduct a research study in any area of their interest.
it will help the general public regarding the basic aspect of the antenatal care. it will also help to nursing and para medical educator to teach their students. it also create awareness about it.
2. unit no iii dynamic of disease, Community Health NursingSANJAY SIR
it is uploaded to help medics, paramedics and nursing educators to teach their students about dynamic of disease. it also help to create awareness in general people about it.
IT IS UPLOADED TO HELP NURSING AND PARAMEDICS EDUCATOR TO TEACH THEIR STUDENTS REGARDING NEW BORN CARE. IT ALSO HELPS TO CREATE AWARENESS AMONG GENERAL PUBLIC ABOUT THE NEW BORN CARE.
This presentation is uploaded to create awareness regarding thalassamia among common people and it also help the tutors of paramedics and nursing to teach their students about it.
it is uploaded to create awareness about congenital abnormality of urinary system. it also help nursing & paramedics educators to teach their students about it.
Job discription(Role & Responsibilities) of Nursing Officer/Nursing staffSANJAY SIR
It is uploaded to help nursing educators to teach their students about job description & role & responsibilities of professional nursing officer. it also create awareness among general public about duties & functions of nursing officers/nursing staff.
PREVENTION OF ACCIDENTS AMONG CHILDRENS. SANJAY SIR
It is uploaded to create awareness regarding prevention of accidents in children in various age groups among general public. it also helps nursing & paramedics educator to teach their students.
it is uploaded to nurse educator to teach students about unit -2 healthy child in pediatric nursing. it also help the para medics & general public about normal growth & development of child. it also help to identify deviation from normal growth.
it is uploaded for paramedics & nursing faculties to teach their students & also helps & create awareness about breast feeding practices to decrease the infant mortality rate.
Elderly care-in-india-changing-perspectivesSANJAY SIR
it is uploaded to create awareness regarding importance of elderly care & changing perspectives about it . It helps paramedics & nursing educator to teach their students about it.
IT IS UPLOADED TO CREATE AWARENESS REGARDING STRESS & ITS MANAGEMENT AMONG GENERAL PUBLIC. IT ALSO HELPS PARAMEDICS & NURSING PERSONNEL TO COMBAT WITH STRESS & ALSO HELPS EDUCATOR TO TEACH THEIR STUDENTS ABOUT IT.
Counselling of people living with HIV/AIDSSANJAY SIR
IT HELPS THE PARAMEDICS & NURSING PERSONNEL REGARDING COUNSELING SESSION OF PEOPLE LIVING WITH HIV/AIDS & ALSO HELPS THE EDUCATOR TO TEACH THEIR STUDENTS REGARDING COUNSELING . IT ALSO CREATE AWARENESS AMONG COMMON PEOPLE ABOUT IT.
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Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
3. Top priorities
Quality and Patient Safety.
Commitment to provide exceptional patient
care and patient service throughout all our
facilities.
To ensure expert medical care in the safest
environment possible, in both an inpatient and
outpatient setting.
4. Quality Management
Quality : Degree to which a set of inherent
characteristic fulfills requirements.
Quality : the perception of the degree to
which the service meets the patient's
expectations.
Quality Management: Managing the
continuous improvement of service,
delivery processes and outcomes through
data-driven strategies and empowered staff
to exceed patient's expectations.
5. Quality management
Quality management is a method for ensuring
that all the activities necessary to design,
develop and implement a service are effective
and efficient with respect to the system and its
performance.
6. Conti…
The heart of analysis is patient’s
needs. Quality is not the absence of
errors as defined by the supplier, but
the presence of value as defined by the
patient/relatives.
Patient satisfaction is when patient’s
needs and expectations are met or exceeded.
7. Conti……..
Basics : Strategize For patient's Loyalty!
Power Up Your Organization for Maximum Retention
Handling patient's Complaints: Best Practices in
Resolving patient's Complaints
Patients expect value for their money and count
on the existence of services when needed.
8. Conti…….
patients are demanding to be informed
partners in decisions regarding their
health.
Now patients have a right to complain,
demand, report and sue that indicate about
the significance of quality of nursing care.
9. Conti…….
Responding to Angry Customers:
Understanding Hostile Customers .
Give An Angry Customer Even More Than They Asked For
Measuring Customer Satisfaction:
Using satisfaction surveys to achieve a competitive advantag
When Should Changes Be Made to a Customer Satisfaction T
10. Continuous Quality Improvement
Continuous Quality Improvement (CQI): is an
organizational process in which staff identify,
plan, and implement ongoing improvements in
service delivery.
CQI provides a vital way to assess and
monitor the delivery of services to ensure that
they are consistent with an organization’s best
practice clinical principles.
11. Conti….
The primary goal of the Quality Improvement
program is the ongoing improvement of the
delivery, quality, efficiency, and outcome of
patient care and services.
12. Conti…
Quality Management System (QMS) can be
defined as a set of policies, processes and
procedures required for planning and execution
(production / development / service) in the core
area of an organization.
13. Continuous Improvement
Methods
Widely used methods of continuous
improvement such as, Six Sigma and
Total Quality Management .They
emphasize employee involvement and
teamwork; measuring and systematizing
processes; and reducing variation,
defects and cycle times.
14. Total Quality Management (TQM) is a management
strategy aimed at embedding awareness of quality in
all organizational processes. TQM has been widely
used in manufacturing, education, government, and
service industries, as well as NASA space and science
programs.
Total Quality provides an umbrella under which
everyone in the organization can strive and create
customer satisfaction at continually lower real costs.
15. Total Quality Management (TQM )
TQM is composed of three paradigms:
Total: Involving the entire organization, supply
chain, and/or product life cycle
Quality: With its usual Definitions, with all its
complexities
Management: The system of managing with
steps like Plan, Organize, Control, Lead, Staff,
16. Six Sigma is a set of practices originally
developed by Motorola to systematically
improve processes by eliminating defects.A
defect is defined as nonconformity of a product
or service to its specifications.
17. The term "Six Sigma" refers to the ability of
highly capable processes to produce output
within specification. In particular, processes
that operate with six sigma quality produce at
defect levels below 3.4
defects per (one) million opportunities (DPMO).
Six Sigma's implicit goal is to improve all
processes to that level of quality or better.
18. Quality Improvement Heroes:
W. Edwards Deming is best known for his
management philosophy establishing
quality, productivity, and competitive
position. He has formulated 14 points of
attention for managers, some of these
points are more appropriate for
service management .
19. Break down barriers between departments;
Management should learn their responsibilities,
and take on leadership
Improve constantly
Institute a program of education and self-
improvement.
The following diagram is the (PDCA) cycle for
quality improvements, made popular by Deming.
20. FOCUS on a particular issue.
Find a process to improve
Organize to improve a process
Clarify what is known
Understand variation
Select a process improvement
21. The philosophy is to keep improving the quality of
an organization. It is defined by four keys:
Plan: Design or revise business process
components to improve results
Do: Implement the plan and measure its
performance
Check: Assess the measurements and report the
results to decision makers
Act: Decide on changes needed to improve the
process
22.
23. Quality Standards
The International Organization for Standardization (ISO
) created the Quality Management System (QMS)
standards in 1987. These were the series of standards
comprising ISO 9001:1987, ISO 9002:1987 and ISO
9003:1987; which were applicable in different types of
industries, based on the type of activity: designing,
production or service delivery.
24. History
the concern for high quality health care dates
back to the 5th Century BC, when Hippocrates
established a code of medical ethics, obliging
future doctors to swear "never to do harm to
anyone".
The history of quality assurance activities in
nursing can be traced back to Florence
Nightingale's attempts to improve the conditions
of care Her standards to assess the care of the
soldiers has been established as one of the first
documented efforts of quality improvement
work as a priority for nurses throughout the
world (Kahn, 987: 21).
25. Improving Quality through
Nursing
the role of nursing in providing quality health
care.
the impending gap between the need for
nurses and the supply ,the various ways that
hospitals and other health organizations are
reducing nurse staffing and increasing nurse
workloads.
26. Improving Quality through
Nursing
The quality of nursing is central to preventing errors in
hospitals and providing high-quality care.
It was have demonstrated an association between
nurses’ workload and the number of deaths in
hospitals.
It was have also shown an association between
nurses’ education and the number of deaths.
highly dissatisfied nurses with their working conditions ,
lack of autonomy, turnover and burnout.Studies have
suggested that when nurses have more control over
their work, care improves and hospitals function better.
27. FACT
Hospitals with low nurse staffing levels tend to
have higher rates of poor patient outcomes
such as pneumonia, shock, cardiac arrest, and
urinary tract infections, according to research
funded by the Agency for Healthcare Research
and Quality (AHRQ) and others.
28. Functions of the quality improvement
department to improve nursing quality
Develop mechanisms for using evidence-based
practice to improve quality of care
Support nursing staff involvement in collaborative
quality initiatives that improve organizational
performance and patient outcomes
Assist nursing staff to interpret and use data from
internal and external sources to improve care or
resolve identified problems
Promote safe practices by infusing a culture of safety
for both patients and staff.
29. Promote the use of an institutional set of core outcome
indicators to monitor and improve care
Facilitate performance improvement efforts of
department and interdisciplinary teams
Coordinate or conduct interdisciplinary performance
improvements that impact patient care delivery from
multiple services
Provide education and consultation to internal and
external constituents regarding quality and outcomes
management activities
30. Promote a scientific approach to problem-
solving in management and delivery of patient
care services
Promote discussion and exchange of
information regarding status and progress of
evidence-based practice, and process
improvement projects.
31. scope
The scope of patient care services provided by
the department includes:
Assessment of patients
Planning, implementing, evaluating the nursing
plan of care
Administration of medications
Administration of treatments and therapies
Patient and family education
32. Structure, Process and
Outcome
Structure is the evaluation of the organization of the
institution delivering care; the conditions under which
care is provided and its impact on quality, i.e. buildings,
budget and equipment.
Process concerns the evaluation of the performance of
health professionals in the management of patients
outcome is the evaluation of the end result,
observable changes in the health status of the patient.
33. Quality Tools
Cause Analysis Tools
Tips and tools for the first step to improvement
identifying the cause of a problem or situation.
Evaluation and Decision-Making Tools
Making informed decisions and choosing the
best options with a simple, objective rating
system, and determining the success of a
project.
Process Analysis Tools
How to identify and eliminate unnecessary
process steps to increase efficiency, reduce
timelines and cut costs.
34. Quality Tools You Can Use
Flowcharting
Fishbone diagrams
Pareto charts
SMART goals
Brainstorming
Benchmarking
Interviews
Nominal group process
Force-field analysis
Multi-voting
Cost-benefit analysis
Observation
Written standards and
procedures
Rewards
Teamwork
Questionnaires
Charts/graphs
Time-run chart
35. Seven Basic Quality Tools
These seven tools get to the heart of
implementing quality principles.
These are the most fundamental quality
control (QC) tools. They were first
emphasized by Kaoru Ishikawa, professor
of engineering at Tokyo University and
the father of “quality circles.”
36. 1. Cause-and-effect diagra
(also called
Ishikawa or fishbone
chart): Identifies
many possible
causes for an effect
or problem and sorts
ideas into useful
categories.
37. Check sheet: A
structured, prepared
form for collecting
and analyzing data; a
generic tool that can
be adapted for a wide
variety of purposes.
38. Control Chart: Out-of-Control Signals
Control charts: they
are also called:
statistical process
control .
They are:Graphs
used to study how a
process changes over
time.
39. Histogram: The most
commonly used
graph for showing
frequency
distributions, or how
often each different
value in a set of data
occurs.
40. Pareto chart: Shows
on a bar graph which
factors are more
significant.
41. Pareto chart is a bar that displays categories of data in
descending order of frequency from the left to the right.
When analyzing data about the frequency of
problems or causes in a process.
There are many problems or causes
Communicating with others about your data.
42. Scatter diagram: Graphs
pairs of numerical data,
one variable on each axis,
to look for a relationship.
Is there any relationship
between product purity
(percent purity) and the
amount of iron
44. Risk management
Risk management is the human activity which
integrates recognition of risk, risk assessment,
developing strategies to manage it, and
preventing of risk using managerial resources.
The strategies include transferring the risk to
another party, avoiding the risk, reducing the
negative effect of the risk, and accepting some
or all of the consequences of a particular risk
45. Steps in the risk management process
Identification of risk in a selected domain of
interest
1. Planning the remainder of the process.
2. Mapping out the following: the social scope
of risk management, the identity and objectives
of stakeholders, and the basis upon which risks
will be evaluated, constraints.
.
46. 3. Defining a framework for the activity and
an agenda for identification.
4. Developing an analysis of risks involved in
the process.
5. Mitigation of risks using available
technological, human and organizational
resources
47. Potential risk treatments
Avoidance (elimination) :Includes not performing an
activity that could carry risk
Reduction ( mitigation): Involves methods that reduce
the severity of the loss
Retention :Involves accepting the loss when it occurs.
Self insurance
Transfer ( buying insurance) :Means causing another
party to accept the risk, typically by contract