Lecture 1 Flashcards
Quality Improvement
Systematic problem solving approach
*Data-driven; improves work flow processes (decreases time involved a lot of the time)
Benefit is usually immediate, least rigorous
QI models
Do>Study>Act>Plan> repeat
Lean Six Sigma: Control, Define, measure, analyze, improve
EBP
systematic problem solving approach
*evidence-driven
translates knowledge into clinical practice
somewhat rigorous
Research
Systematic, scientific problem solving approach
inquiry drive
**generates new knowledge or validates or redefine existing knowledge
most rigorous
Florence Nightengale
EBP definition
the integration of best practice of evidence, clinical expertise, and patient values
importance of EBP
provides patient with high quality care and best outcomes
cost efficient
reduces variability in care
clinicians feel more empowered and satisfied
How long does it take to be translated into practice
17 years
Nurses report using EBO the least which causes
decrease in patient care especially since nurses spend so much time with patients
Barriers to EBP
Lack of knowledge of EBP knowledge and skills
EBP not values
lack of time
lack of support/resources (i.e. mentors, education)
Future of EBP: pay for performance
third party payers will provide reimbursement only for healthcare practices supported by evidence
facilities denied reimbursement if complications develop from EBP not being used