Quality Flashcards
customer satisfaction
meet standards & criteria
cionsistent use of products
cost effective
continuous process
quality
pre-determined level of excellence against which quality can be measures
Standards/Criteria
intergrated review of evidence
Systematic Review
SR of quantitative studies
Meta-Analysis
SR of qualitative studies
Meta-Synthesis
what are the 3 standards or criteria for quality
Structure
Process
Outcome
antecedent variables, 7M’s
Structrue
independent, interdependent nursing role
Process
Satisfaction
Outcome
If the target satisfaction is met
OFI (opportunities for improvement)
type of controlling that evaluates, monitor, and regulate services rendered to consumer
Quality Control
Quality control 3 areas of concern
activities to evaluate
monitoring tools
regulation of services
activities to evaluate
job satisfaction
regulating of services
accreditation
3 control process
- the criteria/standard is determined
- (implementation) information are collected to determine whether the standard has been met
- educational and corrective action is taken if the standard has not been met
if the standard has not been met
Non-compliance
if there is non-compliance what corrective action
OFI
pre-determined level of excellence
standard
3 standards
Standard for practice
organizational standards
standardized clinical guidelines
quality of nursing care the patient receives
standard for practice
PPNPS mean
philippine professional for nursing practice standards
example of standards for practice/PPNPS
BON Res. 112 (2005)
Intrtavenous Nursing standards by ANSAP
level of acceptable practice within an organization
Organizational Standards
diagnosis-based, step-by-step interventions for providers to follow
Standardized clinical guidelines
other name of standardized clinical guidelines
clinical pathway
clinical protocol
example of standardized clinical guidelines
IMCI
RPSEA
record
process
structure
environment
account
systematic and formal examination of RPSEA
audit
4 types of audit dependening WHEN is the audit done
retrospective
concurrent
prospective
performed AFTER patient receive service
retrospective
performed WHILE patient receive service
concurrent
utilized for future direction
prospective
other 3 types of audits
structure audits
process audits
outome audits
incude resource inputs
7M’s
ex. not enough staff
structure audit
flow, steps, procedures
ex. medication error
process audit
evaluation of results/product
ex. acomplishments
outcome audit
TQM also reffered as
continuous quality improvement
the quest for quality is ONGOING PROCESS and there is always room for improvement
Total quality management (TQM)
where did TQM originated
Japan
Its goal is quality nursing with a difference
Quality assurance/CQI/TQM
standards/critria includes
structure
process
outcome
involves 7M’s
quality sevice
environment
resources
mechanisms/strategies
ex. qualification standards are met when hiring personnel and managers
structure
whare are the 7M’s
manpower
machine
materials
manager
methods
moment
money
nursing practice
clinical guidelines and protocol
SOP
steps or process flows
ex. identify pt prior in giving medication; shorten admission time
process
performance appraisal
performance evaluation
self/personnel evaluation
customer satisfaction
percentage of accomplishments
ex. pt reported 80% satisfaction
outcome
customer satisfaction
outcome
continuouslong term improvement in processes an output
process
steps to ensure full involvement of entire workforce
structure
four processes of TQM
kaizen
atarimae hinshitsu
kansei
miryukoteki`
continuous process imrprovement
kaizen
will work as they are supposed to
atarimae
examine how uses apply the product (warranty)
kansei
aesthetic quality
miryukoteki
systematic process
proactive
overall management rather than single program
quality improvement
improve outcome based on customer needs
systematic process
doing the right thing
proactive
QA methods - chart audits
quality assurance (QA)
manufacturing industry
performance improvement (PI)
client focus
total organizational involvement
use of quality tools an statistics
identification of key process
Total Quality Management (TQM)
quality asssurance
doing it right (efficiency)
assess/measure performance
whether performance meet standard
improve if not meeting the standard
efficiency
reactice process
quality improvement
doing the right thing
meet customers need
build assess work process
identify opportunities for improved perormance
scientific approach to assessment and problem solving
continuous imorivement - on going management strategy
interpret process an outcome
effectiveness
proactive
training for quality
lean 6 sigma
belt colors
white
yellow
green
black
master black
neophyte, novice
white
understanding of basic principles
yellow
support and start keading project
green
able to manage project with quality
black
adviser for quality, consultant, coach, trainor
master black
components of lean 6 sigmA
DMAIC
8 WASTES (DOWNTIME)
5S LEAN workplace
FMEA
DMAIC
define
measure
analyze
improve
control
8 Waste (DOWNTIME)
Defect
Overproduction
Waiting
Non-utilized talent
Transport
Inventory
Motion
Extra processing
errors in HC caused by rework, scrap, & incorenct infor
defects
production more than needed before it is needed
oveproduction
wasted time waiting for next step process
waiting
underutilizing peope talent, skills, knwoledge
non-utilized talent
unecessary movements of produts & materials
transportation
excess products/materials not being processed
inventory
unecesssary movement of people (ex. walking)
motion
more work/higher quality is required by customet
extra processing
5s Lean workplace
sort
set in order
shine
standardized
sustain
keep what is only necessary and discard
(when in doubt throw it out)
sort
arrange and labell only necessary items for easy use and return by anyone
set in order
keep everything swept & clean for inspection…
shine
state that exist when the first 3 pillars (sort, set in order, shine) are properly maintained
standardized
make habit of properly maintaining correct procedure
sustain
FMEA
failure
mode
effect
analysis