Quality Care Pp Flashcards
A level of excellence of care based upon pre-established criteria.
Definition of quality
The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Institute of Medicine (IOM)
IOM recommendations to improve error reduction and quality
Establish leadership, research, tools, and protocols to enhance the safety knowledge base.
Develop a public mandatory national reporting system and encourage participation in voluntary reporting systems.
Use oversight organizations, health- care purchasers, and professional organizations to increase performance standards and expectations for safety improvements.
Implement safety systems at the point of care delivery in health-care organizations.
IOM estimated that 98,000 people die per year due to adverse events and medical errors in hospitals.
Consumer demand for higher quality care has increased dramatically.
Nurses are in a pivotal position to positively influence quality and safety at local, state, and national levels.
Methods to improve quality care:
Assure that quality care is provided the first time and there after.
- was borrowed from the business world- also known as total quality management
- ## sets the acceptable level, and a Dashboard is a electronic method of tracking quality datais another way to measure quality of care. The Hospital Care Quality Information from the Consumer
a gold standard of comparison for hospitals… measures the quality of care and the efficiency with which hospitals use resources, hospitals are rewarded for their scores
— as measures of health-care quality from easily accessible inpatient hospital administrative data.
Quality assurance (QA) Continuous quality improvement (CQI) Total quality management (TQM) HCAHPS Leapfrog group Quality indicators (QIs)
QA- Assure that quality care is provided the first time and there after.
QCI- was borrowed from the business world- also known as total quality management
benchmarking- sets the acceptable level, and a Dashboard is a electronic method of tracking quality data
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Client satisfaction is another way to measure quality of care. The Hospital Care Quality Information from the Consumer
The Leapfrog group (2000)- a gold standard of comparison for hospitals… measures the quality of care and the efficiency with which hospitals use resources, hospitals are rewarded for their scores
— quality indicators (QIs) as measures of health-care quality from easily accessible inpatient hospital administrative data.
Focuses on identifying, analyzing, evaluating risks
Reduces risk to decrease harm to clients
When an adverse event does occur, attempts are made to minimize losses.
Is interdisciplinary in nature
Includes aspects of detection, education, and intervention
Nursing staff is key to any _________ program
High risk areas include?
Risk management
Medication errors
Complications from tests and treatments
Falls
Refusal of treatment or refusal to sign treatment
tracks events leading to error, identifies faulty systems, and processes and develops a plan to prevent further errors.
The analysis, often called root cause analysis
National client safety goals
Improve accuracy of client identification.
Improve effectiveness of communication among caregivers.
Improve safety of using medications.
Reduce risk of health-care-associated infections.
Identify client safety risks inherent in its patient population.
= an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
Serious injury includes loss of limb or function.
They are not the same as errors.
Indicate the need for immediate investigation and response.
Sentinel event
Built on five competencies developed initially by the Institute of Medicine (IOM).
Using the QSEN model contributed to the adoption of quality and safety competencies as core Practice values (ch 4)
QSEN quality and safety education for nurses
One of the Department of Health and Human Services agencies that supports research to improve the quality of health care.
Helps people make more informed health-care decisions.
Charged with developing partnerships that create long-term improvement in U.S. health care
The research goal is to measure those improvements in terms of client outcomes, decreased mortality, improved quality of life, and cost effective quality care.
AHRQ
Agency for health research and quality
AHRQ focuses on what 3 areas?
Focus is in three areas
Safety and quality: risk reduction by promoting quality care
Effectiveness: improved health outcomes by using evidence to make informed health care decisions
Efficiency: translating research into practice to increase access and to decrease costs
The mission is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries.
is a federal program designed to review medical care, verify its necessity, and assist Medicare and Medicaid beneficiaries with complaints about quality of care.
QIO quality improvement organization
core functions for QIO
Improving quality of care for beneficiaries.
Protecting the integrity of the Medicare Trust Fund by ensuring that Medicare pays only for services and goods that are reasonable and necessary and that are provided in the most appropriate setting.
These are reasonably preventable medical errors that occur in the hospital
The Centers for Medicare & Medicaid Services (CMS) will no longer pay for These Events.
Hospitals now have to cover costs themselves for These Events.
Purpose = to control Medicare costs and improve the quality care.
In light of the Affordable Care Act (ACA) passage, this will be revised.
Never events
make quality and safety a priority rather than trying to blame someone for the error.
positive working environments and using errors as learning opportunities.
assists in reporting errors and near misses voluntarily and anonymously.
holds staff accountable for at-risk or reckless behaviors and does not tolerate them; however, it is prepared to handle human error occurrences
Just culture organizations -(It’s a culture that holds organizations accountable for the systems they design and for how they respond to staff behaviors fairly and justly.)
