Quality Improvement Flashcards
The common thread:
Compliance and concordance
Medicines Safety
Evidence Based Practice
Shared Decision Making
Why have Quality Improvement in Healthcare?
Healthcare is not always safe and can lead to poor patient experience and outcomes
Financial pressures are challenging healthcare services
Options?
Indiscriminate cuts; or
Design services to improve efficiency & reduce levels of harm
The people best placed to make those improvements are those who work in those areas day in day out, and know what needs to change. This is why Improving Quality Together is for everyone.
What is Quality in Healthcare?
W. Edwards Deming (1900-1993)Deming says that
“Quality is meeting and exceeding the customer’s needs and expectations and then continuing to improve”.
Quality in healthcare
core skills- Six domains
Identified by Institute of Medicine as quality in healthcare and these encompass person centred care.
These have been adopted by NHS Wales.
Acronym S.T.E.E.E.P :
1) Safety
2) Timely
3) Effective
4) Efficient
5) Equitable
6) Person centered
Safety
is avoiding harm to staff and patients from the care that is intended to help them
{keep record of near misses}
Timely
care reducing waits and harmful delays for both those who receive and those who give care
{can u access care you need when you need it?}
Effective
care based on scientific knowledge to all who could benefit and refraining from actions to those not likely to benefit
{drug A could be better than Drug B for some types of diabetes}
Efficiency
avoids waste, of equipment, supplies, ideas, and energy
{Best treatment in the quickest way possible}
Equitable
care that does not vary in quality because of personal characteristic such as gender, ethnicity, geographic location, and socio-economic status
{ Ensure that all people have equal access to the NHS service }
Person-centered
care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions
{ shared decision making }
How long did the NIH take to recommend the treatment of ulcer as suggested by Marshall in his 1984 Lancet Article?
10 years