Wk 7 - Questing for quality

Question 1

DONABEDIAN MODEL OF HEALTHCARE

I) what are the three components?

Answer 1

I) structure, process and outcome

Question 2

AUDIT / QUALITY IMPROVEMENT
I) what is an audit used for?
ii) what is the primary intent of quality improvement?
iii) give three barriers for quality improvement projects not being successful

Answer 2

I) a way to find out if healthcare is being provided in line with standards and let care providers and patients know where their service is doing well and where there could be improvements

ii) to bring about measurable improvement to a specific aspect of healthcare delivery, often with evidence or theory of what might work but requiring local iterative testing to find the best solution
iii) culture of a team/resistance to change, logistical barriers, fatigue and low staff morale, fail to sustain change

Question 3

RESEARCH VS AUDIT/QI 
I) what does research do?
ii) what does a clinical audit do?
Iii) what does a service eval/QI do? 
If) does quality improvement require ethical approval?

Answer 3

I) create new knowledge that can be generalised beyond the participant sample or setting
ii) evaluate services against a benchmark
Iii) find out something about a specific service which can be used to improve the service
Iv) no

Question 4

SUMMARY
I) what is healthcare improvement an umbrella term for?
ii) what is quality?
iii) what is quality improvement
iv) what is an audit? What is service eval? What is quality improvement?
v) do health improvement projects need ethical approval?

Answer 4

I) audit, service evaluation and quality improvement
ii) quality is patient care that focuses on safety, effectiveness and patient experience which is sustainable
Iii) QI is identifying a problem, plan how to improve, implement plan and evaluate
Iv) audit is eval service against a benchmark, SE/QI finds something out that can improve the service
V) no they are exempt