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Slide 1
By Christina Lauderman RN, BSN, CEN
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The learner will be able to.. Define Quality Care Identify
Standards of Care/Benchmarks Identify drivers of quality and their
roles in the continuous quality improvement (CQI) process. Describe
How Total Quality and Continuous Quality Management, Six Sigma, and
Lean Six Sigma Addresses Quality.
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Identify when an Incident report needs filed. Perform a Chart
Review on Given Stroke Charts Develop a continuous quality
improvement project on a nursing unit.
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What Is Quality?
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Right Care at the Right time to the Right Patient.
Compassionate/Empathetic Competent No Harm Meets Standards No
Complications Nondiscriminatory/Fair
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Involves the pursuit of excellence in the delivery of care and
ongoing prevention of potential errors The degree to which patient
care services increase the probability of desired patient outcomes
and reduce the probability of undesired outcomes given the current
state of knowledge (JCAHO, 2009)
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Florence Nightingale Jean Watson- Theory of Caring Dorothea
Orem-Self care Deficit June Larabee-Quality Theories
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Medicare and Medicaid The Joint Commission (JCAHO) State
regulators Payers Professional groups Patients
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Why Is Poor Care Sometimes Given?
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Under Or Inexperienced Staff Human Error Time, Money, and Space
Constraints Attitude
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Ineffective Communication Complications Inability To Meet
Patients Expectations. System Error
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Care Deemed Appropriate Based on Scientific Evidence and
Expertise of Expert Professionals in that Area of Care. Come From
JCAHO, DOH, ANA, NLN, NIH, AHA, ATA, ABA, UPMC Standards,
Medicare/Medicaid, Insurance Companies etc.
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First learn standards in Nursing School. Learn Policies and
Procedures of Facility employed by. As you incorporate Evidence
Based Practice As you become involved in Research.
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Structure Standards- Physical Environment, Organization Process
Standards-Delivery Of Care Outcome Standards-The End Results
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Examples of Standards
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After the Fact Identification Prevention of Failed Standards
and Problems Based on Data Collection and Accountability Uses
Measurement Tools Focus on No Blame
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4 Characteristics Customer/Client Focused Total Organizational
Involvement Use of Quality Tools and Statistics for Measurement Key
Processes for Improvement Identified
Six Sigma Uses Quantitative Data As a Measure As a Goal
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As a Management System Customer focus Data Driven Process
Emphasis Proactive Management Boundary-less Collaboration Aim for
Perfection, Tolerate Failure
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Institute of Medicine- To Err Is Human: JCAHO- Patient Safety
Goals Institute of Healthcare Improvement
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Right Patient, Right Medication, Right Dose, Right Route, Right
Time Patients Involved In Own Care Educate Patients About
Medications Errors Need Reported
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Problem Focused- Identify Analyze Evaluate Risks Develop
Plan
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Education Based Monitors Laws and Codes Related To Patient
Safety. Collects Data In Legal Complaints Provides Reports to
Administration, Medical Staff, and Board of Directors.
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Incident Actual or Potential Risk. Document in Chart and in
Incident Report. Be Factual, Non Disciplinary, Honest Case Followed
Up by Risk Management
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Medication Errors Falls Complications from diagnostic or
treatment procedures Patient/Family dissatisfaction with care
Refusal of Treatment or to sign consent Skin Breakdown Iv
Infiltrations
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Encourage Staff To Report Incidents No Blame or Disciplinary
Action Unless Absolutely Necessary No Finger Pointing Encourage a
Culture of Safety and Quality
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Clear Communication Maintain Professional Caring Attitude
Listen to Complaints Determine Expectations of Patient or Family
Quick Follow Up and Action
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Personal Contact-Utilize Charge Nurse, Nurse Manager, Nursing
Supervisor. Maintain Safety For Yourself and For the Patient. Make
Restitution/Meet Expectations When Applicable.
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Meeting Standards Helps to Provide Quality TCM- Philosophy Uses
Plan, Do, Check, Act CQM-Never Ending, Strive for Excellence. Six
Sigma- Reduce Waste Increase Productivity
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Risk Management Role in Quality Increase Patient Safety
Incident Reporting Handling Complaints
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Textbook- Effective Leadership and Management in Nursing by
Pearson Google Images