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Quality improvement in healthcare essay
Importance of providing quality patient care
Quality improvement in healthcare essay
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Quality and quality improvement are important to any healthcare organization because these principles allows organizations to fulfill their missions more effectively. Defining what quality is may differ depending on whom is asking the question, as differing participates may have differing ideas about what quality means and why it is important. Being that quality is what unites patients and healthcare organizations, we can see the importance of quality and the need for strong policies and practices that improve patient care and their experience while receiving that care. Giannini (2015) states that this dualistic approach to quality utilizes separate measurements, conformance quality that measures patient outcomes against a set standard and
Dinh et al. (2014) found that by employing a quality improvement system lowered trauma patient mortality by statically significant amount. These reductions in patient mortality for course benefit patients, but also lower costs by identifying waste. Caldwell (2006) states quality improvement techniques; like lean sigma six, can allow better unit staffing allocations based on patient census that protect patient safety and care quality, but also reduce staffing levels more effective and lower overall unit staffing
In addition, quality is a fulfillment of our professional and spiritual obligations to our patients and ourselves. The bible speaks of this saying, “For the entire law is fulfilled in keeping this one command: “Love your neighbor as yourself”” (Gal 5:14, New International Version). Quality improvement in a healthcare setting fulfills this by ensuring patients are cared for, but also by ensuring we are careful stewards of the healthcare organizations we administer and managing them in a manner that continually improves for the benefits of ourselves and community. Using data driven quality improvement tools can assist administrators in fulfilling this
In her paper emerging model of quality, June Larrabee discusses quality as a construct that includes beneficence, value, prudence and justice (Larrabee, 1996). She speaks of quality and value as integral issues that are intertwined with mutually beneficial outcomes. Her model investigates how the well-being of individuals are affected by perceptions of how services are delivered, along with the distribution of resources based on the decisions that are made (Larrabee, 1996). She speaks of the industrial model of quality and how the cornerstone ideas of that model (that the customer always knows what is best for themselves) does not fit the healthcare model (Larrabee, 1996). Larrabee introduces the concept that the patient va provider goal incongruence affects the provide (in this case the nurse) from being able to positively affect healthcare outcomes (Larrabee, 1996). The recent introduction of healthcare measures such as HCAHPS: Patients' Perspectives of Care Survey has encouraged the healthcare community to firmly espouse an industrial model of quality. HCAHPS is a survey where patients are asked questions related to their recent hospitalization that identifies satisfaction with case based solely on the individuals’ perception of the care given. This can lead to divergent goals among the healthcare team or which the patient is a member. Larrabee’s model of quality of care model
...f clinical information systems in health care quality improvement. The Health Care Manager. 25(3): 206-212.
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
Nurses are pivotal in hospital efforts to improve quality because they are in the best position to affect the care patients receive during their hospitalization. Data collection and analysis is the core of quality improvement assisting in understanding how the system work, identifying potential areas in need for improvement, monitoring the effectiveness of change and outcome. Nurses are also the eyes and ears of the hospital to positively influence patient outcome. For example, nurses are the ones catching medication errors, falls, and identifying barriers to delivering care. In this nurse’s facility, in order to minimize patient falls the hospital implemented a falls risk assessment tool called, “The Humpty Dumpty Scale” upon admission
Quality care, safe practices and principles, and accountability constitute the foundation of any health care organization (Huber, 2014). Addressing patient safety issues and improving health care quality may include reorganizing operations to improve efficiency, coordinating care with interdisciplinary team members, and using information technologies (Wang, Cha, Sebek, McCullough, Parsons, Singer, & Shih, 2014). In this paper, I will review my organization’s quality program goals, objectives, and management structure, how quality improvement (QI) projects are selected, managed, and monitored, and how nursing staff are trained and supported in
In the healthcare system, quality is a major driving compartment for patient outcomes. The quality of care reflects the outcomes in a patient’s care. According to Feeley, Fly, Walters and Burke (2010), “quality equ...
An example of a quality improvement initiative that could be proposed would be to reduce medical errors by improving communication and teamwork. Medical errors usually occur when there is a breakdown in teamwork and communication. The first thing that I would propose is to have all medical staff members follow a routine daily round schedule. During the daily rounding, the teams will be encouraged to collaborate and discuss the patient plan of care. A performance improvement dashboard should be implemented. Medical staff should be encouraged to use the patient's bedside whiteboards to document and keep track of daily goals. Also, patients and family members should be encouraged to ask questions and collaborate on the plan of care.
Health care must be fully accountable for quality and the patient experience is simply the patient's perception of quality. Society should question and debate on how healthcare organizations should show improvement for consumers. This can help organizations create reliable health coverage cost and evaluate medical performances for families and individuals in the future. Physicians and organizations are now evaluating patients with collection of electronic data to improve a patient’s...
TQM was developed and utilized in other industries prior to adoption in health care (Shi & Singh, 2015, p.493-494). TQM has since modernized administration, reduced hospital stays, improved clinical outcomes, and improved patient satisfaction (Shi & Singh, 2015, p.493-494). Examples of utilization of the total quality management include improvement of patient safety through prevention of medical error incidences and as a positive influence for organizational learning and improvement. “Using total quality management approach to improve patient safety by preventing medication error incidences” is a study conducted at General Government Hospital to review current medication practices, implement a six sigma method through utilization of a five-step DMAIC procedure to find out the root cause for the errors, and establish solutions to avoid medication error occurrences throughout the hospital (Yousef & Yousef, 2017). The results demonstrated that the root cause was related to mistakes during prescribing due to poor handwriting (Yousef & Yousef, 2017). To decrease these errors, Guideline Recommendations to be followed by all physicians were published (Yousef & Yousef, 2017). This method is useful in decreasing errors during the prescribing phase and prevent the wrong medications from being administered. “Impact of Total Quality Management on Organizational Performance: Exploring the Contingent Effects of Organizational Learning and Innovation” is another article that discusses the importance of total quality management (Proceedings for the Northeast Region Decision Sciences Institute (NEDSI), 2017). This article examines the effect that total quality management can have on organizational learning and improvement. This has become an important concept for health care organizations specifically because of globalization and the pressure from insurers, accreditation agencies,
Quality improvement (QI) involves the regular and constant actions that enable measurable improvement in health care. QI results in enhanced health services, organizational efficiency, quality and safe care to patients, and desired health outcomes for individuals and patient populations (U. S. Department of Health and Human Service, 2011). A successful quality improvement program is patient-centered, a collaboration of teams, and uses data in systems. QI helps to develop a culture of excellence in nursing, identify and prioritize areas of improvement, promote communication and collaboration, collect and analyze data, and encourage continuous evaluation of systems and processes (American Academy
Understanding quality measurement is essential in improving quality. Teams need to be able to understand whether the changes being made are actually leading to improved care and improved outcomes. For data to have an impact on an improvement initiative, providers and staff must understand it, trust it, and use it. Health care organization must understand the measurement of quality provided by the Institute of Medicine (patient outcomes, patient satisfaction, compliance, efficiency, safe, timely, patient centered, and equitable. An organization cannot improve its performance if it does not know how it is performing. Measuring quality improvements is essential as it reflects the quality of care given by the providers and that by comparing performance
This paper explores Quality improvement (QI), which is essential for healthcare managers to identify and solve issues in a meaningful way. The two most common approaches to QI is Six Sigma and Continuous Quality Improvement (CQI) (Williams, Savage, & Stambaugh, 2011). For the purpose of this paper, the current quality problem within the Respiratory department will be identified and explained. The step by step process of CQI will be discussed and applied to manage and resolve the identified issue.
Continuous Quality Improvement is defined as, “a structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality healthcare that meets or exceeds expectations” (Sollecito & Johnson, 2013). CQI may be used by any health care organization for health care administrative and clinical processes. CQI is also considered to be an approach, perspective, or set of activities applied at various times. For instance, it is used in institutional improvement, societal learning, and professional responsibility (Sollecito & Johnson, 2013). CQI consists of various characteristics along with three main elements: philosophical, structural, and health care-specific, and three distinguishing
In the healthcare field, it is important to understand the patient’s perspective. When we understand the patient, only then can we give the patient the best quality care possible. Quality care incorporates both patient care and patient safety practices that ensure that the patient will have a comfortable, non-stressful visit under your care.
Quality Improvement or QI entails changes, due to collective efforts of healthcare workers and patients, that aim to improve “patient outcomes (health), better system performance (care) and better professional development” (Batalden & Davidoff, 2007). For a healthcare facility, QI activities can include implementing and perfecting an infection control policy. The purpose of improve the infection control policy is to prevent and reduce the spread of pathogens through patient to staff, staff to patient, and patient to patient contact (Australian Commission on Safety and Quality in Health Care [ACSQHC], 2012). Following a facilities’ infection control policy involves all healthcare workers and anyone in contact with patients and used equipment