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Good communication in health care
Good communication in health care
Importance of communication in medical care
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The Urgent Need for Increased Quality in Healthcare
The need for increased quality in the healthcare system is extremely important and should not be overlooked. Quality can refer to many aspects in the healthcare system, not just the individual’s interaction with the provider. The population, as a whole, should have a health status that is improving. Quality across the entire healthcare system needs to be enhanced. Working through factors such as: underuse, misuse and overuse would be a way to start improving the quality of healthcare in our system.
In the article, The Urgent Need to Improve Health Care Quality: Consensus Statement, a round table of twenty representatives explored the changes in healthcare and the implications it had on quality. The article found that many issues facing the healthcare
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Having family members who had a chronic illness and/or cancer, and have been through various aspects of the healthcare system made that apparent. There were cases of overuse and misuse, as defined in the article, that my family members went through. My aunt, who was diagnosed with breast cancer, had a procedure with complications. This caused her to have a poor outcome and extended hospital stay. This caused more harm than good for her. If there had been a better-quality procedure in place, that might not have occurred. Often, the quality of care received does not equate to the cost of said care. The improvements need to start with the most basic of doctor patient function, communication. Most people have experienced the physician who was more interested in getting out of the door than actively listening to the patients concerns. One cannot provide quality care and do what is best for the patient if he/she does not take the time to truly listen to the patient. In my opinion, quality of care is directly linked to a patient’s outcome and therefor the need for improvement is
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
The interpretation of quality health care varies with each person. Some place emphasis on the ability to access various treatments without interference. Others value the feature of being able to simply select one’s provider. Quality health care, according to the Institute of Medicine (2001), can be defined as care that is “safe, effective, patient-centered, timely, efficient and equitable” (p. 3). Furthermore, it should account for, in detail, a patient’s medical history, and improve overall patient well-being.
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
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
Nearly every American can agree that our current health care system needs reforms. Primarily do to the fact that 45.7 million Americans are without health insurance. That's approximately 16 percent of Americans who sometimes have to do without healthcare, or face crucial financial responsibility. The main issues are admission to healthcare, and the affordability of health care. Before 1920, doctors didn't know enough about diseases to really provide useful care to sick people. Therefore the...
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...
Evaluating dimensions of quality in healthcare All sectors of society such as providers, payers, individuals, and employers should work together to improve the health care quality and establish policies and procedures to adopt the following three NQS aims: • Delivering medical care that is patient centered, accessible, reliable and safe • Improving overall health of U.S population through intervening and implementing policies related to social, behavioral and environmental determinants of health • Improving access to affordable care to U.S population by reducing cost of quality health care (About the National Quality Strategy, 2017) National Quality Strategy focuses on following six priorities to advance the above three aims: • Ensure safer health care by decreasing harm caused during the delivery of care • Encourage personal and family engagement by being partners in health care • Facilitate effective coordination and communication of health
The National Quality Strategy was first published in March 2011 as the National Strategy for Quality Improvement in Health Care, and is led by the Agency for Healthcare Research and Quality on behalf of the U.S. Department of Health and Human Services (HHS). Mandated by the Patient Protection and Affordable Care Act, the National Quality Strategy was developed through a transparent and collaborative process with input from a range of stakeholders. More than 300 groups, organizations, and individuals, representing all sectors of the health care industry and the general public, provided comments. Based on this input, the National Quality Strategy established a set of three overarching aims that builds on the Institute for Healthcare Improvement's
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
Quality care is a varied concept. It can be achieved by doing the right thing routinely and safely to guarantee the best possible clinical and patient satisfaction (Brady et al., 2010). Quality care comprises efficiency, record management, customer service, safety, health outcomes and best practice (The Quality and Patient Safety Commission, 2008). It is central to the nursing process. Provision of quality care can be influenced by many factors, including the competency of healthcare professionals such as nursing leaders or managers.
In order to maximize quality health care, managers need to know what service components are important in patients’ perception and try to administer quality service at all times. Quality service, in terms of patients’
In general, it is important to have quality improvement in health care as this result can enhance efficiency and yield to an increase in revenue of an organization if the system is customized to meet the exact need of the
If the responsibilities of each team member are clearly defined, plans of action for improvement can be easily drawn up and efficiently executed. The World Health Organisation (2006) describes the different responsibilities of healthcare professionals for quality improvement. The top priority and main responsibility of healthcare professionals is to assure that patients are receiving the highest standard of care available, followed by the responsibility of constantly evaluating the health system to make sure it is performing in an exemplary way. It is important to construe that patients also have definitive responsibilities in quality improvement. These responsibilities lie in recognising their specific individual needs, and, wherever possible, controlling their own health with the necessary support from the healthcare system.
As a nurse, the obligation to provide an enhanced quality of care for others is a personal belief of mine. Knowledge about the quality of care countenances for better improvements of the patient and healthcare system holistically. Gaining knowledge of why nursing is a necessity to one will improve the perception of the application process of nursing with the patient. This allows for a better interaction between the advanced practice nurse and patient. Knowledge-based quality of care plays a significant role in healthcare to help those obtain a better education of their healthcare status to improve their outcome of care.