The Donabedian Model

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The healthcare industry in Australian is under considerable pressure from consumers and third party stakeholders to improve the standards of quality and safety (Faloudah, Qasim & Bahumayd, 2015). This entreaty emerges as the cost and demand of health services continues to rise and a growing body of literature suggests that there is a significant gap between what has been identified as best practice and what consumers are receiving in the clinical setting (Kronick, 2014; McFadden, Stock & Gowen, 2015). Nurses make up a significant percentage of healthcare professionals and are therefore in principal position to promote the improvement of quality and safety in healthcare. This essay will promote quality and safety as a core business of healthcare …show more content…

The data that is most relevant to clinical improvement is process and outcome data. The work of Donabedian (1988) will now be drawn upon to explore this topic further. The Donabedian model first published in 1988, is framework that has been identified as the most effective paradigm for assessing safety and quality in healthcare (Gardner, Gardner & O 'Connell, 2014). The model is a three-part approach that incorporates; structure, process and outcome. This essay will primarily focus on analysing both process and outcomes data however a short explanation of structure data will be given to appropriately illustrate the model. Structure is a description of all the elements that makeup the setting for which healthcare can take place. This includes material resources, human resources and organisational resources (Donabedian, 1998; Gardner et al., 2014). Process is the physical action and progression of a consumers receiving care. This includes the activities and motivations of the consumer seeking healthcare, the health practitioner assessing the patient and finally the treatment being recommended or provided to the consumer (Donabedian, 1998; Gardner et al., …show more content…

Gardner et al., (2014) explains that understanding and using process and outcome data can prevent adverse events from occurring by providing insight into previous clinical situations and assisting the implementation of change strategies and education. Utilising process and outcome data calls for clinicians to gather, analyse and interpret data, followed by interpreting the results (Sidani & Doran 2010). This process can lead to necessary changes being made for treatment protocols and nursing interventions, which can inturn improve the quality and safety of care being provided to consumers (Donabedian,

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