2. Definition
“Quality assurance is an ongoing and
systematic process designed to evaluate and
promote excellence in the health care
provided to the client.
3. Purpose of Quality Assurance
1. To help patient and potential patient by
improving quality of care.
2. To assess competence of medical staff or
nursing staff serve as an impetus to keep up
to date and prevent future mistakes
3. To bring to notice or hospital
administration in the deficiencies and
correct.
5. Structure Evaluation
It is focused on the setting in which the care
is given
It answers this questions: what effect does
the setting have the quality of care?.
Structural standard describe desirable
environmental and organizational
characteristic that influence care such as
equipment and staffing
6. Process Evaluation
It focuses on how the care was given
It answers the question such as: is the care
relevant to the client need? Is the care
appropriate, complete and timely?
Process standard focuses on the manner in
which the nurses uses the nursing process.
For example- check client identification band
before giving medication and perform and
record chest assessment.
7. Outcome Evaluation
It focuses on demonstrable changes in the
client’s health status as the result of nursing
care outcome.
Criteria are written in terms of client response
For example:- how many client undergoing hip
repair and develop pneumonia? How many
client and who have colostomy experience
infection that delay discharge.
9. Methods of Quality Assurance
Concurrent or on the spot
Concurrent evaluation provide opportunity
for simultaneous corrective action
Administrator uses this method routinely
so far as non clinical aspect of hospital
care
This refers to the evaluation conducted on
behalf of patient who is still undergoing
care.
10. Methods of Quality Assurance
Retrospective review
Retrospective evaluation act as continuous
and ongoing self improvement process.
This refers to an in depth assessment of the
quality after the patient has been
discharged.
It requires step-by-step approach to reach
desired outcome
11. Element of Quality Assurance
1. Commitment for top level management.
2. Commitment from all personal of the
organization
3. Setting clear responsibility for quality activities.
4. Willingness to change.
5. Accurate documentation.
6. Effective communication at all levels
7. Ongoing training programme in quality
improvement
12. Importance of Quality
Assurance in Health Care
1. It is an important managerial function
which assures confidence among customers.
2. It involves evaluation in order to secure
improvement and development on a
continuous basis.
3. It is needed to indicate standard of agency.
13. Principles of Quality Assurance
1. Customer focused.
2. Identify key process to improve quality.
3. Use of quality tools and statistics.
4. Involvement in all people and departments
to find out solution.
5. Leadership
6. Commitment
14. Principles of Quality Assurance
7. Process oriented
8. Participative management
9. Decision making
10.Team work
11.Education and retraining
12.Control setting standards
15. Barriers to the Quality Improvement
1. Primary barrier in implementing effective
quality improvement is cost.
2. Tradition and failure to realize the
changes that are needed
3. Authoritative leadership style, do not
value innovators.
4. Lack of evidence-based practice.
16. Tools of Quality Assurance
1. Physical Standard: - it includes patient’s activity
rating to established nursing care hours per patient
per day.
2. Cost Standard: - it includes review of monetary
investment.
3. Capital Standard: - it includes review of monetary
investment.
4. Revenue New Standard: - it includes revenue per
patient per day for nursing care.
17. Tools of Quality Assurance
5. Programmed Standard: - it guides the development
and implementation of programmer to meet client need.
6. Tangible Standard- it include staff development.
7. Goal Standard: - it outlines goals in short and long
term planning.
8. Strategy Planned Standard: - it outlines parts in
developing and implementing the organization strategy
plan.
18. Quality Assurance Committee
1. Medical administrator
2. Two senior clinician
3. Pathologist
4. Radiologist
5. Nursing administrator (Superintendent)
6. Medical Record officer
7. Super Specialist
8. Consultant
19. Function of Quality Assurance
Committee
1. Coordination:
- collecting an information
- consider activities that should be related e.g. quality
appraisal
- Communication
- Coordination with hospital authority
2. Information
- Provide a centralized source of report.
- suggest need for intervention to hospital.
20. Function of Quality Assurance
Committee
3. Planning
- establish priority
4. Prodding
- insist and effective, productive quality appraisal effort from
all hospital component.
5. Consultation
- provide assistance through coordinator
6. Search for Expertise
- operate openly not behind closed door.
21. Function of Quality Assurance
Committee
7. Response
- internally acknowledge issue of importance to individual
and department when suggesting higher authiority area
for immediate attention.
- externally provide the organizational home for responding
the quality requirement of external agencies.
8. Follow Up
