Basic concepts of Total Quality Management (TQM) model of quality improvement
- Service is focused on the individual (patient)
- Quality can always be better
- Problem-prevention planning leads to quality outcomes NOT reactive problem solving
What are the 3 steps of quality control?
- The criterion or standard is determined
- Information is collected to determine if the standard has been met
- Educational or corrective action is taken if the criterion has not been met
Benchmarking
The process of measuring products, practices, or services against best-performing organizations
Outcome audits
Determine what results, if any, occurred as a result of specific nursing interventions for patients.
Process audit
Measures how nursing care is provided. The audit assumes a connection between process and quality of care
Structure audit
Assume that a relationship exists between quality care and appropriate structure.
What are the 4 hallmarks of effective quality control programs?
- Support from top-level administration
- Commitment by the organization in terms of fiscal and human resources
- Quality goals reflect search for excellence rather than minimums
- Process is ongoing
Quality Assurance
Models seek to ensure that quality currently exists
Quality Improvement
Models assume that the process is ongoing and that quality can always be improved
Nursing Minimum Data Set (NMDS)
The oldest standard nursing language. It creates a shared language that can be used by nurses in any care delivery setting. This data can be used to compare nursing effectiveness, costs, and outcomes across clinical settings and Nsg interventions
