QUALITY IMPROVEMENT AND PATIENT SAFETY WHAT IS
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Transcript QUALITY IMPROVEMENT AND PATIENT SAFETY WHAT IS
QUALITY IMPROVEMENT
AND
PATIENT SAFETY
WHAT IS QUALITY ?
Appropriate application of medical
knowledge with due regard to the
balance between the hazard inherent
in every medical intervention and the
benefits expected from it
It is, however more complex than
this.
WHAT IS QUALITY
ASSURANCE
Quality assurance as making sure
that the services provided by
thehospital are the best possible
given existing resources and
current medical knowledge.
QUALITY FROM WHOSE
POINT OF VIEW ?
Provider
of Health care Services
Recipient
of the Health care
services
Organizer
services
of the Health care
PROVIDERS CONCERNS
To provide care as per established
norms
Adequate resources
Self
satisfaction
with
the
final
outcome
Should contribute to enhancement of
skills,
competence
experience
and
add
to
RECIPIENTS CONCERNS
Accessibility
Affordability
Prompt attention
Less waiting time
Early diagnosis and cure
Return to Productivity as early as possible
Humane Treatment ie to be treated with
empathy , respect and concern
ORGANISERS CONCERNS
Responsible to the Society for the funds
spent on health care
To ensure safety of public and prevent
inappropriate or suboptimal care
To meet the requirements of the recipient
and provider of the health care services at
Acceptable costs
QUALITY IMPROVEMENT
APPROACHES
Credentialing
Licensure
Accreditation
Certification
Chart recognition
QUALITY ASSURANCE CYCLE
Reevalu
ation
Identify
values
Take action
Identify standards
criteria
Choose action
Secure measurement
Identify
course of
action
Make
measurem
ent
NEW TRENDS IN QUALITY
ASSURANCE
Quality council
Concurrent monitoring
High volume case assessment
High risk assessment
Standard of quality care
Inter disciplinary quality assurance
Automation of data sources
Performance of the staff
WHAT IS ACCREDITATION
Accreditation is an external review of
quality with four principal components:
It
is based on written and published
standards
Reviews
are conducted by professional
peers
The
accreditation
process
administered by an independent body
The
is
aim of accreditation is to encourage
organizational development.
Focus of standards
Patient Safety
Staff and employee safety
Environment and community safety
Information Education and Communication
Accreditation Process
Applications
Screening
of the Applications
Pre-assessment survey
Assessment Survey
Review of the recommendations of the
assessing body by the Accreditation
Committee
Recommendations to the board
Accreditation decision
DOCUMENT REVIEW
•
Quality Manual
•
Various Policies and Procedures
•
Minutes of Meetings of various committees
•
Medical Records
•
Medical / Nursing Audit
•
Adverse Events
•
HAI
•
Action Taken Reports
•
Personal Records of Staff
OBSERVATIONS
•
Facility Safety
•
Level of compliance with laid down policies and
procedures
•
BMW Management
•
Standard Precautions
•
Patient care
•
Fire Safety
•
Equipment Management
PROBLEMS AND CHALLENGES
HCOs are very enthusiastic
Ill prepared
Initial preparation is shoddy
Resources required initially
Benefits have a longer gestation
period
PROBLEMS AND CHALLENGES
Quality Consciousness at all levels
will take time
Sustenance
and consistency of
efforts will be required
Commitment on a consistent basis
High rates of attrition will require
repeated and continual training
Public Sector will take a longer time
to get into the process
Quality and consistency of assessors
and assessments
These May Look Difficult
Initially, But the First
steps are Never easy.
Also Nothing Is
Impossible
For,
Impossible
Means
I’ M Possible
Quality Norms and Accreditation??
Response of Medical Fraternity
Expected Response
THE CURRENT STATUS OF
ACCREDITATION IN INDIA
Initializing phase is over.
Phase of consolidation.
The initial steps have been difficult but
the journey has begun.
The journey has to continue……….
Especially since ---------------------------
ACCREDITATION IS A JOURNEY
AND
NOT A DESTINATION.
BON VOYAGE !!!!!