COMPLETE SOLUTIONS VERIFIED
Standard
▪Predetermined baseline condition or level of excellence that constitutes a model to be
followed and practiced
-foundation for all RNs in practice; ie nurse manager, diabetes educator, home health
nursing, forensic nursing practice
-should be objective and attainable
the _______ has placed a key role in developing standards for the profession
ANA
Standards must be:
A.Subjective
B.Uniform across all organizations
C.Attainable
D.All of the above
. Attainable
Rationale: Standards should be objective and attainable but tailored to each individual
organization's needs.
three steps of quality control process
,1)The criterion or standard is determined.
2)Information is collected to determine whether the standard has been met.
3)Educational or corrective action is taken if the criterion has not been met.
benchmarking
-process of measuring products, practices, or services against best-performing
organizations
-▪Organizations can determine how and why their organization differs from these
exemplars and then use the exemplars as role models for standard development and
performance improvement.
fifth and final step of management process
quality control
Quality Control
▪Activities that are used to evaluate, monitor, or regulate services rendered to
consumers
▪Performance is measured against predetermined standards.
▪Action is taken to correct discrepancies between these standards and actual
performance.
Hallmarks of Effective Quality Control Programs
1. Support from top-level administration
2. Commitment by the organization in terms of fiscal and human resources
3. Quality goals reflect search for excellence rather than minimums.
4. Process is ongoing (continuous).
Quality Improvement Models examples
, total quality management (TQM) and the Toyota Production System (TPS).
AHRQ (clinical practice quidelines)
Agency for Health Research and Quality
Provide diagnosis-based step-by-step interventions for providers to follow in an effort to
promote quality care
Also called standardized clinical guidelines
Should reflect evidence-based practice (EBP); that is, they should be based on cutting-
edge research and best practices
NDNQI
National Database of Nursing Quality Indicators,
first largest nursing quality indicator
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems
▪focus on patient's perception of hospital experience; public reporting
Core measures
key quality indicators that help health care institutions improve performance, increase
accountability, and reduce costs
- effort to better standardize its valid, reliable and evidence-based data sets
National Patient Safety Goals
-Improve accuracy of client identification.
-Improve effectiveness of communication
among caregivers.
-Improve safety of using medications.