SEMINAR
PRESENTED BY: Dolly Oslene Jyrwa
M.Sc nursing 2nd year
INTRODUCTION
As a result of advancement in health care
technology, increased competition,
privatization and awareness among the
clients, health care system has become well
aware of the need to ensure quality.
Evolution of nursing nursing as a scientific
discipline has accountability toward the
patient care keeping in mind the patients
right cost of health services demands quality
assurance in nursing.
DEFINITION
“The quality defined as the degree to which the
patient care services increase the probability of
desired outcomes and reduce the probability of
undesired outcomes given the current state of
knowledge”
-Joint Commission for
Accreditation of Health Care Organization
“Quality Assurance is a program adopted by an
institution that is designed to promote the best
possible care”
- Deloughery, 1995
OBJECTIVES
To provide technical assistance in designing
and implementing effective strategies for
monitoring quality and correcting systemic
deficiencies
To refine existing methods for ensuring
optimal quality health care through an
applied research programme
PURPOSE OF QUALITY ASSURANCE
1. •Helps patients and potential patients by improving quality care.
2. •Assess the competence of medical staff, serve as an impetus to keep up to date and prevent future mistakes
3. •Bring to notice of hospital administration the defectiveness and in correcting the causative factors
4. •Help to exercise the regulatory function
5. •Restricting undesirable procedures
Principles of Quality Assurance
1. Quality Assurance is never ending
process of creative destruction with
rapid advances in sciences and
technology and reduce half life of
medical knowledge continuous
updating is essential.
2. The emphasis is on establishing
professing excellences patient satisfaction
at a reasonable cost.
3. Quality is not proportionate to the use
of sophisticated technology or to be
expensed incurred
4. Managers need to be committed to
quality management and all employees
must be involved in quality improvement.
Elements/ Components of Quality assurance
Structure Process Outcome
Element Element Element
•Denotes the
physical, •How the •The
financial and changes in
work is
organization the health
resources going status of
provided for on the patient
health care
APPROACHES FOR QUALITY ASSURANCE PROGRAM
Approaches
Specific approaches
1. Audit
General approaches 2. Direct Observation
1. Credentialing 3. Appropriate
2. Licensure evaluation
3. Accreditation 4. Peer review
4. Certification 5. Peer review
6. Client satisfaction
7. Control committee
Process of
Quality
Assurance
DONABEDIAN MODEL
Outcome
-Death
-Adverse
event
Process - Structural
Element Readmis Elements:
-Treatment sion into Characterist
Procedures hospital ics
- Stages of -Quality -Community
procedure of Life - Institution
Eg… Use of - Patient -Patients
diagnostic ability Eg…
test, Location,
treatment Nurse,
delays… patient
ration etc…
WILSON’S MODEL
Walson’s tried to operationalise Donabedian
model into a practical form
He redefined it as input, methods and
outcome
Input- people or personnel
Methods- Everyday Practice i.e Professional
skill
Outcomes- Quality of Service and client
satisfaction
Joint Commission 10 step process
This method involve 10 steps
1. Assign responsibilities
2. Delineate scope of care/ services
3. Prioritize aspects of care/ services
4. Identify at least two projects to address
5. Flowchart the process
6. Establish indicators for identified projects
7. Established thresholds for evaluation based on
customer expectations
8. Collect and analyze the data
9. Evaluate effectiveness of care and document the
level of improvement
10. Evaluate the effectiveness of action
SYSTEM MODEL FOR QUALITY ASSURANCE
The basis components of this model
Input- can be compared to the present of the
system
Throughput- Development process
Output- finish the product
Feedback- Essential for maintaining and
nourishes growth
SYSTEM MODEL FOR QUALITY ASSURANCE
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FEEDBACK
ANA QUALITY ASSURANCE MODEL
Developed by Long and Black in 1975
This model helps in the self determination of
patient and family, nursing health,
orientation patient right to quality care and
nursing distribution
ANA QUALITY ASSURANCE MODEL
Evaluate Identify
outcome structur
of e,
standard standard
s and and
criteria criteria
Apply the
process,
standard and
criteria
RESEARCH ARTICLE
Bender, C. Tores R and Diana. E conducted a
research study on “ Use of Donabedian Model as a
Framework for Covid – 19 Response at a hospital in
Suburban Westchester Country, Newyork: A Facility
Level Case Report”.
Purpose: To describe the facility leadership process
to apply Donabedian Model.
Methods: Retrospective evaluation is used to evaluate
by using this model both structural and procedural
changes were implemented to ensure high quality
clinical outcomes as well as the safety and
engagement of emergency department.
Result: Clinical outcome services quality and staff
safety were assessed, suggesting that following
structured process improvement model can
CONCLUSION
Quality assurance is a crucial aspects of any
organizations operations, ensuring that
products and services meet the highest
quality standards. It encompasses a range of
activities aimed at preventing defects,
maintaining consistencies and enhancing
customers satisfaction.
