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Quality Assurance: Components of Quality Assurance - Tools in Quality Assurance

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QUALITY ASSURANCE

COMPONENTS OF QUALITY ASSURANCE TOOLS IN QUALITY ASSURANCE


BLAISE B. NIEVE | DAVAO DOCTORS COLLEGE, MASTER OF ARTS IN NURSING

COMPONENTS OF QUALITY ASSURANCE

STRUCTURE EVALUATION
Refers to the structure and management system;
Focuses on the setting in which care is given;
What effect does the setting have on the quality of

care?
Describes desirable environmental and organizational
characteristics that influence care, such as
equipment and staffing.

PROCESS EVALUATION

Refers to the actions and decisions of the nurse;


Focuses on how the care was given;
Is the care relevant to the clients needs? Is the

care appropriate, complete, and timely?


Process standards focus on the manner in which
the nurse uses the nursing process.

OUTCOME EVALUATION

Designed to measure the end result of care given

to the patient;
Focuses on demonstrable changes in the clients
health status as a result of nursing care;

OUTCOME EVALUATION

Written in terms of client responses or health

status, just as they are for evaluation within the


nursing process;
How many clients undergoing hip repairs develop
pneumonia? or How many clients who have a
colostomy experience an infection that delays
discharge?

QUALITY ASSURANCE MODELS

SYSTEMS MODEL

SYSTEMS MODEL

the conceptual model as a result of system

modeling that describes and represents a system.;


required to describe and represent all these
multiple views.

DONABEDIAN MODEL

Avedis Donabedian, a physician and health

services researcher at the University of Michigan,


developed the original model in 1966;
A conceptual model that provides a framework for
examining health services and evaluating quality of
health care;
Structures, process, outcomes;

DONABEDIAN MODEL

Structure describes the context in which care is

delivered, including hospital buildings, staff,


financing, and equipment;
Process denotes the transactions between patients
and providers throughout the delivery of healthcare;
Outcomes refers to the effects of healthcare on the
health status of patients and populations.

PLAN, DO, STUDY, ACT (PDSA) MODEL

PLAN, DO, STUDY, ACT (PDSA) MODEL

Systematic series of steps for gaining valuable

learning and knowledge for the continual


improvement of a product or process;
Also known( as the Deming Wheel, or Deming
Cycle (first introduced to Dr. Deming).

PLAN, DO, STUDY, ACT (PDSA) MODEL

Plan step. This involves identifying a goal or

purpose, formulating a theory, defining success


metrics and putting a plan into action.
Do step. The components of the plan are
implemented, such as making a product.

PLAN, DO, STUDY, ACT (PDSA) MODEL

Study step, where outcomes are monitored to test

the validity of the plan for signs of progress and


success, or problems and areas for improvement.
Act step closes the cycle, integrating the learning
generated by the entire process, which can be
used to adjust the goal, change methods or even
reformulate a theory altogether.

PLAN, DO, STUDY, ACT (PDSA) MODEL

These four steps are repeated over and over as

part of a never-ending cycle of continual


improvement.

TOOLS IN QUALITY ASSURANCE

FISHBONE/ISHIKAWA DIAGRAM

FISHBONE/ISHIKAWA DIAGRAM

BENCHMARKING

COMPARING SERVICES to the best performing

group;
A measurement of the quality of an organization's
policies, products, programs, strategies, etc., and
their comparison with standard measurements, or
similar measurements of its peers;

BENCHMARKING

(1) to determine what and where improvements

are called for,


(2) to analyze how other organizations achieve
their high performance levels, and
(3) to use this information to improve performance.

PARETO PRINCIPLE

states that, for many events, roughly 80% of the

effects come from 20% of the causes;


a bar graph that displays categories of data into
descending order to determine the root/primary
cause.

PARETO PRINCIPLE

END OF REPORT

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