Professional Documents
Culture Documents
CONCEPT OF QUALITY IN HEALTH CARE Quality is defined as the extent of resemblance between the purpose of healthcare and the truly granted care (Donabedian 1986). Quality assurance originated in manufacturing industry to ensure that the product consistently achieved customer satisfaction. Quality assurance is a dynamic process through which nurses assume accountability for quality of care they provide. It is a guarantee to the society that services provided by nurses are being regulated by members of profession. Quality assurance is a judgment concerning the process of care, based on the extent to which that cares contributes to valued outcomes. (Donabedian 1982). Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities. (Bull, 1985) Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998).
General
Specific
A. General Approach
It involves large governing of official bodys evaluation of a persons or agencys ability to meet established criteria or standards at a given time. 1) Credentialing 2) Licensure 3) Accreditation 4) Certification
B. Specific approaches
1) Peer review 2) Standard as a device for quality assurance 3) Audit as a tool for quality assurance
Select measurement
Make interpretation Identify course of action Choose action Take action Reevaluate
International Standards are developed by ISO technical committees (TC) and subcommittees (SC) by a six-step process: Stage 1: Proposal stage
Nurses will not get adequate time to spent with the patient, most of the
time may be spending for recording and reporting The hospital will be restricted only to ISO standards
Hospital has to provide special training for all the staffs those who are
involved in ISO inspection All types of services will be under the control of ISO
CRITICAL ANALYSIS:
Strengths: ISO helps to improve and maintain the
CONCLUSION
To ensure quality nursing care within the contemporary health care system, mechanisms for monitoring and evaluating care are under scrutiny. As the level of knowledge increases for a profession, the demand for accountability for its