module 3. session 2 measuring quality in health care
DESCRIPTION
Measuring quality – Avedis DonabedianTRANSCRIPT
Module 3. Session 2Measuring quality in health care
Quality assurance?
Measuring quality – Avedis Donabedian
Component of health care
Definition
INPUTS All inputs into an activity
People, money, building bedsPROCESSES Activities that constitute the interventions
Strategies, plans, procedures, referral patterns, bed occupancy, waiting times
OUTPUTS Product of the activity
Number operations conductedOUTCOMES Change in health status
Death, disability, adverse events
Component of health care
Definition
INPUTS Number personnel available trained in C sections
PROCESSESClinical guidelines
Number operating theatresWaiting times for C sections
OUTPUTSNumber C sections performed
OUTCOMES Perinatal / maternal mortality
Standards
What are standards
Statement of the quality that is expected
Level of quality against which performance should be measured.
Minimum – to ensure safety Developmental – encourage and support move to better practice Achievable standards Local / international standards
Why standards?
Measures against which can assess performance
Demonstrate improvement
Reduce unacceptable variations on service
Help public know what to expect
Ensure compliance – if you measure them
Six fast track areas
Domain 2. Patient safety, clinical governance and clinical care
This domain ensures how to ensure quality nursing
and clinical care and ethical practice, reduce
unintended harm to health care users or patients. In
identified cases of greater clinical risk, prevent or
manage problems or adverse events, including
health care associated infections and support any
affected patients or staff
This includesSub-domain Focus of standard and criteria
Patient care Procedures in place to ensure delivery of evidence based care
Clinical management for improved health outcomes
Guidelines available to ensure implementation of priority programmesMonitoring of these priority programmes
Clinical leadership Appropriate health professionalsSupervision of health professionalsQuality CommitteeQuality Committee reviews used to improve care
Clinical risk Identify high risk patients – elderly, terminally illSafety protocols
Adverse events Policy on adverse eventsInfection control Policy on infection control