Thursday, December 5, 2019
Continuous Quality Improvement Healthcare â⬠Myassignmenthelp.Com
Questions: What Are These Standards And Why Were They Developed? Patient Safety Is Considered To Be The Cornerstone Of High Quality Health Care? What Is Meant By The Two Terms Safety In Healthcare And Patient Safety? What Is Understood By The Term Safety Culture In Health Care And How Can It Be Measured? What Is The Significance Of A Poor Safety Culture For Health Care Professionals And Patients.? Answers: Introducation Quality of healthcare can be defined, as the services that are provided to the individuals as well as to patients have desired improvement in health outcome. Quality in healthcare can be achieved if the following significant factors are been maintained: Safe is the health care service that should be delivered with minimal chances of risk to the patients. Service provider should also look after reducing error in medication and avoiding injuries. Effective services should be provided on basis of evidence-based guidelines Decreasing the possible delays in providing services of health care Healthcare services should be delivered in such a way that it does not have any difference in respect to gender, ethnicity, socio-economic status and race (Campbell, Roland Buetow, 2013). Key elements of TQM and continuous quality improvement are as follows: Strategic planning and leadership is the changes in the form of expectations of customers, advanced technologies for diagnostics, evolution in system of patient care and innovative opportunities is been anticipated by strategic planning. Relations can achieve leadership in health care service for a long-term with significant customers, doctors, suppliers and employees. Total quality management can be achieved by reviewing the performance of health care with these stakeholders and a role model of leadership by senior leaders (Munechika et al., 2014). Customer focus is significant as clients judges the quality ultimately, therefore, every strategic decision in a health care system should be customer driven. The factors like professional ethics of health care service providers, sharing quality standards, health and safety of patients and environment are the key strategies for providing customer satisfaction. Assurance of quality is one of the significant elements for TQM. It helps in providing enough confidence on patient services for getting customer satisfaction regarding quality of service provided. It provides necessary training to employing for providing quality services. Quality assurance team also helps in quality planning, improvement in regulation of services and internal audit (Mohammad Mosadeghrad, 2013). Safety in healthcare is about providing safety to the employees who are providing the services of healthcare. There is a requirement of building the proactive safety system for assuring the safety system in healthcare. Safety in healthcare helps to protect workers, saving fund as well as making every programs regarding reduction of hazards to be effective. Safety in healthcare is considered a proactive process, which assists the employees in finding and fixing the hazards in healthcare sector. This is done with the help of health management system. Safety in healthcare is a transformation of workplace culture, which assists in reduction of injuries, fatalities and acute illnesses of the employees (Gjessing et al., 2014). It also reduces the compensation of employees; improve the morale of employees that yields in high quality of services provided to clients. Therefore, safety in healthcare is one of the significant factors in work place. Patient safety is defined as preventing any types of harm to patients. It is considered as reduction of risk of any events that are adverse to patients and are related to medical care exposure. Patient safety emphasizes on care delivery system that prevent errors, learning from errors that had already taken place and establishment of safety culture incorporating patients and healthcare professionals (Carayon et al., 2014). Patient safety is one of the significant challenges across health services globally. Practices like prescribing antibiotics without assessing patients conditions, administering more than one drug to the patients without paying attention to the adverse effects of drug can account for worse safety provided to patient. Reducing technology misusing and good communication within health care service provider helps in enhancing patient safety (Lavin, Harper Barr, 2015). The healthcare service providers have introduced new strategies to provide patient safety in form of c rew resource management, bar coding, simulators and computerised entry of diagnosis. These strategies help to avoid errors in patient safety, which is a very important factor for running healthcare organisation. The NSQHS standards developed by Australian Commission on Safety and Quality in Healthcare are as follows: Standard 1 states Governance of Safety and Quality in Health Service Organisation. It helps in describing the integrated systems, which maintains as well as improve quality and reliability for patient care. It also improves the outcome of patients. Standard 2 helps in describing strategies and systems which are required for creating a health system focused on consumers. It incorporates consumer priority while designing and developing health care of high quality. This standard gives the required framework to active partnership with customers (Boyd Sheen, 2014). Standard 3 prevent and regulate the infections associated with infection in workplace. It also communicates the issues to workforce so that the right result can be achieved. Standard 4 helps in reducing errors and incidents, which occurs due to medication. Thus, it improves medicine quality and provides safety to patients. Standard 5 ensures that the patient is been correctly identified and treatment procedure of patient is ma tching appropriately. Standard 6 helps in structured as well as effective handover of clinics so that it has the capability to provide safe care to patients. Standard 7 ensures that blood and blood products are transferred safely to the patients by maintaining all clinical procedures. Standard 8 helps in implementation of evidence-based systems for preventing and regulating the pressure injuries. Standard 9 helps in recognising the clinical deterioration and responding to it. It gives assurance that the deterioration of patient is quickly recognised and appropriate actions are taken against it. Standard 10 helps in preventing the patient from falls and assured that minimal harm is been caused to patient. It is done by evidence-based framework. These standards are been developed for protecting patients from any harm as well as also improves the quality of patient care. The standards helps in describing certain framework for ensuring that quality and standards of safety are been met. The three organisational factors that accounts for the enhancement of quality management system in hospital facilities are as follows: Composed delivery systems, which have been actualized because of overseen mind, speak to different types of possession and vital organizations together among doctor's facilities, doctors, and back up plans. They give more care at a reasonable cost by useful, doctor framework, and clinical combination. Some proof recommends that more incorporated, sorted out conveyance frameworks may give more open and composed care. They likewise have all the earmarks of being related with expanded authoritative execution and larger amounts of inpatient profitability and more noteworthy aggregate framework income, income, and working edges (Chaudoir, Dugan Barr, 2013). A frameworks approach, which concentrates on the situations under which people work as team for solving errors, has been proposed to address mistakes in health care. The objective is to fabricate frameworks that deflect blunders or relieve their belongings. Notwithstanding, technologic arrangements have impediments. Different parts of the framework likewise affect specialist and patient wellbeing, for example, proficient and authoritative social elements (eg, dissent of weakness to stretch) and relational parts of execution (eg, absence of cooperation inside and between disciplines). Research has appeared, for instance, that as stress expands, manners of thinking and consideration limit. Specific practices in healthcare services help in enhancing the quality management system. It incorporates employee security, training to the employees and significant training for providing better quality of healthcare service. What is understood by the term safety culture in health care and how can it be measured? What is the significance of a poor safety culture for health care professionals and patients.? Safety culture is defined as a phenomenon, which encompasses all norms, fundamental assumptions and values of the whole organisation. It relates to which extent the organisation supports as well as prioritizes safety (Nielsen, 2014). It refers to as the method of thinking about safety of patient and then design and at last implementation of the design of patient safety. Safety culture is multi-faceted and so it is improbable for finding tools to measure it. Changes are typically moderate and frequently subtle. In any case, notable experience shows that over limited timeframes social changes may be perceived, and is same for safety culture. To evaluate advance in the improvement of wellbeing society we may need to forsake the look for a solitary composite measure and focus on recognizing the scope of markers that mirror the individual sub-parts of culture. The fundamental range would involve measures for noticeable cognizant states of mind and recognitions or convictions. It is stated about the utilization of behavioural measures, attitudinal measures and recognition or conviction measures. Behavioural perception and attitudinal studies fit well for self-evaluation in working associations. Recognizing beginning shortcomings for safety culture is one of the significant tools that is appropriate for controllers and for their assessment programs. There is frequently a postponement between the improvement of shortcomings in an association's security culture and the event of an occasion including a huge wellbeing result (Zohar, 2014). Readiness to the early cautioning signs enables healing moves to be made in adequate time to maintain a strategic distance from unfriendly security results. Poor safety cultures have impact on patients. The rates of readmission of patients increase due to poor safety cultures. Number of days of staying that is length of stay in hospital also increases for patients. Poor safety culture incorporates complexity within patient and increases the mortality rate. It also accounts for error in medication, which is dangerous for patients Poor safety cultures also have negative impact on work professionals. It influences the behaviour of staff in the most negative way. Due to poor safety culture yhe injury rate for staff increases. Reference List Boyd, L., Sheen, J. (2014). The national safety and quality health service standards requirements for orientation and induction within Australian Healthcare: A review of the literature.Asia Pacific journal of health management,9(3), 31-37. Campbell, S. M., Roland, M. O., Buetow, S. A. (2013). Defining quality of care.Social science medicine,51(11), 1611-1625. Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety.Applied ergonomics,45(1), 14-25. Chaudoir, S. R., Dugan, A. G., Barr, C. H. (2013). Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures.Implementation Science,8(1), 22. Gjessing, K., Torg, C. J., Hammar, M., Dahlberg, J., Faresj, T. (2014). improvement of quality and safety in health care as a new interprofessional learning moduleevaluation from students.Journal of multidisciplinary healthcare,7, 341. Lavin, M., Harper, E., Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings.OJIN: The Online Journal of Issues in Nursing,20(2). Mohammad Mosadeghrad, A. (2013). Obstacles to TQM success in health care systems.International Journal of Health Care Quality Assurance,26(2), 147-173. Munechika, M., Sano, M., Jin, H., Kajihara, C. (2014). Quality management system for health care and its effectiveness.Total Quality Management Business Excellence,25(7-8), 889-896. Nielsen, K. J. (2014). Improving safety culture through the health and safety organization: A case study.Journal of safety research,48, 7-17. Zohar, D. (2014). Safety climate: Conceptualization, measurement, and improvement.The Oxford handbook of organizational climate and culture, 317-334.
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