Continuous Quality Improvement

The interviewee claimed that, the quality improvement and star rating is a driving force in the care delivered. The nurses are much more motivated when they know they are recognized and valued for their effort. Teamwork and collaboration between all interdisciplinary teams and management improves the way the care is delivered. Through training and innovation with new technology,

NHS quality improvement programs main purpose is to collect and review data entered in order to recognize the opportunities to improve business operations in healthcare. To bring changes in quality, it is necessary to respond to patient’s ideas and implement them for the better results. The key issues that are to be considered for quality-improvement NHS program, as it moves forward are the needs for the patients, necessity of the funds for quality improvements, needs of the service providers and expectations of the community. Outcomes for people and also change expertise. And to improve business operations in healthcare and also recognize opportunities.

quality of patient care, and can be implemented in practice, to provide solutions to nursing

McLaughlin, C.P., & Kaluzny, A.D. (2006). Continuous Quality Improvement in Health Care, Third Edition, Jones & Bartlett Publishers, Sudbury, MA.

The Institute for Healthcare Improvement (IHI) identified interventions to save client lives. Which actions are within the scope of nursing practice to improve quality of care?

Quality improvement is referred to as “the use of data to monitor the outcomes for care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care” (Sherwood & Barnsteiner, 2012). Data is used as the reflection of quality care that is provided by nurses and presents whether or not improvement is needed. In order for nurses to be mindful of the care that they give, they must be taught a systematic process of defining problems, identifying possible causes of those problems, and methods for trying out new solutions to prevent those problems (Sherwood & Barnsteiner, 2012). Currently, quality improvement measures are being utilized throughout hospitals to reduce the risk of patient falls and fall injuries.

Quality Improvement (QI) is an organizational approach leading to the quality of patient care and patient services through use of specific guidelines, principles, and methods to ensure quality of care for every patient and health care facility throughout the world. Quality outcomes focus on the principles of quality management. These measurements investigate the quality of care, patient outcomes and consumer needs, through being part of the participant group. This quality improvement discussion will review the foundational frameworks of QI and explanation of each framework in detail. Included in this QI report will be

This quality improvement discussion will review the purpose of quality management in health care industry and why it is needed. Included in this QI report will be an explanation of the

Nursing-sensitive indicators are defined by the American Nursing Association (ANA) as “indicators that reflect the structure, process and outcomes of nursing care” (ANA, 2014). These indicators help define how nursing care is given by measuring the amount of nursing staff, skill level of the nursing staff, and the education level of nursing staff. These indicators depict the quality of care provided to patients and the outcomes of the care provided. Careful tracking of these indicators provides evidence for keeping current practices or for implementing new policy and procedures. A formal set of indicators measuring the impact nursing interventions have on patient care was not implemented until 1998 (Montalvo, I. (2007). With the establishment of the National Database of Nursing Quality Indicators (NDNQI), hospitals and other care settings are able to assess how nursing interventions impact patient outcomes, quality of care, and the overall work environment in health care facilities. Nursing-sensitive indicators are a quality improvement measure used to determine how the quality of nursing care is evaluated in hospitals and other healthcare facilities. Nurse sensitive indicators allow healthcare facilities to evaluate how the care they are providing is following evidence-based practices and how they can improve their practices to achieve better patient outcomes. The American Nurses Association is promoting these indicators as the definitive standards for patient care

A quality improvement (QI) project involves data-guided activities with short timelines to improve health care delivery systems (Arndt & Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt & Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in

My experience in both my previous career in nursing and human resources has dealt with approaches in quality improvement in patient safety and different metrics in the turning up organizational behavior as well as up swinging the operations of the organizations respectively. We live in a rapidly changing world, and healthcare industry is not exempted from it. Because I will be playing an indispensable role in the future, I am very interested on the concept of quality improvement and what not and identify possible future challenges and draw lessons from healthcare organizations that has spearhead innovative changes to providing healthcare by pursuing the triple dimensions of the improvement of healthcare in general that is Improving the patient experience of care (including quality and satisfaction); Enriching the health of populations; and Reducing the per capita cost of health care.

In order to understand the actual implementation of the Plan-Do-Study-Act (PDSA) model for continuous quality improvement, I conducted an interview with my sister’s husband who is a physician that owns a practice in Germany. The interview took place on October 9, 2015 at 7 pm their time, which is 1 pm in my Eastern Time zone over the internet on the visual phone called Skype. I chose to interview Dr. Henkel because owning a practice in Germany requires more attention to customer satisfaction with the quality of care, since the patient has government health insurance and can be more discerning on where to go for health services. Therefore, this led me to conclude that he would have had to use the PDSA cycle at some point to keep his practice running. Nevertheless, I was not disappointed with our conversation on how he still uses the PDSA model to work continually on improving customer satisfaction with the health services received at his practice.

The process emphasizes modifications of system when there are changes to achieve organizational goals (Begunn, Kaissi & Sweetland, 2005). For example, a leader’s approach to patient safety could be a Continuous Quality Improvement (CQI). CQI is an approach to quality management; it principle is built on the traditional quality assurance that emphasizes on an organization and it systems. It focuses on process rather than an individual; it recognizes both internal and external customers and it improve system processes.

As a competent registered nurse, my career goal is to become a healthcare quality improvement leader, a position that would enhance my commitment in promoting patient safety. I not only believe in enhancing the capacity of other care providers, but also in improving the quality of the healing environment for the benefit of both patients and their care providers. This means not only promoting collaboration with the multidisciplinary teams, but also building the necessary healing partnerships with our patients. To enhance the quality of the healing environment, I aspire to continue analyzing researches for evidence based practices and advocating for their actualization. I will continue focusing my time and energy in encouraging other nurses to improve their skills through formal education, so they can empower themselves as advocates of quality improvement for the benefit of their patients and coworkers.

Weston, M. & Roberts, D., 2013, September. The Influence of Quality Improvement Efforts on Patient Outcomes And Nursing Work: A Perspective from Chief Nursing Officers at Three Large Health Systems. The Online Journal of Issues in Nursing. Retrieved on January 23, 2015 from http://www.nursingworld.org/Quality-Improvement-on-Patient-Outcomes.html