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Quality?????....

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Definition:

Webster’s dictionary-

“QA is an activity or programme for

monitoring and evaluating the various

aspects of a project, service, or facility,

systematically to ensure the desired

standards of quality are being met”.

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Purposes
of quality
assurance

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Quality assurance in
nursing:
According to Jonas 2000, the objectives are:
 To ensure delivery of quality client care
 To provide good quality of service to public
 To improve the efficiency and effectiveness
of nursing services

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 Pre requisites for a QA
programme
 Set up a system for collecting and reporting
data
 Write a clear definition of all activities
 Define roles and responsibilities
 Identify the training needs requirement
 Plan for training personnel

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QUALITY AUDIT:

“Quality audit is the process of

systematic examination of a quality
system carried out by an internal or
external quality auditor or an audit team.
It is an important part of an organization’s
quality management system.”

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Purposes:
 To identify and monitor the progress
achieved against organizational goals
 To find out chances for improvement
 To compare the performance of employee
with internal and external standards

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Continued.....
 To ensure each employee is aware of their
level of performance
 To provide feedback for the successful
performance

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 Measuring the
outcome of quality
care
 Hospital acquired infection.
 Surgical site infection.
 Inpatient mortality.
 Neonatal mortality.
 Peri-operative mortality.
 Unplanned re-admission.

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Continued.....
 Incidence of health care associated
pressure ulcers.
 Incidence of health care associated
infections; Catheter associated urinary
tract infection (CAUTI).

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Continued.....
 Patient’s experience of pain management.
 Patient’s experience of the provision of
educational information.
 Health-care associated infection (HAI) rate:
The number of individuals who develop any
infection while in an inpatient setting.

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NURSING AUDIT

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Definition:

“It is a detailed review and

evaluation of selected clinical records
by qualified professional personnel
for evaluating quality of nursing
care”.

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 Purposes
of Nursing
Audit

5.To
contribute
towards
research.

4.To focus on 1.To

the care
evaluate the
provided and
not on the care nursing care
provider given

3.To improve 2.To achieve the

the quality of deserved and
documentati feasible quality
of nursing care.
on.

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Common approaches
to Nursing Audit:
Organizati Peer
onal audit Review

Prospecti Concurre
ve Review nt Review
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