QUALITY ASSURANCE

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QUALITY ASSURANCE:

QUALITY ASSURANCE

PURPOSE:

Help patients and potential patients by improving quality of care. Assess competence of medical staff to keep up-to-date and prevent future mistakes. Bring to notice of the administration the deficiencies & correcting them. PURPOSE

PROFESSIOANL REVIEW/CLINICAL AUDIT:

Clinically led initiative which seeks to improve the outcome of patient care through structured review whereby clinicians examine their practices and against agreed standards & modify their practices where indicated. Examples: Death review, tissue review, chart review. TYPES: Concurrent & Retrospective PROFESSIOANL REVIEW/CLINICAL AUDIT

CONCURRENT/ON THE SPOT AUDIT:

Provides opportunity for simultaneous corrective actions. Example: daily & periodical rounds CONCURRENT/ON THE SPOT AUDIT

RETROSPECTIVE AUDIT:

Acts as a continuous & ongoing self improvement process. Prerequisites: ( i ) Good medical records. (ii) Establishment of of criteria for diagnosis, investigation & treatment. (iii) Cooperation & involvement of staffs. RETROSPECTIVE AUDIT

GOOD MEDICAL RECORD:

Admission office Doctors’ note Nurses’ reports Supportive & diagnostic services GOOD MEDICAL RECORD

ESTABLISHMENT OF STANDARDS:

GROSS DEATH RATE NET DEATH RATE ANAESTHESIA DEATH RATE POST OPERATIVE DEATH RATE MATERNAL DEATH RATE NEONATAL DEATH RATE HOSPITAL INFECTION RATE POST OPERATIVE INFECTION RATE ESTABLISHMENT OF STANDARDS

QUALITY ASSURANCE COMMITTEE:

MEDICAL ADMINISTRATOR SENIOR CLINICIANS PATHOLOGIST RADIOLOGIST NURSE ADMINISTRATOR MEDICAL RECORD OFFICER QUALITY ASSURANCE COMMITTEE

RESPONSIBILITY OF QAC:

COORDINATION INFORMATION PLANNING PRODDING CONSULTATION RESPONSE SEARCH FOR EXPERTISE FOLLOW-UP RESPONSIBILITY OF QAC

TQM & QIP STEPS:

STEP-I: IDENTIFICATION OF THE PROBLEM & NEED TO IMPROVE ( i ) Flow process chart (ii) ABC analysis (iii) Cause-effect diagram (iv) Root-cause analysis STEP-II:REMEDIAL ACTION TQM & QIP STEPS