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Quality Assurance in Hospitals

QA IN HOSPITALS
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0% found this document useful (0 votes)
526 views16 pages

Quality Assurance in Hospitals

QA IN HOSPITALS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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The one of the objective of quality assurance is to

Provide the best possible results

Improve the Number of inpatients

Apply Current trends based upon Issues

Improve the cost containment


In Biomedical Waste Management, Red Colour Bin is used to segregate

Anatomical waste

Infected Plastics

Soiled Waste

sharps
In PDCA model of Quality Assurance , “C” stands for

Control

Connect

Change

Check
Quality improvement - Identifies many possible causes for an effect or problem and sorts
ideas into useful categories is Known as a

Written Standards and Procedures


Bench Marking

Fish bone Chart

Histogram
In IPSG, Goal-5 is indicating that

Identify Patients Correctly

Improve Effective Communication

Reduce Risk of Health care Associated Infections

Improve Safety of High risk Medication


Modify the Existing plan Clinical/Nursing audit report should include

Punitive actions

Quality improvement plan

Research methods

Multidisciplinary team
Percentage of employees provided pre-exposure prophylaxis comes under

Quality Indicators- Blood Bank

Quality Indicators- Lab

Quality Indicators- Infection Control


Quality Indicators - nursing
The Meaning of “Bundles of Care” is

A Structured way of improving processes of Care and Patient Outcomes

The Bundle Comprises types of care which is applied as per the patient condition

It is the type of care which needlessly to check the condition of the outcome

It comprises types of care which is supposed to apply in emergency situation.

The Number of Standards of JCI is

Patient- Centered Standards -6 ,Health Care Organization Management Standards - 4

Patient- Centered Standards -4 ,Health Care Organization Management Standards - 6

Patient- Centered Standards -6 ,Health Care Organization Management Standards - 8

Patient- Centered Standards -8 ,Health Care Organization Management Standards - 6

In nursing excellence standards by NABH, the chapter 6 deals with

Education, Communication and Guidance (ECG)

Infection Control Practices (ICP)

Empowerment and Governance (EG)

Nursing Quality Indicators (NQI)


The major benefit for the patients due to Accreditation of Hospitals is

Continuous quality improvement

Patient safety

Community confidence

Cost effectiveness
Quality Assurance is not an/a

Cyclical Process

Continuous process

One-time effort

Incremental process
The one of the benefit of Accreditation for Hospitals is

Financial improvement

Cost effectiveness

Benchmarking

Auditing
In Six Sigma the kind of waste caused by more work or high quality than what patient is
required is grouped in the category of
Extra – processing

Over production

Non-utilized talent

Defects
In System Model ,Quality Assurance committee associated with

Audits

Staff Performance

Customer feedback

Internal Department
The clinical audit of structure includes all except

Refer to the resources available for delivery of care

Numbers of staff and skill mix

Competency of staff in handling equipments

Physical space Organizational arrangements


Biomedical Waste Management and Handling Rules amended in the year of

1998

2016
2001

2002
The major components of quality in Health System are

Patient and employee satisfaction

Low cost and high effectiveness

Technical and service quality

Prevention of errors and complications


As part of Bio medical waste management the sharps are disposed in

Red coloured bin

White puncture proof container

Blue coloured bin

Yellow coloured bin


.
. The definition of quality of care represents the entire continuum from structure, process
and Outcome is given by

Deming′s

WHO

Donabedian
Kurt Lewin
Quality assurance encourages for problem solving and quality improvement by

Individual approach

Team approach

Inter Disciplinary Approach

Timely Approach

. In 2015 The Number of Chapters and Standards in NABH is

10 Chapters &105 Standards

25 Chapters &100 Standards

10 Chapters &100 Standards

25 Chapters &105 Standards

Percentage of employees who are aware of employee rights, responsibilities and welfare
schemes is a quality indicator of

Human resource management

Nursing

Patient safety
Information management system
. The Example of radiological waste is

Cytotoxic Drug

Placenta

Needles

Pathological Waste
In Biomedical Waste Management, Red Colour Bin is used to segregate

Anatomical waste

Infected Plastics

Soiled Waste

Sharps
NABH’ stands for

National Accreditation band for Hospitals

National Accreditation board for Hospitals

National Accreditation block for Hospitals

National Accreditation bureau for Hospitals


The major difference between Quality control and Quality assurance are
Quality assurance is ensuring that standards and procedures are followed, Quality
Control in manufacturing, is of monitoring the quality of finished products.

Quality assurance deals with process and quality control deals with outcome.

Quality assurance deals with standards and quality control deals quality of finished
products

Quality assurance deals with standards, process and outcome and quality control deals
defect free products
The Mission of JCI is

To improve the quality and safety of health care in the international community.

To improve the quality and safety of health care in the Indian community.

To improve the standard of health care in the international community.

To improve the policies of health care in the international community.


The one of the Principle of Quality assurance is

Improve the Hospital Income

Meeting the needs and expectations of the patient

Help to maintain records and reports of the Hospital

Maintain the Budget of the Hospital


IPSG means for

International patient security goals (IPSG)


Indian patient safety goals (IPSG)

International patient safety goals (IPSG)

Indian patient security goals (IPSG)


Maintenance bundle for use in the community is

Surgical site infection Prevention Bundle

Peripheral Vascular Catheter care Bundle

Central Vascular Catheter Care Bundle

Urinary Catheter Care Bundle


Role of Nurse in Quality Assurance is an

active participant in quality improvement individually

active participant of intra disciplinary quality improvement team

active participant of quality improvement team

active participant of interdisciplinary quality improvement team


The One of the certification assessment done by NABH is

Schools

Nursing excellence

Labs
Blood banks
“Father of Six sigma” is

Bill Smith

Motorola

Ishikawa

Pareto
The foremost IPSG goal stress upon

Prevention of patient falls

Surgical safety – ensuring correct site, correct surgery, correct patient

Identify patients correctly

Improve safety of high risk medication


Quality is the result of

an Accident

an Act

an Intelligent Effort

an Incident
The concept of quality in nursing care was introduced in the year of
1860

1855

1865

1870
Quality Means

doing it right when someone is looking

doing it right when no one is looking

doing it right as per our wish

doing it right as per customer wish


The quality improvement initiative in nursing may include

Promote safe practices by infusing a culture of safety for both patients and staff.

Induction programme

Privileging

Credentialing
Displaying categories of data in descending order of frequency from the left to the right is
called as a

Control Chart
Fish Bone Chart

Pareto Chart

Histogram
The Example of Quality Indicators- Anaesthesia is

Percentage of rescheduling of surgeries

Percentage of transfusion reactions

Percentage of reports correlating with clinical diagnosis

Re-intubation rate
In Audit Criteria of Quality Assurance, Process includes

Evaluation

Provision of Equipment

Level of Satisfaction

Physical space
Mandatory quality indicators are

Identification and Mapping of all the Hospital’s Process.

Formation of Quality Management Team & Formulation of Standard operating


procedures.
Awareness Campaign and Development of Quality Culture & Development of Quality
Policy and Quality Manual.

Formulation of Standard operating procedures & Implementing the Program.


Cause- and –Effect Diagram also Called as

Control Chart

Ishikawa Chart

Pareto Chart

Histogram
In System Model, which of the following content is suitable for throughput Process

Demographics

Insurance

Community Discharge

Triage Process
The One of the Lab quality Indicators is calculated as

Number of reporting errors/500 investigations

Number of reporting errors/1500 investigations

Number of reporting errors/1000 investigations


Number of reporting errors/2000 investigations
Accreditation Procedure is as follows

Re assessment → Final Assessment of Hospital → Surveillance → Issue of Accreditation


Certificate

Final Assessment of Hospital → Surveillance → Issue of Accreditation Certificate → Re


assessment

Re assessment → Issue of Accreditation Certificate → Surveillance → Final Assessment


of Hospital

Final Assessment of Hospital → Issue of Accreditation Certificate → Surveillance → Re


assessment
The Quality Tool helps to identify and eliminate unnecessary process steps to increase
efficiency, reduce timelines and cut costs Which is

Process Analysis Tool

Cost-Benefit Analysis

Evaluation and Decision-Making Tool

Cause Analysis Tool


The Aim of Six Sigma in Quality Assurance is

to Improve the Financial income

reducing defects or variance

Increase in Cost of Production


Modify the Existing plan
The one of the following incident denoting as Quality Indicators-MRD which is

Surgical Site Infection Rate

Bed occupancy rate and Average length of stay

Employee absenteeism rate

Percentage of drugs procured by local purchase

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