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Leadership for Quality and Safety in Healthcare

10 Pages2570 Words48 Views
   

The University Of Newcastle Australia

   

Quality and Safety in Health Care (PUBH6150)

   

Added on  2020-03-04

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In this document, we will discuss the improving healthcare service quality at all levels of the healthcare delivery system has become a top priority for healthcare professionals, international, national, and local policymakers. The Institute of Medicine has urged all healthcare organizations to re-energize and re-focus their efforts on improving the quality - as well as the safety - of client care across all healthcare systems.

Leadership for Quality and Safety in Healthcare

   

The University Of Newcastle Australia

   

Quality and Safety in Health Care (PUBH6150)

   Added on 2020-03-04

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Leadership for Quality and safety in HealthcareLeadership for Quality- and Safety- in HealthcareQuality Healthcare, TQM and CQI The quest to promote the quality of health-care services in all the levels of health-care delivery system has become a predominant goal of the health-care professionals,international, national as well as local policy developers. The Institute of Medicine hascalled all the healthcare organizations to revive and re-new their focuses on promotingthe quality- as well as safety- of client care in all the healthcare systems. AHRQ (2012)states that the quality in healthcare means the degree to which the healthcare serviceswhich are rendered to an individual, family or community, increases the chance ofgetting expected healthcare outcomes that is in accordance with existing professionalknowledge. Australia stands high in providing a quality healthcare to majority ofcountry’s population and puts constant effort in promoting the performance of its healthcare sectors (AIHW, 2017). Even, the Australian framework of National health-performance has kept quality healthcare as its main indicator to evaluate healthcareperformance. Total quality management (TQM) also termed as continuous quality-improvement (CQI) functions to promote healthcare by identifying problems, framing,implementing and evaluating corrective action as well as to determine its effectiveness(NCCHC, 2017). Most of the healthcare centers implements TQM to minimize costspromote efficiency and render high quality-care. TQM and CQI are composed of variouselements as philosophical, structural and health- care specific elements. Thephilosophical aspects include strategic emphasis on vision/ objectives, consumeremphasis on client/ care-taker satisfactions with healthcare outcomes, healthcare1
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Leadership for Quality and safety in Healthcaresystem evaluation, evidence- related care analysis, implementer involvement, tracingproblems and framing solution to promote healthcare system performance, optimizinghealthcare delivery, greater emphasis on organizational- learning. The structuralaspects include emphasis on developing health-teams, framing quality managerialstructure (quality council), statistical analysis, consumer satisfaction, bench marking andredesigning process (McLaughlin, 2012). The specific aspects comprise quality-relatedresearch studies, emphasis on evidence-related practice, clinical governance andquality data analysis. NSQHS standardsThe Australian’s Commission on safety- and quality in healthcare (ACSQHC) hasproposed the NSQHS standards in 2012 after consultation, jurisdiction collaboration,technical persons and stakeholder (healthcare professionals and clients). Thesestandards are the crucial components of the Australian’s healthcare services safety-and quality- accreditation scheme. The main aim of these NSQHS standards is toprotect the individuals from harm as well as to promote the quality- of- healthcareservice provision. They also provides a quality- assurance mechanism to evaluatewhether the appropriate health-care systems are in place and also to determine whetherminimum standards of quality- and safety- are met with a quality- improvementframework that guides the health-care services to realize developmental goals.NSQHS standards include: 1). Appropriate Governance to evaluate safety- andquality- in healthcare systems which comprises the quality-assurance framework forhealthcare systems (NSQHS, 2012). 2). Adequate partnering with patients whichincludes the strategies to develop a person- centered healthcare system that comprises2
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Leadership for Quality and safety in Healthcarepersons in framing the quality- healthcare. 3). Appropriate prevention with control ofhealthcare acquired infections that describes strategies to prevent infection in patients(in the healthcare system) and in managing infections appropriately to reduce itsconsequences (Duguid, 2011). 4). Drug safety which includes the strategies to analyzethe appropriateness of physician’s prescription, administration or dispense of propermedicine to the patients. 5). Clear identification of patient and procedural matchingwhich comprises of strategies to clearly identify the patient and match him/her withappropriate management. 6). Proper clinical handing-over which includes strategies topromote adequate communication between healthcare staffs during the patient’stransfer. 7). Blood- and blood- products that comprises strategies to promote safe,effective and appropriate administration of blood- and blood- products. 8). Prevent andtreat pressure sore that includes measures to minimize the risk of developing pressuresores. 9). Recognize and respond to clinical emergencies in acute emergencyhealthcare centers (NSQHS, 2012). 10). Preventing patient falls as well as harm causedby falls by following strategies to minimize fall incidence.Patient’s safety & Safety in healthcareThe patient forms the core element in a hospital/ community treatment. Theentire health care organization strives to diagnose and treat the patients by varied levelsof professions ranging from front-office, clinicians, nurses, radiologists, pharmacists tobottom- level workers. Patient’s safety directly reflects on the quality of an organizationas patient’s safety is considered as basic patient’s need. Douglas (2012) states thathealth care which is rendered in a safe manner and within a safe environment is anessential need for a patient’s well-being. The term ‘Patient safety’ means ‘preventing3
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