Introduction
QA is defined as a program that guarantees quality patient care by tracking outcomes through scheduled reviews
Guidelines are developed for all the processes and when formally adopted becomes the QA program
PERSONNEL LIFE
Tool to monitor and evaluate all processes
Must be measurable, well defined, specific, objective and clearly related to an important aspect of care
Indicators can measure quality, adequacy, accuracy, timeliness, effectiveness, customer satisfaction etc.
SOCIAL LIFE
If levels of care is unacceptable – corrective plan is established
Monitor and evaluate continuously to ensure quality improvement.
To change outcome we must look at process
Follow
process from start to finish to see where there might be obstacles – or where the problem lie
To ensure that the same process is always followed, there must be controls and checks along the way
The use of controls in a process is known as Quality Control
CURRENT JOB
Incident report must be filled out when a problem occurs
Identifies the problem, state the consequence, and describe the corrective action
Should not be used to place blame
Should be used to ensure that the event does not reoccur
QA documents have been developed to: - standardize procedure, inform nursing personnel on importance of patient preparation and record problems
Can be used for legal purposes as well
Can provide information for QA purposes
Patient medical records
CURRENT RESEARCH
Accreditation standards for agencies require the facility to show documents on all quality control checks and other QA activities
QA forms include equipment check forms and incident/occurrence report forms
Special forms for recording checks on tube additives, vacuum strengths and expiration dates – verification of new lot numbers
Refrigeration temperatures – recorded daily
Control checks on centrifuge – tachometer readings and maintenance performed