Chamberlain College of Nursing NR-531 Nursing Leadership in Healthcare Organization
Quality Control (graded)
SLMC has a continuous commitment to delivering the highest quality care by addressing crucial issues such as patient safety technology and expanding services to meet community needs. As the nurse administrator you determine an audit of elder-patient readmissions would be helpful data to be collected. Discuss some of the information you would include on this tool and how you would proceed with this project.
Introduction
As we begin this weeks lesson we will focus on quality standards and controls for the nurse administrator.
Quality Management
As the nurse leader within a healthcare organization the American Nurses Association (ANA) (2010) Nursing: Scope and Standards of Practice is one resource it is beneficial to become familiar with; it offers guidance and a foundation for nursing leadership practice.
A standard is a level of excellence predetermined by a set authority and is typically objective measureable and achievable (Marquis & Huston 2015). There are a variety of standards and the organization determines which standards will be adopted to support and guide the care provided.
Various tools can assist the nurse leader to manage the quality within a facility. One example of quality monitoring is an audit on a select outcome process or structure issue. The outcome audit is generally conducted to determine the result of a designated nursing intervention and indicates the general quality of care. Some examples include the mortality rate or length of stay for a particular organization (Marquis & Huston 2015).
When monitoring a process outcome typically a task is reviewed to determine if documentation exists to support that it was completed. Checking a patient chart to determine if a patient received discharge instructions or if the patients medications were reconciled at discharge are two examples of a process outcome.
Some structure-outcome elements are determined by accreditation or licensing bodies; for example there may be set criteria for staffing ratios and staffing mix on a particular area that must be followed. Documentation of schedules should reflect this outcome element.
To ensure the highest level of care provided quality controls should be an ongoing process and not simply a reaction to an event. When an unforeseen event occurs some organizations will conduct a root-cause analysis (RCA) with all the departments involved to help determine the cause of the event. After the cause of an event is determined recommendations and oftentimes policy or other changes will be implemented to hopefully prevent a repeat of a similar event. As the nurse leader participation on this committee is highly recommended to reinforce your support of quality within the organization.
Quality Control
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