437 Module 3-Quality Improvement

Quality Improvement

N437: Concept Synthesis II

Learning Objectives

1. Demonstrate effective communication to enhance client safety using SBAR.

2.  Examine client need categories related to experiential learning.

3.  Analyze quality improvement health care initiatives.

4.  Reflect on the use of Tanner's Clinical Judgement Model: Noticing, Interpreting, Responding.

4

Journal Reflection Questions

4

​Take the next 15 minutes to answer your journal reflection questions, develop SBAR on your patient, and share your SBAR with a peer.

What is Quality
Improvement (QI)?

Systematic and continuous

actions that lead to

measurable improvement in

health care services and the

heath status of targeted

patient groups.

2

QI Principles

•QI work as systems and processes

•Focus on patients

•Focus on being part of the team

•Focus on use of the data

Resources (inputs) + Activities carried out (processes) = Improve quality of care
(outputs/outcomes)

3

Focus on Patients

• Systems that affect patient access
• Care provision that is evidence-based
• Patient safety
• Support for patient engagement
• Coordination of care with other parts of the larger health care system
• Cultural competence, including assessing health literacy of patients, patient-
centered communication and linguistically appropriate care

4

Focus on Being Part of the Team

• The process or system is complex
• No one person in an organization knows all the dimensions of an issue
• The process involves more than one disciple or work area
• Solutions require creativity
• Staff commitment and buy-in are needed

5

Focus on Use of the Data

• Separates what is thought to be happening from what is really happening
• Establishes a baseline (starting with a low score is acceptable)
• Reduces placement of ineffective solutions
• Allows monitoring of procedural changes to ensure that improvements are
sustained

• Indicates whether changes lead to improvements
• Allows comparisons of performance across sites

6

How do we know what to improve?

•Patient and staff satisfaction surveys
•Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

•https://www.hcahpsonline.org/globalassets/hcahps/survey-instruments/mail/jan-1-2018-
and-forward-discharges/click-here-to-view-or-download-the-updated-english-survey-
materials..pdf

•Focus group discussions (UPC meetings)

•Independent observations

Examples of QI

Rhogam Process

Purposeful Hourly
Rounding
AIDET

CAUTI Protocol

8

YOU make the difference!