Evaluation, Final

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Running Head: QUALITY IMPROVEMENT 1

QUALITY IMPROVEMENT 2

Quality Improvement

Maria Estevez

HCM4002

July 4, 2017

Quality Improvement Activity Schedule

Standards

Severity of Risk

Performance Indicator

Level of Performance / Threshold

Compliance in Percent

Status

Plan of Correction

Qtr 1

Qtr 2

Qtr 3

Qtr 4

Managements of environmental care

High

Number of injuries during surgery

85%

80%

75%

79

%

84

%

Good

Improved training

Medication management

Medium

Prescriptions

60%

65%

69%

59

%

60

%

Fair

Get feedback from patients

leadership

Low

Flow and availability of information

55%

45%

39%

42

%

49

%

Below average

Close monitoring

Management of human resource

High

Performance of the practitioners

70%

82%

85%

86

%

89

%

Improved

Training and incentive

Management of Information

Medium

Availability and reliability

75%

71%

74%

76%

80%

Good

Use advanced technology

Quality improvement

In the process of any kind of surgery, there are various risks involved and should be managed appropriately. Failure to manage the risk would lead to complication to the patients or risk occurrences to the surgeons. Therefore, the above standards are just a few of the areas of surgery that should be put into consideration to avoid problems associated with surgery especially those that are high risk. Managing the environment in which the surgical procedure is taking place is the most important part. The environment in the most sensitive part and determine the effectiveness of the surgery (Stang et al. 2014). All the equipment and the individuals who are present should be organized effectively and in the best status for the activity. The environment should only include the qualified practitioners and the students should be trained appropriately before they are given a chance to take part in the procedures. The management of the environmental care should be thorough and continuous to avoid the risks associated with the practice. Improved training and proper communication can be an effective way of improving the environment as well as ensuring compliance.

The second standard is the management of the medication that is prescribed to the patients. If the patients are not prescribed the medication appropriately, they may take the time or fail to recover from the health problem they are going through. Some of the patients are allergic to some of the drugs prescribed to them and without the appropriate evaluation of the medical records they might be exposed to the same problem over and over again. Feedback from the patients is an effective way of knowing whether they are prescribed medication which is effective to them and which is compatible with their system with regard to the side effects of the drugs. Leadership is a very important factor during surgery but the severity is low risk. Considering that only the qualified personnel are allowed to undertake surgery, means that those who practice are only experts who do not need much leadership (Sellers et al. 2013). However, leadership especially through the surgery process lacks people who monitor the practice to ascertain whether they are done the right way. However, the leaders of health facilities should always monitor the activities closely to ensure that carelessness does not happen.

Management of the human resource is a high-risk practice that should be monitored closely. The human resources, in this case, are the surgeons and the nurses who take part in a surgical procedure. The life of the patients is their hands the practitioners and therefore. They should be treated fairly to produce the best of their abilities. Therefore, incentives and the best working conditions are jus but a few of the factors which can help to boost the morale of the human resource. Last but not least, the management of information especially about the patients and their conditions before they are taken for a surgery (Secanell et al. 2014). Through the improved technology, the information can easily be stored and retrieved anytime which can help the practitioners to avoid risky activities towards the patients. For a general compliance of the strategies which seek to minimize risk during and after surgery, it is important to ensure that the strategies ate communicated to the practitioners and the patients. Knowledge of the key and the most important aspect regarding health care are practices.

References

Secanell, M., Groene, O., Arah, O. A., Lopez, M. A., Kutryba, B., Pfaff, H., ... & Garel, P. (2014). Deepening our understanding of quality improvement in Europe (DUQuE): an overview of a study of hospital quality management in seven countries. International journal for quality in health care, 26(suppl_1), 5-15.

Sellers, M. M., Merkow, R. P., Halverson, A., Hinami, K., Kelz, R. R., Bentrem, D. J., & Bilimoria, K. Y. (2013). Validation of new readmission data in the American college of surgeons national surgical quality improvement program. Journal of the American College of Surgeons, 216(3), 420-427.

Stang, A. S., Hartling, L., Fera, C., Johnson, D., & Ali, S. (2014). Quality indicators for the assessment and management of pain in the emergency department: a systematic review. Pain Research and Management, 19(6), e179-e190.