N.B. I have made many modifications to this document for the sake of simplicity and coherence
· Premise
· Definitions
· Examples
· Evaluation
Triple aim
1. ↑Quality of care
2. ↑Health of people
3. ↓Cost
What does ‘quality’ mean?
· Effective (getting it right)
· Efficient (getting it right the first time)
· Evidence-based
· Safe
· Timely
· Patient-centred
Definitions:
· QA: programme for maintaining good practice
· QI: programme for improving practice
QA process:
· Identify risks
· Plan for data collection
· Collect data
· Review data
· Set standards
QI process:
· Identify problem
· Plan changes
· Implement changes
· Review changes
· Revise standards
Navel gazing:
· M&M meetings
· Adverse reactions committees
· Sentinel and serious adverse event reporting and root cause analysis
· Critical incident review
Feedback:
· Mechanism for receiving and managing patient complaints
· Patient experience survey
· Staff experience survey
Other:
· CPD
· Research
· Teaching
(1) Measure progress
· Structure (easy to measure)
o Number and qualification of staff
o Equipment
o Service space
o Facilities for teaching education, research
o Risk register
o Process for managing complaints
· Process (easy to measure)
o Risk analysis
o Equipment maintenance
o Appointment criteria for new staff
o Allocation of work and supervision
o Participation in CBD
o Participation in QA and QI
o Audits
o Administration e.g. budgets
· Outcome (hard to measure and influences vary wildly)
o Hours actually worked
o Exam results
o Mortality rates
o PACU clinical indicators
o Publications and conference presentations
o Financial position
o Staff recruitment and retention
(2) Audit
· Ensure relevant
· Ensure cost-effective
(3) Expert opinion
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