ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Monitoring and evaluating the quality and appropriateness of patient care in the special care unit is the basis for quality assurance activities. To make the monitoring and evaluation process helpful, health care professionals in special care units must be involved in each step of the process. The focus must be on patient care, specifically on clinical aspects of care rather than on structural specifications or technical processes. In addition to assisting the special care unit to meet accreditation requirements, ongoing monitoring and evaluation assist that unit to assure high-quality care. Monitoring and evaluation activities also assist the special care unit manager in responding to demands of state and federal regulators by providing an objective assessment of the care provided to Medicare and Medicaid patients. These activities also can provide assistance in responding to concerns about lawsuits involving alleged negligence in provision of special care; and in meeting pressures from third-party payers to reduce costs associated with unnecessary treatment in special care units. This chapter describes how the ten-step monitoring and evaluation process can be used to help assure high-quality patient care in the special care unit

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

1. Describe the function of a special care unit quality assurance program2. Describe the specifications the Joint Commission on Accreditation of Healthcare Organizations places on special care quality assurance programs3. Describe different aspects of the 10-step quality assurance monitoring and evaluation process

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Occurrence screening is a system of quality assurance in which patient care is reviewed, both concurrently and retrospectively, against a set of general outcome screening criteria. It is a method for monitoring the quality of clinical practice more comprehensively that has been possible in the past. If implemented appropriately, occurrence screening eliminates the random efforts and audits of past quality assurance efforts with a systematic and comprehensive monitoring process aimed at identifying questionable quality of care practices. This article discusses the concept of occurrence screening as a useful tool in assessing quality of care in a special care unit

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The forces influencing the development of outcome standards are gaining momentum. These forces are professional nursing issues, accreditation standards, and reimbursement issues. Traditionally, structure and process measures provided the means for evaluating the quality of nursing care. But nurses also play an important role in achieving positive patient outcomes. Outcome standards provide a mechanism for measuring patient outcomes. In 1990, the American Association of Critical-Care Nurses (AACN) publishedOutcome Standards for Nursing Care of the Critically III.The book serves as a model for developing and using outcome standards in critical care units. This chapter describes these outcome standards and recommends ways to use them. The Joint Commission on the Accreditation of Healthcare Organizations' (JCAHO) ten-step model outlines development of unit-specific outcome standards. Methods focus throughout on a quality assurance framework

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

A dilemma in critical care nursing practice is how to develop and implement a practical quality assurance program that incorporates high-quality standards of nursing care for critically ill patients and addresses those aspects of care considered important by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).Standards for Nursing Care of the Critically IIIdefines and describes structure and process standards and provides a comprehensive guide for the development of a program for the delivery of quality care to critically ill patients. The purpose of this chapter is to discuss practical application of the standards described by the American Association of Critical-Care Nurses (AACN) through the use of policies and procedures that support structure and process standards

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

The American Association of Critical-Care Nurses (AACN) has developed education standards for critical care nursing. These structure and process standards can be used as pan of the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) ten-step process for monitoring and evaluating critical care education programs. This chapter discusses the application of the monitoring and evaluation process, based on education standards, for critical care education programs

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

This chapter describes a unit-based nursing quality assurance program in critical care. It outlines a unit-based structure, implementation of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) ten steps and joint nurse/physician outcome indicators

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Special care units need to establish economically feasible and meaningful monitors to evaluate patient care needs. High-cost areas, such as special care, monitor appropriate use of resources in high-risk, high-volume, and problem-prone areas. The monitoring process needs to provide information regarding the quality of care in the special care unit without greatly decreasing time spent by staff in direct patient care. This chapter discusses development of efficient monitoring tools for quality assurance indicators in the special care unit

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID

摘要:

Medical critical care unit (MCCU) nurses at a VA medical center designed a quality assurance monitor for educating cardiac patients. Patients with a diagnosis of rule-out myocardial infarction are interviewed about their preadmission use of nitroglycerin and entry into emergency treatment facilities. The MCCU nurses teach a five-point “ischemic heart disease—recognition and response” lesson, and ascertain the patient's immediate level of understanding. If the patient returns to the MCCU at a later date, nurses record the appropriateness of his use of nitroglycerin and entry into emergency treatment facilities. Thus, both short- and long-term gains in patient knowledge are assessed. Solutions to problems encountered in the quality assurance monitor implementation process are discussed. Benefits of the project to patients, the nursing department, and other departments are identified. A sample monthly report and the monitor data collection tool illustrate the process. Future directions for patient education efforts in the MCCU are outlined

ISSN:1046-7467    

出版商:OVID    

年代:1991

数据来源: OVID