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Total Quality Management (TQM, Six Sigma, Root Cause Analysis

1532 Words7 Pages

Importance of it According to a patient safety report fact sheet published by World Health Organization in 2012 it is estimated that worldwide 1 in every 300 patients experiences harm while getting health care, and in the developed countries, the number of patients harmed during hospitalization is estimated to be one in ten patients (Region, 2012). In order to minimize the probability of harming the patient it is essential to monitor the quality of the medical care that is provided to them while focusing towards the goal of improving the quality of caregiver by measuring it against an already established benchmark. Benchmarking in health care is defined as the continual and collaborative discipline of measuring and comparing the results of …show more content…

Amongst many model that are available to choose from the ones that are used frequently in healthcare field are Total Quality Management (TQM), Six Sigma, Root-Cause Analysis and PDSA (Hughes, Research, & Quality, 2008). PDSA PDSA cycles constitute the cornerstone of the model of improvement and this method has obvious advantages when put into practice. The key to successfully harnessing this approach lies in making sure each cycle includes an explicitly stated prediction (or ‘plan’) and a test of change to answer the question. Doing so gives improvement teams a clearer purpose and direction each step of the way. Teams should perform self-assessment around the authenticity of PDSA application. Origin and use History of PDSA …show more content…

The fatigue can range from acute to chronic(Barker & Nussbaum, 2011). The journal also stated that the fatigue is directly related to work related stress that the nurses had to go through so basically with greater demanding job the risk for fatigue increases greatly as well (Steege & Pinekenstein, 2016). Planning The first step of this model is to carry out the planning phase to develop a hypothesis, this step is used to plan a change or to conduct a test aimed at improvement of the process. Planning stage would include identifying objective/question and prediction and it is only during this planning stage that the boundary for success or failure of the problem are established (i.e. who, when, where, what and how) (Taylor et al., 2013). . Another way to reduce the psychological fatigue suffered by nurses and to minimise miscommunication is to set up a Hospital at Night (HAN) team. The aim of this team was to improve the communication amongst within the HAN team which would result in a reduction in interruption while making the task of handover within allocated timeframe (Lister et al., 2018).

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Their mission is “to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”, (Joint Commission, 2014). The accreditation from the Joint Commission can be earned by multiple health care organizations including critical access hospitals, office based surgery centers, behavioral health care facilities, and home care services. For a hospital setting, the Joint Commission places the performance measures into accountability and non-accountability measures. They look at research and if the facility is performing evidence-based care process which improves health outcomes, proximity which the care process is linked to the patient outcomes, accuracy for whether or not the care process has indeed been provided, and any adverse effects. To earn and maintain The Joint Commission’s Gold Seal of Approval™, an organization must undergo an on-site survey by a Joint Commission survey team at least every three years (Joint Commission,

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The responsibility for the project leader will consist of conflict resolution, establishing project scope and guidelines, reporting to stakeholders, planning, and implementing, and finally reviewing and monitoring progress. Stakeholders for the project will include patients, nurses, clinicians, management, administration, and policy makers. Through teamwork and collaboration, bedside shift reports can be implemented as a standard of care. This process can benefit both the patient and nurse; patients will remain safe and free from harm as nurses round to the bedside. Nurses have a better understanding of their patients through visualization and communication.

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