Expert answer:NUR4827 Florida National Week 8 Healthcare Industr


Solved by verified expert:Hi, use APA format, Please follow the correct format for heading, I had been loosing point for this issue. Elaborate a title, and adequate it to heading.Read Chapter 101. In the last century, what historical, social, political, and economic trends and issues have influenced today’s health-care system?2. What is the purpose and process of evaluating the three aspects of health care: structure, process, and outcome?3. How does technology improve patient outcomes and the health-care system?4. How can you intervene to improve quality of care and safety within the health-care system and at the bedside?2. Select one nonprofit organization or one government agencies that influences and advocates for quality improvement in the health-care system. Explore the Web site for your selected organization/agency and answer the following questions: •What does the organization/agency do that supports the hallmarks of quality? •What have been the results of their efforts for patients, facilities, the health-care delivery system, or the nursing profession? •How has the organization/agency affected facilities where you are practicing and your own professional practice?

Unformatted Attachment Preview

Don't use plagiarized sources. Get Your Custom Essay on
Expert answer:NUR4827 Florida National Week 8 Healthcare Industr
Just from $10/Page
Order Essay

Chapter 10
Quality and Safety
Copyright © 2015. F.A. Davis Company
History and Overview
• Historical trends and issues
• Political influences
• The Institute of Medicine (IOM) and the
Committee on the Quality of Health Care
in America
Copyright © 2015. F.A. Davis Company
Trends and Issues

Societal demographics and diversity
Regulation and legislation
Health-care delivery and practice
Environmental and globalization
Copyright © 2015. F.A. Davis Company
Statement of Quality of Care
The IOM concluded that
1. Quality can be defined and measured.
2. Quality problems are serious and extensive.
3. Current approaches to quality improvement are
4. There is an urgent need for rapid change.
Copyright © 2015. F.A. Davis Company
Focus Areas of To Err Is Human
The IOM recommended to

Enhance knowledge and leadership regarding safety.
Identify and learn from errors.
Set performance standards and expectations for safety.
Implement safety systems within health-care
Copyright © 2015. F.A. Davis Company
Crossing the Quality Chasm
• The gaps between actual care and high-quality
care could be attributed to key interrelated
areas in the health-care system.
– The growing complexity of science and technology
– An increase in chronic conditions.
– A poorly organized delivery system of care and
constraints on exploiting the revolution in
information technology
Copyright © 2015. F.A. Davis Company
Ten Rules to Govern Health-Care Reform
for the 21st Century
1. Care is based on a continuous healing
2. Care is provided based on patient needs and
3. The patient is the source of control of care.
4. Knowledge is shared and free-flowing.
5. Decisions are evidence-based.
Copyright © 2015. F.A. Davis Company
Ten Rules to Govern Health-Care Reform for the
21st Century (cont’d)
6. Safety as a system property.
7. Transparency is necessary; secrecy is harmful.
8. Anticipate patient needs.
9. Waste is continually decreased.
10.Cooperation between health-care providers.
Copyright © 2015. F.A. Davis Company
Quality in the Health-Care
• Quality improvement
• Using CQI to monitor and evaluate quality of care
• Quality improvement at the organizational and unit
• Aspects of health care to evaluate
• Risk management
Copyright © 2015. F.A. Davis Company
The Institute of Medicine (IOM) defines quality as
“the degree to which health services for individuals
and populations increase the likelihood of desired
health outcomes and are consistent with current
and professional knowledge”
(IOM, 2001, p. 232)
Copyright © 2015. F.A. Davis Company
Six Aims for Improving Quality in
Health Care
• Health care should be
– Safe
– Effective
– Patient-centered
– Timely
– Efficient
– Equitable
Copyright © 2015. F.A. Davis Company
QI vs. CQI
• QI
– Began with Florence Nightingale
– Structured organizational process
– Included evidence-based methods for gathering data
and achieving goals
– Purpose
– Identify, collect data, analyze, evaluate, change
– Responsibility
Copyright © 2015. F.A. Davis Company
Evaluation of Health Care
• Structure
• Process
• Outcomes
Copyright © 2015. F.A. Davis Company
Risk Management
• Service occurrence
• Serious error
• Sentinel event
Copyright © 2015. F.A. Davis Company
The Economic Climate in the Health-Care
• Economic perspective
• Regulation and competition
• Nursing labor market
Copyright © 2015. F.A. Davis Company
Factors Influencing Economic Climate

Nursing labor market
Copyright © 2015. F.A. Davis Company
Safety in the U.S. Health-Care

Types of errors
Error identification and reporting
Developing a culture of safety
Organizations, agencies, and initiatives
supporting quality and safety in the healthcare system
Copyright © 2015. F.A. Davis Company
Types of Errors

Copyright © 2015. F.A. Davis Company
Types of Events
• Near miss
• Adverse
• Accident
Copyright © 2015. F.A. Davis Company
Causes of Errors

Medication errors
Hand-off errors
Diagnostic and surgical errors
Health-care acquired infections
Copyright © 2015. F.A. Davis Company
The Nursing Shortage and Patient
• More acutely ill patients are in the hospital
• Decreased number of qualified nurses increases
the chance of errors.
• Short staffing and increased workload contribute
to errors.
Copyright © 2015. F.A. Davis Company
Culture of Safety

Roles of leadership, individuals, and teams
Event reporting systems
Organizations, agencies, and initiatives
Copyright © 2015. F.A. Davis Company
Root Cause Analysis
• Determine what influenced the consequences.
• Establish tightly linked chains of influence.
• At every level of analysis determine the
necessary and sufficient influences.
• Whenever feasible drill down to root causes.
• Know that there are always multiple root causes.
Copyright © 2015. F.A. Davis Company
Health-Care System Reform
• Role of nursing in system reform
– The ANA’s Agenda
– Influence of Nursing
Copyright © 2015. F.A. Davis Company
Role of Nursing in Health-Care Reform
• American Nurse’s Association
– Nursing’s agenda for health-care reform
– ANA’s health-care agenda
• You
– Become informed
– Plan
– Take action!
Copyright © 2015. F.A. Davis Company

Purchase answer to see full

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Order your essay today and save 30% with the discount code ESSAYSHELP