Question

how does quality assessment and assurance work together?

Answer 1

Quality is Good practice by all staff which include doing the right thing to produce the best outcome. Degree of excellence which is determined by consumer, not by provider of service

Quality assurance is a planned and systematic means for assuring management that the defined standards, practices, procedures, and methods of the process are applied. Quality control measurement can be assessed and assured by using Audit process.

Audit

Assessment of the quality of nursing care which include examination of patients’ records to determine the degree to which nursing care was satisfactory according to prescribed standards or criteria

Methods of Nursing Audit

Retrospective View: In depth assessment of the quality after the patient has been discharged, and patient chart is the sources of data.

Concurrent View: Evaluation conducted on behalf of the patients who are still underlying care. It includes assessing the patient at the bedside in relation to predetermined criteria, interviewing the staff responsible for his care and reviewing the patient records and care plan.

Donabedian Model for assessment of quality care explains Structure, Process and Outcome

•Structure can be the Physical structure, Personnel, Organization or local population

•Process Gives answers to –What is done? Way it is done?

•Outcome is the effect on health of local people