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Chapter 23 Quality Management. Definitions and Goals. Quality Quality assurance/improvement Goals. Historical Development of Quality Improvement in Nursing and Health Care. 1892—licensure of nurses introduced ANA quality assurance model ANA study of nurse credentials
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Definitions and Goals Quality Quality assurance/improvement Goals
Historical Development of Quality Improvement in Nursing and Health Care 1892—licensure of nurses introduced ANA quality assurance model ANA study of nurse credentials NLN study of accreditation
Approaches for Quality Improvement General approaches Credentialing Licensure Accreditation Certification Other Charter Recognition Academic degree
Approaches for Quality Improvement Specific approaches Total quality management/continual quality improvement Staff review committee Utilization review Risk management Professional standards review organizations (PSROs) Evaluative studies Client satisfaction assessment Malpractice litigation
TQM/CQI in Community and Public Health Settings Using QA/UI in TQM/CQU Traditional quality assurance
Client Satisfaction Malpractice litigation
Model QA/QI Program Structure Process Outcome Evaluation, interpretation, and action
Model Quality Assurance Program Basic components Identifying values Identifying standards and criteria Selecting measures to assess attainment of standards and criteria Interpreting strengths/weaknesses of care given Identifying alternative courses of action Choosing courses of action Taking action
Records Purposes of records Community and public health agency records