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Core Business of Healthcare Safety Standards

Question: Describe about the Core Business of Healthcare for Safety Standards. Answer: Introduction: The essay has been done with the aim of identifying the core business of the health care institution. The essay covers the definition of the Process Data particularly in relation to the safety and quality on the practices of the health care and nursing aspects in clear terms. The Outcome Data in respect to the quality and the safety of the health care and nursing have also discussed in the essay. The safety of the patients and the quality of the services are two important aspects of the health care institutions. These two aspects have been the main aspects that the major concern of the study. The collection of the process data and the reason behind the same has been covered in the essay. The contribution of both the process data and outcome data on the improvement of the quality and safety of the services provided to the patients by the health care institutions and the nursing functions. Discussion: Criteria One: Context and Identified Data Clearly identify the aims and core business of health care institutions The prime important aim of health care institutions is to provide quality services. This quality of the services could be ensured if the health care institutions are able to retain the safety of the patients. The safety and the quality of the health care services depend on the efforts of the institutions to maintain the safety standards. The patients must be given optimum safety. The services of the practitioners towards the patients must be quality wise best. The core business of the health care institutions is to provide care and best health solutions and treatments to the patients. It is very important that the health care institutions assure maximum satisfaction to the patients. The quality of the services could be measured by the different standards like ACSQHC standards. The safety of the medication and the identification of the patients for the suitable procedure are also important for the health care organizations. The main aim of the business of the health care organization is to provide the service that could meet the expectations of the customers. The services must be able to satisfy the needs of the customers. The satisfaction of the customers is directly related to the expansion of the market and the business of the organizations. The health care institutions take care of the several requirements of the patients and arrange for the required treatment and care. The nursing is also an integral part of the mainstream functions or the services provided by the health care institutions. The nursing services should also satisfy the needs of the patients (DOH, 2016). The quality is an abstract item that could not be measured certainly with any specific measuring unit but it could be felt when the services of a particular organization become able to cater the outcome that is desired by the end users (Donabedian, 2016). There are certain roles and responsibilities of the health care organizations like the following: The organization has to provide the services that are quality wise best. The organizations have to retain the quality of the services. The organizations have to ensure the conformance of the standards of quality of the health care services. The safety of the patients is also another very important service that should be ensured by the organizations. There should be effective nursing practices. The entire system of care giving must be controlled and organized. For the enhancement of the quality of the services the health care organizations could implement the techniques of the Total Quality Management and Quality Improvement (WHO, 2007). The evaluation of the quality of the services of the health care organizations is very important and the organizations have to assure the same with the help of Quality assurance and Continuous Quality Improvement. The health care organizations must involve the customers, patients and even the ones providing the care for the enhancement of the quality of the services and the safety (Safetyandquality, 2011). Clearly defines and discusses Process Data particularly in relation to safety and quality in health care and nursing The concept of the Process Data has been established by Avedis Donabedian to measure the quality of the services to ensure the safe and healthy outcomes to the patients. The concept of Process Data is an important part of the model of Donabedian. There are various transactions that take place in the health care institutions between the care givers and the patients. All these transactions have to be noted down in a systemic way so that the regular delivery of the services could be monitored and evaluated. The process data consists of all the intricate activities during the delivery of the services by the health care institutions. The evaluation of the process is as important as the evaluation of the quality of the services (Kunkel, Rosenqvist, Westerling, 2007). There are reports of medical transactions from where the needful information could be easily retrieved. The reports also contain the feedbacks of the patients and utilized for the evaluation of the services of the health care units. The records of the regular medical visits are also kept in the process data (Hughes, 2008). The process data is used to analyze the ability of the services to assure and enhance quality and safety to the patients by the health care institutions. The regular reports would help to identify the areas of the gaps where additional care is needed. Cleary defines and discusses Outcome Data in relations to quality and safety in health care and nursing Donabedian has come up with his model where the outcome data is also another important part. The outcome data contains the manifestations of the changes and nature of behaviour and the status of the health on the patients or the entire population. The main aim of the health care institutions is to ensure best quality of the services. This objective could be assured with the help of the analysis of the outcome data. The effects of the changes on the attitudes of the patients and the services provided to them could be best evaluated with the help of the outcome data (Mitchell, 2016). The services of the health care organizations must be done effectively but this is not so easy for the institutions to maintain. The quality and safety of the services of the health care units could be better analyzed with the help of the outcome data as the effects or the feedbacks could be ascertained and evaluated. The quality of the services could be assessed with the help of the established connection between the two important documents, process and outcome data. The follow-ups could be conducted on long term if the connection between the two data is established accordingly and evaluated (Burton, 2016). Crietria Two: Analysis and Application through use of example: Specifically and succinctly identifies and discusses one example of a clinical care activity in relation to safety and quality, for which process data and outcome data can be identified: For the purpose of the identification of the process data and the outcome data in a clinical care activity related to safety and quality, an instance at the Sydney Adventist Hospital is put forward in this essay. The case discusses about an incident at the hospital where one of the snake bite victims was admitted to few years back. The patient was in a serious condition as he was bitten by a rattlesnake. He was a young boy of around 20 years of age and was bitten by the snake while he was herding his cattle in the forest near his home in Sydney. He was brought to the hospital by his friends who accompanied him in herding of cattle. Now, this medical case can be analyzed for quality by the model invented by Donabedian. He has suggested three vital criteria in order to assess the service quality and safety at a healthcare organization. These criteria are: Structure Data, Process Data and Outcome Data(Kunke, 2007). The Structure Data refers to the structure of the hospital building including the equipments and staffs. The Process Data refers to the various clinical procedures implemented and proper record-keeping of those. The Outcome Data is the final result of the particular medical process or treatment on the patient and its impact on the hospital(Parand, 2014). Referring to the case, it can be said that immediately on admission the boy was admitted to the emergency department by the paramedic staffs those were very prompt in transferring the patient to the emergency ward while other staffs did the form filling process. The doctor on duty then arrived at the scenario and he noted down all the vital signs of the patient like BP, sugar levels, pulse rate, etc. He examined the wound and immediately administered anti-venom injection to the boy. The paramedics and nurses on duty noted down all the diagnosis of the patient as mentioned by the doctor, including the dosage of every medicine or injec tion that was administered and needed to be administered in future. The nurses, the doctor himself and all the involved staffs and employees of the hospital did their bit of record keeping and were very prompt to deal with the ailing patient. This is the example of the Process Data. Finally the boy recovered and was discharged after two days absolutely hale and hearty. The boy was one satisfied customer along with his family and friends. The reputation of the hospital along with the doctors, staffs and employees also increased manifold. This is an example of Outcome Data(safetyandquality, 2011). Clear critical analysis of scholarly literature to support the following: Discussion of what process data may be collected and the rationale for collection of such data: The collection of the process data is extremely important for any health professional for maintaining records of each and every case under him or which he was a part of. This helps in the future reference of the cases and especially in quality audits those are performed. The hallmark of a reputed and patient-focused healthcare organization is the care given towards the safety and quality of the healthcare services provided. Thus, the keeping of the Process Data is a very crucial part of the quality analysis process of a hospital. The success of a hospital in delivering high quality and ethical services to the patients depends on this process of recording and documenting the Process Data by all the medical personnel belonging to different departments and levels of job hierarchy in the hospital. This is also evident in the said case of the Sydney Adventist Hospital(OGrady, 2008). Discussion of what outcome data may be collected and the rationale for collection of such data: The collection and recording of the Outcome Data is also equally important for a healthcare organization to analyze the safety and the quality of the services provided. Each and every healthcare personnel should be responsible enough to collect and document the Outcome Data of the cases each of them have handled those depict the aftermaths of all those cases and whether the patients recovered or not(Safetyandquality, 2010). The Outcome Data also analyzes the effects on the reputation of the healthcare organization after each such case. The rationale for maintenance of such Outcome Data is that these data act as effective inputs in undertaking safety and quality audits within the hospital. This is to be done to understand the rate of success of delivering the right kind of medical services to the patients. Thus, quality and safety audits related to the healthcare units are ineffective if there is no proper recording of the Outcome Data along with the Process Data (NCBI, 2015). Critically discuss how the both the process data and outcome data may be used to improve quality and safety for patients: The collection and analysis of the Process Data and the Outcome Data are indispensable for improving the safety and quality of services to the patients in the healthcare organizations. It is the responsibility of the healthcare professionals to keep track of all the medical proceedings of each of the cases those are admitted to the hospitals. The various details of the treatments including all the vital sign readings during all the medical procedures, the medicines administered, the doctors engaged in the treatment, the details of the support staffs like paramedics, nurses and other personnel are to be maintained to ensure that the Process Data are collected and recorded in a systematic manner. Similarly, the Outcome Data should also be recorded with diligence and honesty such that future references can be made during the quality audit. The various outcomes of each of the medical cases with the hospital help to determine the success rate of the hospital. It also identifies the streng ths as well as the loopholes of the medical services provide. Thus, both the Process Data and Outcome Data complement each other to provide a meaningful and credible safety and quality analysis in a healthcare organization. This is also evident in the discussed case of the Sydney Adventist Hospital(Ronda, 2008). Conclusion: On a concluding note to this essay it is important to comprehend that the safety and quality check is one of the key aspects in ensuring high quality healthcare services to the patients. Every healthcare unit should be conducting these safety and quality audits from time to time in order to ascertain the areas of strengths and weaknesses. The healthcare sector is a service industry and therefore the success of the industry and the healthcare units under it depends on the seamless delivery of ethical, honest, empathetic and accountable healthcare services. The analysis of the quality and safety principles is conducted in the healthcare sector using one of the most popular models developed by Donabedian. This model analyzes the safety and quality of healthcare services through three crucial factors namely: Structure Data, Process Data and Outcome Data. This particular case of the Sydney Adventist Hospital is expected to reflect the concept of safety and quality evaluation in the healthcare sector and also to understand its impact on the growth and sustainability of the healthcare organizations. References: Burton, T. (2016). Why Process Measures Are Often More Important Than Outcome Measures in Healthcare. Retrieved from .healthcatalyst: https://www.healthcatalyst.com/process-vs-outcome-measures-healthcare DOH. (2016). Why is "Quality" Health Care Important? Retrieved from web.doh.state.nj: https://web.doh.state.nj.us/apps2/Hpr/importance.shtml Donabedian, A. (2016). The Quality of Care. Retrieved from nursingworld: https://www.nursingworld.org/DocumentVault/Care-Coordination-Panel-Docs/background-docs/Jun-4-Mtg-docs/The-Quality-of-CareHowCanItBeAssessed-Donabedian1988.pdf Hughes, R. G. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses . Retrieved from archive.ahrq: https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/nurseshdbk.pdf Kunke, S. (2007). The structure of quality systems is important to the process and outcome, an empirical study of 386 hospital departments in Sweden. Retrieved from ncbi.nlm.nih: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1959199/ Kunkel, S., Rosenqvist, U., Westerling, R. (2007). The structure of quality systems is important to the process and outcome, an empirical study of 386 hospital departments in Sweden. Retrieved from .ncbi.nlm.nih: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1959199/ Mitchell, P. H. (2016). Chapter 1Defining Patient Safety and Quality Care. Retrieved from ncbi.nlm.nih: https://www.ncbi.nlm.nih.gov/books/NBK2681/ NCBI. (2015). Quality Assurance, Health Care. Retrieved from ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/mesh/68011785 OGrady, E. T. (2008). Advanced Practice Registered Nurses: The Impact on Patient Safety and Quality. Retrieved from ncbi.nlm.nih: https://www.ncbi.nlm.nih.gov/books/NBK2641/ Parand, A. (2014). The role of hospital managers in quality and patient safety: a systematic review. Retrieved from bmjopen.bmj: https://bmjopen.bmj.com/content/4/9/e005055.full Ronda, G. H. (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses . Retrieved from archive.ahrq.gov: https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/nurseshdbk.pdf safetyandquality. (2011). Australian Safety and Quality Framework for Health Care. Retrieved October 23, 2016, from safetyandquality.gov.au: https://www.safetyandquality.gov.au/wp-content/uploads/2011/01/ASQFHC-Guide-Healthcare-team.pdf Safetyandquality. (2011). Australian Safety and Quality Framework for Health Care. Retrieved from safetyandquality: https://www.safetyandquality.gov.au/wp-content/uploads/2011/01/ASQFHC-Guide-Managers.pdf Safetyandquality. (2010). IMPROVING QUALITY AND SAFETY BY FOCUSING CARE ON PATIENTS AND CONSUMERS. Retrieved October 23, 2016, from safetyandquality.gov.au: https://www.safetyandquality.gov.au/wp-content/uploads/2012/01/PCCC-DiscussPaper.pdf WHO. (2007). ST R E NGT H E N I NG H E A LT H SYST E MS TO I M PROV E H E A LT H OU TCOM E S. Retrieved from who: https://www.who.int/healthsystems/strategy/everybodys_business.pdf

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