Quality control
Definition
Quality Control (QC) is a system of routine technical activities to measure and
control the quality of the inventory as it is being developed.
Importance or benefits of quality control
1. Encourages quality consciousness.
2. Satisfaction of consumers.
3. Higher morale of employees.
4. Improved employer-employee relations.
5. Improved production methods.
6. Most effective utilization of resources.
7. Reduction in production cost.
8. Reduction in inspection costs.
9. Increased sales.
10. Increased goodwill.
11. Effective advertisement.
12. Facilitates price fixation.
Nursing audits as a quality control tool
Definition
Nursing audits It is a method for evaluating the quality of nursing care through
appraisal of the nursing process or outcome of care as patient care records.
Nursing auditing can occur:
1. Retrospective audits: are performed after the patient receives the service.
2. Concurrent audits are performed while the patient receiving the service.
3. Prospective audits are identifying how future affected by current interventions.
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Purposes of nursing audits
1. Evaluation of nursing care given.
2. Focuses on care provided not on the care provider.
3. Archives deserved and feasible quality of nursing care
4. Stimulant to better records.
5. Contributes research.
Advantages of nursing audits
1. Can be used as a method of measurement in all areas of nursing.
2. Scoring system is fairly sampled.
3. Results are easily under stood.
4. Assesses the work of all involved in recording care.
5. May be a useful tool as part of a quality assurance program.
Disadvantages of nursing audits
1. It is not useful in areas where the appraised outcomes of the nursing process
have not been implemented.
2. Many of the components overlap making analyzing difficult.
3. Is time consuming.
4. Requires a team of trained auditors.
5. Deals with a large amount of information.
6. Only improving documentation (evaluates record keeping), not nursing care.
Quality control as a process (steps)
1. The first step is the establishment of control criteria and standards. If
standards have not been clearly established, measuring performance is
impossible. Employees must be aware that their performance will be measured
by their ability to meet the established standard. Many organizations using
benchmarking as comparing their process against best-performing organizations.
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2. The second step is identifying information relevant to the criteria: (What
information is needed to measure the criteria?).
3. The third step is determining ways to collect information: The ways to
collect information includes patient chart, postoperative flow sheets, the
physician orders, and the nursing notes.
4. The fourth step is collecting and analyzing information. This is often done
using a process known as critical event analysis (CEA) or root cause analysis
(RCA).
5. The fifth step is evaluating individual employee performance: the quality
control provides a tool for evaluating unit goals. If unit goals are unmet, the
leader must reexamine those goals and determine if they are inappropriate or
unrealistic.
6. The last step: is reevaluation.
Role of nurse manager of quality control
1. Encourage followers to be actively involved in the quality control process.
2. Encourage the setting of high maximize quality standards.
3. Clearly communicates expected standards of care to subordinates.
4. Actively communicates QC findings to other health professional and consumers.
5. Uses control as a method of determining why goals were not met.
6. Distinguishes between clinical standards and resource utilization standards.
7. Acts as a role model for followers in accepting responsibility and accountability
for nursing action.