Improving quality in outpatient services


    • Guinane, Carole
    • Davis, Noreen
    • Fickenscher, Kevin M.


Improving quality in outpatient services

Carole Guinane, Noreen Davis ; foreword by Kevin M. Fickenscher

CRC Press, c2011

  • : hardback

大学図書館所蔵 件 / 1



"A Productivity Press book"

Includes bibliographical references and index



A valuable reference for those involved in the field of ambulatory patient care, Improving Quality in Outpatient Services offers time-tested instruction on how to create a world-class outpatient program. It supplies a high-level overview of current opportunities, national quality programs, and challenges-outlining the policies, procedures, and plans required for success. Stimulating readers with a wealth of practical applications, stories, and examples, the book details the governance, medical staff, and quality structures required to create, implement, and maintain a safe and efficient outpatient program. It introduces powerful techniques for infection control, medication management, risk prevention, and the elimination of medication errors. It also: Lists mandatory policies and procedures Contains practice drills to prepare you for real-world scenarios Explains how to create a report card to measure quality at all levels Includes a sample curriculum that outlines the courseware required by OSHA and other licensing and regulatory agencies The authors address documentation and human resources factors and supply an abundance of information and resources in the appendices, including how and where to apply for certification, medical record review tools, policy and procedure checklists, and a state-by-state listing of resources available for outpatient and ambulatory programs. Explaining how to involve patients in the decision making process, the text details a proven system for evaluating quality at all levels of your organization.


Defining Outpatient Healthcare Outpatient Quality National Health Statistics Reports Outpatient Quality Initiatives (HOP QDRP) Clinical Performance Measures for Ambulatory Care ASC Quality Collaboration American Medical Association (AMA) Safe Injection Practices Coalition Safe Practices for Better Healthcare Creating a Structure for Quality and Safety Simplicity Is Best Tie Your Quality Strategy to Your Mission, Vision, and Values Appoint a Governing Body Leader Selection The Medical Staff, Nurses, and Allied Health Professionals Meetings, Minutes, and Keeping a Calendar Quality Program Topics Engineering the Customer Connection Quality Function Deployment Kaizen Plan, Do, Check, and Act (PDCA), and Six Sigma Three Types of Waste CSP Number 1: Keep Wait Times to a Minimum CSP Number 2: Make a Good Impression CSP Number 3: Be Open and Honest CSP Number 4: Don't Blame the Customer CSP Number 5: Ask Questions CSP Number 6: It's Not a Meat Market CSP Number 7: Follow Through CSP Number 8: No Medical Mumbo Jumbo CSP Number 9: Work as a Team CSP Number 10: Relate to the Person Policies, Procedures, and Plans Staying True to Your Mission, Vision, and Value Creating Lean and Useful Documents Regulatory Requirements for Documents The Users of Policies, Procedures, and Plans Use Reference Manuals and Association Books Document Format Documents to Create and Have on Hand Reviewing and Revising Your Documents The Human Resource Factor Overview Quality and the HR Factor Creating Complete HR Files Health Care Quality Improvement Act (HCQIA) of 1986 Vendor and Contract Files Clinical Contract Employee Requirement and Files Monitoring, Collecting, and Analyzing Data HR Training to Promote Safety and Quality Audits and Auditors Measuring Quality and SafetyMeasurement Induction, Deduction, and the Scientific Method Case Study Scorecards for Outpatient Services Rewarding Based on Performance Medication Safety Safety Overview Formulary, Consulting Pharmacist, and Tools High-Alert Medications Look-Alike Sound-Alike Medications (LASAs) Contrast Media Anticoagulants Insulin Chemotherapy Injection Safety and Multiuse Medication Vials Labeling Medications and Containers Medication Reconciliation Sample Medications Storing and Securing Medications Medication Safety Reporting Adverse Drug Reaction Reporting Infection Prevention in the Ambulatory Setting Infection Prevention and Control Infection Control and Prevention Structure Disaster Planning and Outbreak Investigation Infection Control and Prevention Committee Infection Control and Prevention Plan Surveillance Bloodborne Pathogens Sharps: Engineering Safety Mechanisms Multiuse Vials and Single-Use Vials Environmental Cleaning and Disinfection Sterilization, Disinfection, and Cleaning Recommended Sterilization Resources Measurement Mandatory Staff Training in Infection Prevention Infection Prevention Resources Clinical Documentation History Meaningful Use Electronic Health Records (EHRs) Meaningful Use Quality Implications The Purpose of Clinical Documentation Authentication and Completion of Medical Records Problem Lists Allergy and Sensitivity Documentation Ambulatory Surgery Center Documentation Communication Security and Retention of Medical Records Regulatory Requirements Risk Management and Safety Introduction Challenges and Opportunity in the Ambulatory Setting Common Causes of Errors in the Ambulatory Setting Building Your Safety Program Patient Safety Culture National Patient Safety Goals Universal Protocol Surgical and Anesthesia Safety Airway Maintenance Malignant Hyperthermia Postanesthesia Monitoring Environmental Safety MRI Safety Radiation Safety Surgical Fires Work Flow Analysis and Redesign Safety Program Training What to Do If You Experience a Safety Event Use of RCA and FMEA Tools Licensing, Deemed Status, Accreditation, and Certification Defining Licensing, Deemed Status, Accreditation, and Certification Why Become Accredited? Certification of Programs Ambulatory Accreditation and Certification Programs Survey Preparation Accreditation Listing Practice Makes Perfect Why Practice? PDPC and FMEA 5 Whys Using Checklists to Improve Safety and Quality Codes and Drills Scenario Training Scenario Example for Endoscopy Appendices: Checklist on Policies, Procedures, and Plans for an Outpatient Setting Quality Glossary Quality Reporting Measures Infection Prevention Plan Example Risk Assessment Medical Record Review Criteria Audit Safety Management Program Root Cause Analysis and Corrective Action Plan State Contacts for Ambulatory Licensing and Standards Patient Education Pathway Example Index Each chapter concludes with a Summary, Key Points, and Sources

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