1. 1. Adriano FriganovicVedran Dumbovic
2. 2. Quality definitionTotal quality managementQuality indicatorsQuality improvement of nursing carePatient safety
3. 3. Measure of excellence or state of beingfree from defects, deficiencies andsignificant variations. It is brought aboutstrict and consistent commitment to certainstandards that achieve uniformity ofproduct or service to satisfy specificcustomer or user requirements.
4. 4. Safe: avoiding injuries to patients from the care that is supposed tohelp them Effective: providing services based on scientific knowledge to allwho could benefit and refraining from providing services to those notlikely to benefit (avoiding underuse, misuse and overuse) Efficient: avoiding waste, in particular waste of equipment,supplies, ideas, and energy. Timely: reducing waits and sometimes harmful delays for boththose who receive and those who give care. Patient Centered: providing care that is respectful of andresponsive to individual patient preferences, needs, and values andensuring that patient values guide all clinical decisions. Equity : providing care that does not vary in quality because ofpersonal characteristics, such as gender, ethnicity, geographiclocation, and socioeconomic status.
5. 5. In the ICU 1,7 errors/ patient/ 24 h
6. 6. Who is responsible for quality controle?Physician - nurse other personalImplementation
7. 7. QA + QC + QI_______________TQM
8. 8. CollectingdataNursingdiagnosisProblemGoalEvaluationNursingintervention
9. 9. Cooperation and resultsorientationLoyalty and IntegrityCommitment to QualityResponsibililty
10. 10. Quality indicators are measurable,objective,quantitative measures of keysystem elements performance.They indicate the extent up to which acertain system meets the needs andexpectations of the customers.
11. 11. Number of nurses per hospital bed in ICU Skin integrity The amount of health care provided topatients throughout the day Satisfaction with pain therapy Patient satisfaction with informations providedin ICU Patient falls of the bed Intrahospital infections Satisfaction of Nurses
12. 12. Process of certificationStandards of operative proceduresData collectionSupervision
13. 13. Use of closed suction systemProtocol of oral careOrganization changes
14. 14. Team leadersEducationConstant supervision
15. 15. Reducing hours spent on mechanicalventilationHaemodinamic stabilityReducing VAP incidence cost benefit
16. 16. 2010PacijentiPacijentice
17. 17. 25.0020.0015.0010.005.000.001 2 3 4 5 6 7 8 9 10 11 12 13 14 15SA BIS-omBEZ BIS-a
18. 18. 0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00BEZ BIS-aSA BIS-om6.468.97
19. 19. Use of closed suction system duringcardiac surgery proceduresUse of bispectral index to all patients
20. 20. Expanding Horizons of Critical CareNursing in EuropeValencia, Spain | 29 - 31 January 2015Attend Europes largest critical carenursing conference!