continuous quality improvement
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continuous quality improvement (CQI)
a system that seeks to improve the provision of services with an emphasis on future results. Like total quality management, CQI uses a set of statistical tools to understand subsystems and uncover problems, but its emphasis is on maintaining quality in the future, not just controlling a process. Once a process that needs improvement is identified, a team of knowledgeable individuals is gathered to research and document each step of that process. Once specific expectations and the means to measure them have been established, implementation aims at preventing future failures and involves the setting of goals, education, and the measurement of results. If necessary, the plan may be revised on the basis of the results, so that the improvement is ongoing.
clinical governanceA framework under which NHS bodies in the UK are accountable for continuously monitoring and improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care should flourish. Clinical governance is promulgated by the Commission for Health Improvement.
The 5 Themes of Clinical Governance
(i) Leadership, strategy and planning; identifiable clinical governance lead
(ii) Public and patient involvement
(iii) Quality improvement processes
(iv) Staff focus
(v) Use of information.
The Contractual Components
1) Patient and public involvement
2) Clinical audit
3) Risk management
4) Clinical effectiveness programmes
5) Staffing and staff management
6) Education, training and CPD
7) Use of information to support clinical governance and health care delivery.
continuous quality improvementManaged care An approach to health care based on evaluation of a product or the outcome(s) of a process, and on understanding the needs and expectations of the consumers of these products or processes. See Quality assurance, Total quality management.
con·tin·u·ous qual·i·ty im·prove·ment(kŏn-tin'yū-ŭs kwahl'i-tē im-prūv'mĕnt)
Structured process to improve all aspects of care and service continually; ongoing study to improve performance.