Accession Number : ADA254251


Title :   Paradigm Shift in Health Care: From Quality Assurance to Continuous Quality Improvement


Descriptive Note : Master's thesis,


Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH


Personal Author(s) : Montgomery, Lori


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a254251.pdf


Report Date : Jan 1992


Pagination or Media Count : 115


Abstract : The concept of quality in health care is discussed throughout this paper, within an historical perspective, including key forces influencing quality assurance (QA). The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has been identified by Schroeder (1991a) as probably the most significant influence on QA structures and approaches in the United States. The revised nursing care standards delineated by JCAHO in the 1991 Accreditation Manual for Hospitals (AMH) will be discussed in this paper. A Systematic Internal Review (SIR) program to be utilized as a self assessment of compliance with the new standards is introduced. In addition, the monitoring and evaluation (M and E) process used to measure the quality of care as set forth by JCAHO is described. The concept of quality and the shift from a traditional QA philosophy to a continuous quality improvement (CQI) philosophy is explored with implications for health care and nursing presented. The importance of nursing staff as well as an organizationwide commitment to and involvement with CQI activities is emphasized.


Descriptors :   *NURSES , MEDICINE , NURSING , QUALITY CONTROL


Subject Categories : Personnel Management and Labor Relations
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE