Ateneo de Davao University

Graduate School

Name: Dennis N. Muñoz, LPT, RM, RN Course: Nsg 707- Nursing Leadership
Student Number: 22017001253391 & Administration

Degree: Master’s in Nursing Professor: Dr. Patria V. Manalaysay

Read on nursing audit. what is the responsibility of a nurse administrator in

conducting nursing audit?

Quality A judgment of what constitute good or bad

Audit A systematic and critical examination to examine or verify

Nursing audit 1) It is the assessment of the quality of nursing care 2) Uses a record as
an aid in evaluating the quality of patient care

Definition
1) According to elision, nursing audit refers to assessment of the quality of clinical
nursing
2) According to Goster Welfare
a. Nursing audit is an exercise to find out whether good nursing practices are
followed
b. The audit is a means by which nurses themselves can define standards
from their point of view and describe the actual practice of nursing
3) A nursing audit is a method of evaluating care that evolve reviewing patient
records to assess the outcomes were achieved
4) Nursing care audit Audit related to the planning, delivery, and evolution of care.
It is an important component of nursing care
5) Medical audit; the systematic critical analysis of the quality of medical care
including the procedures for diagnosis and treatment the use of resource and the
result sing outcome and quality of life for the patient

Purposes of nursing audit

1) evaluating nursing care given
2) achieves deserved and feasible quality of nursing care
3) stimulant to better records
4) Focuses on care provided and on care provider
5) Contributes to research

Methods of nursing audit

1) define patient population
2) identify a time framework for measuring outcomes of care
3) identify commonly recurring nursing problems presented by the defined patient
population
4) state patient outcome criteria \
5) state acceptable degree of goal achievement
6) specify the source of information
7) design and type of tool

Points to be remembered:
1) quality assurance must be priority
2) those responsible must implement a programmer not only a tool
3) a coordinator should develop and evaluate quality assurance activity
4) roles and responsibilities must be delivered
5) nurses must be informed about the process and the result of the programmed
6) data must be reliable
7) adequate orientation of a data collection is essential
8) quality data should be analyzed and used by nursing personnel at all levels

Advantage of nursing audit

1) Can be used as a method of measured in all areas of nursing
2) Seven function are easily understood
3) Scoring system is fairly simple
4) Results easily understood
5) Assess the work of all those involved in recording care
6) May be useful tool as part of a quality assurance program in areas where accurate
records of care are kept

Disadvantage of nursing audit

1) Appraises the outcomes of the nursing process , so it is not so useful in areas where
the nursing process has not been implemented
2) Many of the components overlap making analysis difficult
3) Is time consuming
4) Requires a team of trained auditors
5) Deals with a large amount of information
6) Only evaluates record keeping. It only serves to improve documentation not nursing
care
Write short note on Six Sigma.

Lean Six Sigma in Healthcare

Lean Six Sigma focuses on eliminating defects. In healthcare, a defect can be the
difference between life and death. Lean Six Sigma to improve patient safety by
eliminating life-threatening errors.

Lean Six Sigma uses Define-Measure-Analyze-Improve-Control (DMAIC ) – a five-step

approach to process improvement. Focus on improving the patient experience by
making sure your processes consistently deliver the desired results.

Six Sigma Requires Five Steps for Quality Improvement

1) Define: Who are the patients, and what do they want? What are the capabilities of
the process being measured? What are our objectives?
2) Measure: What will improvement look like? On what data will our efforts be
measured? Metrics used to define performance in a healthcare organization often
include service level, service cost, patient satisfaction, and clinical excellence.
3) Analyze: Collect data and analyze using proven tools.
4) Improve: Implement modifications to improve the process.
5) Control: Monitor performance to maintain improvement.

Six Sigma healthcare projects currently underway in a few locations have already begun
to reduce the number of defects in specific areas, including the nurse charting process
and patient throughput in radiology. But there are many other patient care processes
that seem to be begging for immediate attention and initiation of a Six Sigma review. It’s
conceivable and reasonable to expect that the error rates cited in the IOM report could
be reduced by process implementation in the following areas:

1) Medication administration
2) Site-marking for surgical or other procedures
3) Assignment of patient caregivers
4) Case management
5) Patient falls
6) Patient restraints
7) Emergency department triage