AACN clinical issues in critical care nursing
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AACN Clin Issues Crit Care Nurs · Feb 1991
A unit-based approach to outcome centered nursing quality assurance in critical care.
This chapter describes a unit-based nursing quality assurance program in critical care. It outlines a unit-based structure, implementation of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) ten steps and joint nurse/physician outcome indicators.
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AACN Clin Issues Crit Care Nurs · Feb 1991
Standards of care and practice: a vital link in quality assurance.
In the critical care unit setting, a quality assurance program is based on the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) ten-step model for monitoring and evaluation. The addition of nursing standards of patient care and standards of nursing practice to that ten-step model provides the vital link between patient expectations, staff performance, and quality assurance in that unit.
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AACN Clin Issues Crit Care Nurs · Feb 1991
Standards of care: integrating nursing care plans and quality assurance activities.
Traditionally, standards are used to define the level of care that a patient can expect to receive in a given institution or on a given nursing unit. These standards are the foundation of quality assurance programs. ⋯ The nursing staff at the unit level has no real knowledge or understanding of the standards. This may result in a nonfunctioning quality assurance program.
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AACN Clin Issues Crit Care Nurs · Feb 1991
The quality assurance process in critical care education.
The American Association of Critical-Care Nurses (AACN) has developed education standards for critical care nursing. These structure and process standards can be used as part of the Joint Commission on Accreditation of Healthcare Organizations' (JCAHO) ten-step process for monitoring and evaluating critical care education programs. This chapter discusses the application of the monitoring and evaluation process, based on education standards, for critical care education programs.
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The forces influencing the development of outcome standards are gaining momentum. These forces are professional nursing issues, accreditation standards, and reimbursement issues. Traditionally, structure and process measures provided the means for evaluating the quality of nursing care. ⋯ This chapter describes these outcome standards and recommends ways to use them. The Joint Commission on the Accreditation of Healthcare Organizations' (JCAHO) ten-step model outlines development of unit-specific outcome standards. Methods focus throughout on a quality assurance framework.