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Can you please help me with the quality area, element and standard to these issues? (See below) Quality Improvement Plan Standard/Element: Safety Standards Issue Identified

Can you please help me with the quality area, element and standard to these issues? (See below)

Quality Improvement Plan

Standard/Element:

Safety Standards

Issue Identified During Self-Assessment: Inconsistent application of safety protocols.

What Outcome or Goal Do We Seek? Standardize and ensure consistent application of safety procedures across all departments.

Priority (L/M/H): High

How Will We Get This Outcome? (Steps):

  1. Review current safety protocols.
  2. Develop standardized safety procedures.
  3. Train all staff on new procedures.
  4. Monitor adherence to procedures.

Success Measure: Completion of safety protocol standardization and consistent application verified through audits.

By When? 3 months

Progress Notes:

  • Initial review completed.
  • Draft of standardized procedures in progress.

Standard/Element:

Staff Competency

Issue Identified During Self-Assessment: Insufficient training on new technology.

What Outcome or Goal Do We Seek? Enhance training programs to include comprehensive modules on new technology.

Priority (L/M/H): High

How Will We Get This Outcome? (Steps):

  1. Identify necessary technological competencies.
  2. Develop comprehensive training modules.
  3. Conduct training sessions.
  4. Evaluate staff competency post-training.

Success Measure: Increased competency assessment scores post-training.

By When? 4 months

Progress Notes:

  • Training modules development initiated.
  • First training session scheduled.

Standard/Element:

Data Management

Issue Identified During Self-Assessment: Outdated client data management policy.

What Outcome or Goal Do We Seek? Update data management policies to comply with current regulations and best practices.

Priority (L/M/H): Medium

How Will We Get This Outcome? (Steps):

  1. Review current data management policies.
  2. Identify gaps and areas for improvement.
  3. Revise policies to align with current regulations.
  4. Implement and communicate new policies.

Success Measure: Compliance with the latest data protection audit.

By When? 2 months

Progress Notes:

  • Policy review completed.
  • Draft revisions under review.

Standard/Element:

Regulatory Compliance

Issue Identified During Self-Assessment: Failure to meet certain regulatory standards.

What Outcome or Goal Do We Seek? Implement corrective actions to achieve full compliance.

Priority (L/M/H): High

How Will We Get This Outcome? (Steps):

  1. Conduct an internal audit to identify areas of non-compliance.
  2. Develop corrective action plans.
  3. Implement corrective actions.
  4. Conduct follow-up audits.

Success Measure: Full compliance in subsequent regulatory reviews.

By When? 6 months

Progress Notes:

  • Internal audit completed.
  • Corrective action plans in development.

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