nursing & midwifery quality care-metrics (qcm): a national ... · metrics in hse (ireland) ......
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Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
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Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
Evidence based Nursing & Midwifery Quality Care-Metrics in HSE (Ireland)
Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
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Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
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Nursing & Midwifery Quality Care-Metrics (QCM): A National Initiative to enableMeasurement for Improvement in the Health Service Executive (Ireland)
Background: Increasing reports of patient harm and poor quality care has created the requirement for healthcare professionals to question what is known about the quality of care being delivered in clinical practice. A wealth of data is available in healthcare but what is missing is consensus on what are the important aspects of what nurses and midwives do and a national systematic ap-proach to collate, analyse and interpret data to track the quality of care delivery.
QCM’s provide an indication of the quality of the fundamentals of nursing and midwifery care processes in healthcare settings in Ireland. The measures are sensitive to the influence of nurses and midwives, appropriate for all care settings, aligned to evidence based standards and agreed through national consensus. QCM’s provide the framework to identify gaps in care delivery, enabling action planning for quality improvement and provide a mechanism by which care providers can be accountable for the quality of their care delivery. Test Your Care, a software application available to HSE set-tings provides the standardised platform to measure, monitor and track the fundamentals of nursing and midwifery clinical care processes.
Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
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Objectives:• To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be
acknowledged and to identify areas for practice improvement.• To achieve reliability in care processes in order to improve patient/client care outcomes.
PROCESS FOR NURSING & MIDWIFERYQUALITY CARE-METRICS
Results• Individual services have a suite of metrics and indicators that measure nursing and midwifery care processes• Monthly QCM data collections entered into TestYourCare provides real-time reports using a RAG rating. Run
charts and SPC chart formats are in development• QCM enables improvement in clinical care processes that result in improved patient / client outcomes• QCM enables improvement in process that results in improved patient / client outcomes
NURSING AND MIDWIFERY QUALITY CARE-METRICS (2018)
Acute Care Children’s Services
Intellectual Disability Services
Older Persons Services
Mental Health Services
Public Health Nursing Services Midwifery Services Theatre
Patient Monitoring and
SurveillanceMedicines
ManagementNursing
Documentation Skin Integrity AssessmentPressure Ulcer Prevention and Management
Midwifery Plan of Care Communication
Health Care Associated Infection
Prevention and Control
Nursing Care Planning
Medication Management
Assessment and Management of Pressure Ulcers
Care Plan Wound Care Management Booking Tissue Viability
Pain Assessment and
Management
Healthcare Associated Infection
PreventionEnvironment Optimizing Nutrition
and Hydration Management of RiskHealth Care Associated Infection Prevention &
Control
Abdominal Examination (after 24 weeks gesta-tion) on Current or Last
AssessmentPain Management
Nutrition and Hydration Nutrition Safeguarding Pain Assessment
and ManagementManagement of
Violence and Aggression
Continence Assessment and Management
Intrapartum Fetal Wellbeing
Immediate Post-Operative Care
Continence Assessment and
ManagementPain Assessment and Management
Person Centred
CommunicationMedicines Prescribing
Physical Health and Wellbeing
Client/Family/Carer Experience
Intrapartum Fetal Wellbeing
Cardiotocography (CTG)Care Plan De-velopment and
EvaluationVital Signs
Monitoring / PEWSPhysical Health Assessments
Medicines Administration Recovery Based Care Health Promotion Intrapartum Maternal
Wellbeing
Care Plan NMBI Guidance
Child and Adolescent Mental
Health Mental Health Assessment
Infection Prevention and Control
Nursing Communication
Care Plan Development and Evaluation
Risk Assessment for Venous Thromboembo-lism (VTE) in Pregnancy
& the Puerperium
Medication Safety Discharge Planning
Risk Assessment and
ManagementActivities of Daily
Living Medication
Management Medication Safety Immediate Post Birth Care
Medication Storage and
CustodyNursing Care
Plan Falls Risk Service User Experience Maternal Health Communication (Clinical
Midwifery Handover)
Falls and Injury Management
Person Centred Planning Falls Prevention Infant Nutrition Pain Management
(other than labour)
Delirium Prevention and Management
Positive Behaviour Support
Continence Assess-ment, Promotion and Management
Child Development Assessment Infant Feeding
Wound Care Management
End of Life/Palliative care
Frailty Nursing Assessment
Child and Family Health Needs Assessment
Postnatal Care (daily midwifery care
processes)Pressure Ulcer Prevention and Management
End of Life and Palliative Care
Child Welfare and Protection
Post Birth Discharge Planning for Home
Psychological Nursing
AssessmentSafeguarding Vulnerable
AdultMedication
Administration
Responsive Be-haviour Support
Medication, Storage and Custody (excluding
MDAs)Safeguarding
Vulnerable AdultsMDA Scheduled Controlled Drugs
Social Assessment Intravenous Fluid Therapy
Activities (Holistic)/Social Engagement Clinical Record Keeping
Person Centred Care Planning
IMEWS Documentation Standards
MDA Medicines IMEWS Parameters
Medicine Storage and Custody IMEWS Scoring
Person Experience
Evidence Based Nursing & Midwifery Quality Care-Metrics
in HSE (Ireland)
National Lead Dr. Anne Gallen [email protected]
HSE North West Michelle Donnelly [email protected]
HSE Dublin North Ciara White [email protected]
HSE North West Deirdre Keown [email protected]
HSE Dublin South Denise Doolan [email protected]
Objectives: To measure nursing and midwifery processes of care in order to identify areas of good practice that need to be acknowledged and to identify
areas for practice improvement. To achieve reliability in care processes in order to improve patient/client care outcomes.
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To implement Quality Care-Metrics (QCM) in you service, contact the project lead in your NMPDU
HSE West/Midwest Gillian Conway [email protected]
HSE South Cork/Kerry Johanna Downey [email protected]
HSE South East Leonie Finnegan [email protected]
HSE North East Margaret Nadin [email protected]
HSE Midlands Mary Nolan mary.nolan13@hse.