Biomedical subjects
Publications and source records attributed to T Virani.
A practice model for assessing and increasing the validity of a quality monitoring instrument is identified. The philosophical and economic factors, assessment and the project's steps and strategies for maintaining the tool's validity are discussed.
Policy and procedure manuals can be cumbersome to keep current and updated. One approach to meet this challenge is by implementing a decentralized system to develop, review, revise and approve policies and procedures. Mechanisms to operationalize such a system involve sharing of responsibility and accountability of specified policies and procedures by various existing committees and development of coordinating systems and support mechanisms. Other key attributes of a decentralized system included collaboration and extensive communication strategies.
The continuous enhancement of the quality of patient care is the prime directive of a Nursing Quality Improvement Program. A decentralized approach, using a Unit Based Quality Improvement model, was used in one hospital. In this paper, the author examines the process from conceptualization to implementation and evaluation of the decentralized approach.