ABOUT SEVAYATAN HOSPITAL

QUALITY CARE

SMGH view quality health care as the overarching umbrella under which patient safety resides. We considers patient safety “indistinguishable from the delivery of quality health care. We define “Quality as an optimal balance between possibilities realised and a framework of norms and values.” This conceptual definition reflects the fact that quality is an abstraction and does not exist as a discrete entity. Rather it is constructed based on an interaction among relevant actors who agree about standards (the norms and values) and components (the possibilities). We give quality of health care in terms of standards. We give health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. focused on the following positive indicators of high-quality care that are sensitive to nursing input: achievement of appropriate self-care, demonstration of health-promoting behaviors, health-related quality of life, perception of being well cared for, and symptom management to criterion. SMGH quality care is safe, effective, patient centered, timely, efficient, and equitable. Thus safety is the foundation upon which all other aspects of quality care are built.

PATIENT SAFETY

Patient safety has emerged from the health care quality movement that is equally abstract, with various approaches to the more concrete essential components. SMGH is placed on the system of care delivery that
• prevents errors;
• learns from the errors that do occur; and
• is built on a culture of safety that involves health care professionals, organizations, and patients.
We reduce the risk of adverse events related to exposure to medical care across a range of diagnoses or conditions.
Our practices considered to have sufficient evidence to include in the category of patient safety practices are as follows: 12 Appropriate use of prophylaxis to prevent venous thromboembolism in patients at risk
• Use of perioperative beta-blockers in appropriate patients to prevent perioperative morbidity and mortality Use of maximum sterile barriers while placing central intravenous catheters to prevent infections
• Appropriate use of antibiotic prophylaxis in surgical patients to prevent postoperative infections Asking that patients recall and restate what they have been told during the informed-consent process to verify their understanding
• Continuous aspiration of subglottic secretions to prevent ventilator-associated pneumonia Use of pressure-relieving bedding materials to prevent pressure ulcers
• Use of real-time ultrasound guidance during central line insertion to prevent complications
• Patient self-management for warfarin (Coumadin®) to achieve appropriate outpatient anticoagulation and prevent complications
• Appropriate provision of nutrition, with a particular emphasis on early enteral nutrition in critically ill and surgical patients, to prevent complications
• Use of antibiotic-impregnated central venous catheters to prevent catheter-related infections