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Quality Improvement Part I - Part Iv

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Quality Improvement Plan Part II
This paper attempts to explain some areas of potential improvement for the Veteran Affairs (VA) organization in a surgical department. Describe the data that needs to be collected and the tools to be use. Also, it will be identified and compared the types of information collected based on the different tools used. Presenting the Quality Improvements (QI) tools needed to accomplish the goal and describe the information obtained from it. In addition, establish how are these tools helpful for the health care organizations.
Areas of Potential Improvements for the Organization
The areas to be considered are; on- call Practices, preoperative personnel are assigned designated times, in addition to their regular work hours, to be available on an “on-call” basis for unplanned , urgent, emergent procedures or to provide care for patients whose procedure run past schedule time periods. Call hours may vary from four hours or more. Actual hours worked during the call period are unpredictable and can range from 30 minutes to the entire length of the call period. A large body of research exists about fatigue and sleep deprivation and their effect on performance. Research also suggest that work periods of 12 hours or more are associated with higher probability of making an error and increase in risk-taking behaviors.
The Time-Out: While technologies and other innovations have advanced health care, these advancements have also led to failures in the delivery of safe patient care. Rates of wrong site surgery are still shocking and incidences of retained foreign bodies persist. Of great concern is wrong-site surgery (WSS), which encompasses surgery performed on the wrong side or site of the body, wrong surgical procedure performed, and surgery performed on the wrong patient. This definition also includes “any invasive procedure that exposes

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...Job
Title: 
 Months
in
this
Position:
 
 Date
of
Evaluation: Department: Review
Period: 
 
 
 
 
 PART
I
–
Introduction
 
 Employee
Commitment:
 Our
Company
recognizes
that
it’s
employees
are
a
crucial
ingredient
to
the
quality
 and
success
of
it’s
products
and
services.

It
is
our
commitment
to
support
the
 development
of
our
staff
both
professionally
and
personally
and
in
doing
so
create
 an
organization
with
the
ability
to
exceed
the
expectations
of
the
company,
the
 individual
and
our
clients.
 
 Purposes
of
Performance
Reviews:
 The
primary
purpose
of
a
performance
review
is
to
encourage
staff
development
and
 strengthen
the
departments
overall
effectiveness
by:
 
 1. identify
specific
indicators
of
achievement
 2. pin‐point
areas
of
greatest/least
effectiveness
 3. stimulate
improved
performance
 4. aid
in
promotion,
retention
and
salary
decisions
 5. clearly
define
the
goals
and
objectives
of
the
organization
 6. develop
mutually
established
employee
focused
goals
and
objectives
 7. increase
employer‐employee
communications
 8. evaluate
effectiveness
of
management
 
 Review
Expectations:
 Each
employee
is
entitled
to
a
thoughtful
and
careful
review.

Performance
review
 success
depends
on
both
the
supervisor’s
willingness
to
complete
a
constructive
and
 objective
assessment,
and
on
the
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willingness
to
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and
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supervisor
to
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overcome,
 and
establish
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and
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