Quality management within a cost-constrained service
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1School of Nursing Studies, University of Central England, Birmingham, UK.
Aim:
To examine the meaning of quality and ways in which quality can be improved despite budgetary limitations.
Key Issues:
Definitions of quality are discussed, comparing the development from industrial concepts of quality to that contained within the Department of Health's A First CLASS SERVICE: The relationship of cost and quality is examined and the effects of changing treatments on healthcare costs explored. Clinical error is identified as a cause of increased cost through failure to maintain quality. A variety of quality tools are discussed in identifying ways in which quality can be improved within a cost-limited service. Thrombolysis is used as an exemplar and the effects on nursing discussed.
Conclusion:
There is research evidence which demonstrates that some areas of quality are amenable to improvement despite budgetary constraints.
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