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Performance appraisal system - Term Paper Example

As the performance measures have become less easily available and less accurately recorded and the positive patient outcomes are not considered as straightforward, analysts and researchers have raised concern over the issue. The goal for improving quality has created the emergency to focus on certain measurable aspects of quality while undermined the focus on other important but immeasurable aspects of quality. As per the new medication management advisory committee set up in America, the administrators in the nursing homes must ensure quality assurance and develop and implement measures which reduce the risks of potential and actual errors in the medical facilities. This has made it mandatory to develop non-punitive processes of reporting and implement such polices which reduces the possibilities of errors in medication administration. (Sheps, 2008, p.14). Methods of implementation of a CQI process for reducing medical errors Following are some of the steps for implementation of a continuous quality improvement strategy in nursing homes to reduce medical errors: The program must begin with the assessment of the duties of the nursing homes’ management goals and then make a thorough investigation of the nursing home’s incident reports. This must be followed by identifying the goals and the recommendations for improving the safety of patients, developing a non punitive system of reporting, developing accurate specifications for dispensing of drugs, administering the documentation procedures

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and also developing accurate specifications for the self administration of drugs for the qualified patients (Sheps, 2008, p.14). The nursing home administrator must be allocated the duty to ensure that the quality assurance committee in the nursing homes implements effective measures to reduce the risks of medical errors. These would include increasing the awareness and education of the patient families about medication, increase legibility of prescriptions, reducing confusions and errors in the labeling of drugs, development of a non punitive system of reporting and implement medical safety practices. The program must also attempt to educate the staff about drugs which have similar names, analyze the causes of errors and the reasons why they occur. Most importantly the program must try to identify, develop and recommend plans for identifying the deficiencies in the managements’ pharmaceutical practices (Sheps, 2008, p.14). The administrator must ensure that the staffs are provided education and training for the prevention of actual and potential errors. The training must be provided as per orientation and on an annual basis towards all the non physician personnel who are associated directly with the care of patients. The training would include such information which are relevant to the administration of patients and medications, instructions on medication categories as per the needs of patients, polices and


Despite extensive efforts for the removal of punitive reporting systems in the nursing homes in US, there are evidences which suggest that they continue to exist. In fact the front line staffs remains in the fear of serious repercussions both from the management as well as their peers even in the case of the smallest mistakes …
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