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Module 10 kwaliteitszorg BoN

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Dit pdf bestand omvat de uitwerking van module 10 kwaliteitszorg (BoN) via avans+. Behaald met 8.8 Dit bestand omvat o.a : lean methode en principes, visgraatdiagram, patiënt journey mapping en PDCA-cyclus van Deming

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  • August 24, 2024
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  • 2023/2024
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Adviesrapport: Module 10 kwaliteitszorg




Naam: Whitley Flecken
Mail: whitley.flecken@lzr.nl
School: Avans+ Hogeschool
Opleiding: Bachelor of Nursing (2,5 jaar)
Klas: BNVEN2122P2
Werkzaam bij: Laurentius Ziekenhuis
Roermond (LZR)
Verpleegafdeling:
Orthopedie/KNO/Kaakchirurgie en
Geriatrische Trauma Unit
BNVEN2122P2-KZ Adviesrapport
Docent en beoordelaar: Joop van Lieshout
Werkbegeleider: Fenna Huijs
Praktijkbegeleider: Korneel van den Broek
Professioneel leiderschap docent: Janine
Doornbos




Deadline (HER): 11 juni 2024 17:00 uur
Aantal woorden (max. 5000): 4969




1

,Voorwoord
Ter afsluiting van module 10 Kwaliteitszorg ligt voor u mijn integrale beroepsprestatie. Het
adviesrapport is vormgegeven binnen het Laurentius Ziekenhuis te Roermond op de
verpleegafdeling orthopedie. In het kader van de opleiding Bachelor of Nursing via Avans+
ben ik op 23 februari 2024 gestart met deze module.

Veel leesplezier gewenst!

Whitley Flecken
Roermond, 11 juni 2024




2

,Inhoud
Voorwoord.............................................................................................................................................. 2
1. Inleiding .......................................................................................................................................... 5
2. Integrale visie op kwaliteit van zorg ........................................................................................... 6
2.1 Macroniveau ............................................................................................................................... 6
2.2 Mesoniveau ................................................................................................................................. 6
Afbeelding 1 Zes dimensies van kwaliteit ................................................................................. 7
2.3 Microniveau ................................................................................................................................. 8
2.4 Vertaalslag................................................................................................................................... 9
2.5 Persoonlijke visie ....................................................................................................................... 9
Tabel 1 CanMEDS rollen ........................................................................................................... 10
3. LEAN-methode............................................................................................................................ 12
Afbeelding 2 De vijf basisprincipes van Lean ......................................................................... 12
4. Identificeer waardestroom ......................................................................................................... 13
4.1 Divergeren ................................................................................................................................. 13
Tabel 2 Overzicht zorgprocessen en problemen of kansen voor verbetering(en) ............ 13
4.2 Convergeren ............................................................................................................................. 14
Tabel 3 Prioriteitsmatrix ............................................................................................................. 14
4.3 Voorlopige doelstelling ............................................................................................................ 16
5. Definieer waarde ......................................................................................................................... 17
5.1 Waarden en bepaling .............................................................................................................. 17
5.2 Aanpassing voorlopige doelstelling ....................................................................................... 18
6. Creëer doorstroom - Kwaliteitsmeting ..................................................................................... 19
6.1 Vooronderzoek, 0-meting en cijfers....................................................................................... 19
Tabel 4 VOC ................................................................................................................................ 19
Tabel 5 Populatie ........................................................................................................................ 20
Tabel 6 Uitkomsten enquête...................................................................................................... 20
Tabel 7 Turven ............................................................................................................................. 20
Tabel 8 Uitkomsten gemiste info en vragen............................................................................ 21
6.2 Zorgproces in kaart brengen .................................................................................................. 21
Figuur 1 Patiënt Journey Mapping ........................................................................................... 21
6.3 Probleemanalyse ..................................................................................................................... 22
Figuur 2 Visgraatdiagram .......................................................................................................... 22
6.4 Het echte probleem ................................................................................................................. 23
Tabel 9 5x Waarom-methode .................................................................................................... 23
6.5 Verspillingen .............................................................................................................................. 23

3

, Tabel 10 Verspillingen in proces ............................................................................................... 24
6.6 Conclusies ................................................................................................................................. 24
Tabel 11 Conclusies.................................................................................................................... 24
6.7 Definitieve doelstelling............................................................................................................. 24
Tabel 12 Hoofddoel (SMART) ................................................................................................... 24
6.8 Kwaliteitsindicatoren ................................................................................................................ 25
Tabel 13 Kwaliteitsindicatoren .................................................................................................. 25
7. Optimaliseren .............................................................................................................................. 27
7.1 Gewenste situatie zorgproces ................................................................................................ 27
Figuur 3 Patiënt Journey Mapping ........................................................................................... 27
7.2 Verbeteringen en conclusie .................................................................................................... 27
8. Streef naar perfectie ................................................................................................................... 29
8.1 Verbeterplan volgens PDCA-cyclus ...................................................................................... 29
Tabel 14 PDCA-cyclus ............................................................................................................... 29
8.2 Borgingsscan om haalbaarheid plan te controleren ........................................................... 34
Tabel 15 Checklist voor borging ............................................................................................... 34
8.3 Borgen ....................................................................................................................................... 36
Tabel 16 Borging ......................................................................................................................... 36
8.4 Advies aan management/RvB en borging in het organisatiebeleid .................................. 37
9. APA-literatuurlijst......................................................................................................................... 39
Bijlage 1 Focusgroep (bewijslast) .................................................................................................... 42
Bijlage 2 Waardenkaart...................................................................................................................... 43
Bijlage 3 Patiënttevredenheidsonderzoek (PREM), aanvullende patiënttevredenheidsmeting
(betrokkenheid ontslag) en mailcontact onderwerp (bewijslast) ................................................. 44
Bijlage 4 Ontslaggesprek en ontslagpapieren................................................................................ 46
Bijlage 5 Literatuur.............................................................................................................................. 47




4

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