Abstract

Introduction
 Providing the highest quality veterinary care can often be a delicate balancing act: the client/owner’s wishes, financial parameters and emotional needs have to be considered, whilst also meeting the animal’s clinical needs. But what actually defines quality care? It is a term frequently used in both the human and veterinary healthcare literature, but often has little explanation or definition attached to it. ‘Quality’ in relation to care delivered is not a static concept and will hold different meanings to different individuals within a healthcare service. John Ruskin, a Victorian writer and critic of art and society observed: ‘Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skilful execution’.
 

Highlights

  • Providing the highest quality veterinary care can often be a delicate balancing act: the client/owner’s wishes, financial parameters and emotional needs have to be considered, whilst meeting the animal’s clinical needs

  • The Institute of Medicine (IOM), a non-profit organisation that provides evidence-based research and recommendations for public health and science policy, currently defines quality care as, ‘The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge’ [3]

  • When the description of quality care is constructed in this manner the balance and association held between providing the best possible care for the individual and the five factors named by the Royal College of Physicians (RCP), namely the health and wellbeing of the population, sustainable finance, environment and resources can be identified

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Summary

INTRODUCTION

Providing the highest quality veterinary care can often be a delicate balancing act: the client/owner’s wishes, financial parameters and emotional needs have to be considered, whilst meeting the animal’s clinical needs. It is a term frequently used in both the human and veterinary healthcare literature, but often has little explanation or definition attached to it. ‘Quality’ in relation to care delivered is not a static concept and will hold different meanings to different individuals within a healthcare service. John Ruskin, a Victorian writer and critic of art and society observed: ‘Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution’ [1,2]

WHAT IS QUALITY CARE?
WHAT IS QUALITY IMPROVEMENT AND HOW HAS IT BEEN USED?
Decision Trees
QI WITHIN UK HEALTHCARE
BARRIERS TO QI IMPLEMENTATION
WHICH WAY FORWARDS FOR QI IN VETERINARY PRACTICE?
Findings
Intellectual Property Rights

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