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    PSQCM

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    This document defines patient safety and quality care as efforts to prevent harm to patients and increase the likelihood of desired health outcomes. It discusses the origins of the patient safety and quality care movement in the 1990s based on an IOM report finding medical errors cause many hospital deaths. The document outlines root cause analysis approaches to errors and the IOM's four recommendations. It describes significance to nursing as being on the frontlines and importance of QSEN competencies to new graduates' goals of providing safe, quality care.

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    PSQCM

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    121 views9 pages
    This document defines patient safety and quality care as efforts to prevent harm to patients and increase the likelihood of desired health outcomes. It discusses the origins of the patient safety and quality care movement in the 1990s based on an IOM report finding medical errors cause many hospital deaths. The document outlines root cause analysis approaches to errors and the IOM's four recommendations. It describes significance to nursing as being on the frontlines and importance of QSEN competencies to new graduates' goals of providing safe, quality care.

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    This document defines patient safety and quality care as efforts to prevent harm to patients and increase the likelihood of desired health outcomes. It discusses the origins of the patient safety and quality care movement in the 1990s based on an IOM report finding medical errors cause many hospital deaths. The document outlines root cause analysis approaches to errors and the IOM's four recommendations. It describes significance to nursing as being on the frontlines and importance of QSEN competencies to new graduates' goals of providing safe, quality care.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    121 views9 pages

    PSQCM

    Uploaded by

    api-417446716
    This document defines patient safety and quality care as efforts to prevent harm to patients and increase the likelihood of desired health outcomes. It discusses the origins of the patient safety and quality care movement in the 1990s based on an IOM report finding medical errors cause many hospital deaths. The document outlines root cause analysis approaches to errors and the IOM's four recommendations. It describes significance to nursing as being on the frontlines and importance of QSEN competencies to new graduates' goals of providing safe, quality care.

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    Patient Safety & Quality

    Care Movement
    University of South Florida
    College of Nursing
    Hannah Lai
    Introduction & Objectives
    Define what is the Patient Safety and Quality
    Care Movement (PSQCM)
    Explain the origin of the PSQCM
    Describe the different types of safety errors
    Identify Institute of Medicine (IOM) key concepts
    Discuss the significance of PSQCM to the nursing
    profession
    Discuss the personal significance of PSQCM
    Patient Safety and Quality Care Movement
    • Patient safety:
    • “the prevention of harm to patients”1
    • Quality care:
    • “the degree to which health services for individuals and populations
    increase the likelihood of desired health outcomes and are consistent
    with current professional knowledge”1
    • IOM report (1999): To Err is Human: Building a Safer Health System2
    • 98,000 hospital deaths per year due to medical errors
    • Cost of medical errors
    • A “bad apple” problem?

    • IOM’s Four-Tiered Recommendation2:


    • Enhance knowledge base
    • Mandatory and voluntary reporting system
    • Raising performance standards
    • Implementing safety systems
    Root Cause Analysis
    • Goals3
    • What happened
    • How it happened
    • Why it happened
    • Prevent recurrence
    • Types of safety errors1
    • Latent failure
    • Active failure
    • Organizational system failure
    • Technical failure
    • Swiss Cheese Model4
    Institute of Medicine (IOM) Concepts

    • Crossing the Quality Chasm: A New Health System for the 21st Century5
    • The Six Domains of Health Care Quality6:
    Safe
    Effective
    Patient-centered
    Timely
    Efficient
    Equitable
    Significance to Nursing
     The “front line” and the “last line”7
    Personal Significance
    • Quality and Safety Education for Nurses (QSEN)9
    • My goals and contributions as a new graduate nurse:
    • Provide patient-centered care
    • Work in interdisciplinary teams
    • Employ evidence-based practices
    • Apply quality improvement
    • Utilize informatics
    Conclusion

    Improve
    is a verb

    Practice “pivotal
    nursing”

    Patient safety is the


    foundation for quality
    care
    References
    1. Hughes, R. G. (2008). Patient safety and quality: An evidence-based handbook for nurses. Retrieved from
    https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/nurseshdbk.pdf
    2. Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To Err is Human: Building a Safer Health System. Washington, D.C: National
    Academy Press.
    3. Washington State Department of Enterprise Services. (n.d.). Root cause analysis. Retrieved from
    https://des.wa.gov/services/risk-management/about-risk-management/enterprise-risk-management/root-cause-analysis
    4. Reason, J. (2000). Human error: Models and management. BMJ : British Medical Journal, 320(7237), 768–770. Retrieved from
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1117770
    5. National Academy of Sciences. (2018, January 16). Crossing the quality chasm: The IOM health care quality initiative. Retrieved
    from http://www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOM-Health-
    Care-Quality-Initiative.aspx
    6. Agency for Healthcare Research and Quality. (2016). The six domains of health care quality. Retrieved from
    https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html
    7. Institute of Medicine (US) Committee on the Work Environment for Nurses and Patient Safety. (2004). Keeping patients safe:
    Transforming the work environment of nurses. Washington, DC: National Academies Press (US). Available from:
    https://www.ncbi.nlm.nih.gov/books/NBK216190/ doi: 10.17226/10851
    8. Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrology
    Nursing Journal, 41(5), 447-456, 505. Retrieved from https://www.annanurse.org/download/reference/journal/patientSafety1.pdf
    9. QSEN Institute. (n.d.). QSEN competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas

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