Safety and Quality Improvement

Quality improvement

Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems

medical errors in hospitals

3rd leading cause of death behind heart disease and cancer

Nurses and patient safety nurses play a vital role in ensuring patient safety by

-Monitoring patients for clinical deterioration-Detecting errors and near misses-Understanding care processes and weaknesses inherent in some systems-Coordinating high quality care through collaboration with all members of the healthcare team

Efficiency

-Relates to maximizing the quality of healthcare delivered or of health benefit achieved for health care resource

Timeliness

-Relates to obtaining needed care while minimizing delays-Timeliness = avoiding delays, reduction of needles delay

Nursing in Promoting Quality Improvement

-professional nurses use cognitive, communication, clinical skills when working as partners with clients and in multidisciplinary teams

Ignal semmelweis

19th century obstetrician-emphasize the importance of handwashing in medical care-made connection between handwashing and spread of disease

Quality and Safety in Nursing Education

Patient centered care Evidence based practice Safety Teamwork and collaboration Quality Improvement Informatics

Quality and safety in nursing education

Patient centered care Evidence based practice Safety Teamwork and collaboration Quality Improvement Informatics

Safety

Relates to actual potential bodily harm Safety not harming people with our care

Patient centeredness

Relates to meeting patients' needs and preferences and providing education and support

Effectiveness

Relates to providing care processes and achieving outcomes as supported by scientific evidence Effectiveness= matching science to care, use of things that help, avoid use of things that don't help

Florence Nightingale

made connection between poor living condition and high rates among soldiers

Safety

minimizing risk of harm to patients and providers through both system effectiveness and individual performance

sentinel event

n event resulted from patient safety issue leading to:-Death -Permanent harm-Severe temporary harm that needs intervention to sustain life

Medical error

the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim (IOM