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
