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PATIENT

SAFETY
AND
QUALITY
UNIVERSITY OF SOUTH FLORIDA CARE
COLLEGE OF NURSING
JEANNE ZAMITH
INTRODUCTION & PURPOSE

• Patient safety and quality care


movement definition (PSQCM)
• Types of safety errors
• Concepts of the Institution of
Medicine (IOM)
• Significance of PSQCM to the
nursing profession
• Personal application of the PSQCM
DEFINITIONS OF THE PSQCM
QUALITY – the degree of excellence; superiority in kind1

PATIENT SAFETY – the prevention of harm to patients2


• Prevents errors from occurring in the first place
• Learns from errors that may occur
• Built upon a culture of maintaining safety

Don’t be like Dwight


WHAT IS THE PSQCM?

Defined by the Institute of Medicine (IOM)


• To Err is Human3
• 98,000 preventable hospital deaths per year
• Economic impact on medical errors
• $1 billion per year
• Actions to prevent error and improve safety2
• Medical error reporting systems
• Safety and care standards
• Systems to ensure safe practice
TYPES OF SAFETY ERRORS4

• Latent

• Active

• Organizational

• Technical
IOM CONCEPTS5
• Safety

• Effectiveness

• Patient-centeredness

• Timeliness

• Efficiency

• Equity
SIGNIFICANCE OF THE PSQCM
TO THE NURSING PROFESSION1
• Governing boards that focus on safety
• Leadership and evidence-based
management structures and processes
• Effective nursing leadership
• Adequate staffing
• Ongoing learning and decision support
• Interdisciplinary collaboration
• Work design that promotes safety
• Culture of safety
PERSONAL SIGNIFICANCE OF PSQCM6

• Quality improvement
• Safety
• Teamwork and Collaboration
• Patient-centered care
• Evidence-based practice
• Informatics
CONCLUSION
• Patient safety is the cornerstone of high-quality health care2

• Nurses play a critical role in the PSQCM2

• It is imperative to evaluate the cause and continuously improve4


REFERENCES
1. Merriam-Webster’s collegiate dictionary (10th ed.). (1999). Springfield, MA: Merriam-
Webster Incorporated.
2. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for
nurses. Rockville, MD: Agency for Healthcare Research and Quality.
3. Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768-770. doi:
10.1136/bmj.320.7237.768
4. Agency for Healthcare Research and Quality. (2014.) Root cause analysis. Retrieved from
https://psnet.ahrq.gov/primers/primer/10
5. Baker, A. (2001). Crossing the quality chasm: A new health system for the 21st
century. BMJ, 323(7322), 1192. doi: 10.1136/bmj.323.7322.1192
6. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., ...
Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-
131.

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