Patient Safety & Quality Care

Movement
Presented by: Bryan Trinh, Student Nurse
University of South Florida, College of Nursing

Purpose
Patient Safety and Quality Care Movement
Institute of Medicine (IOM) Concepts
Fall Prevention
Significance of Patient Safety and Quality Care Movement to the nursing profession
Significance of Patient Safety and Quality Care Movement to nursing students

Patient Safety and Quality Care Movement

Quality care obtained through the safest methods based on evidence based practice.
Institute of Medicine define quality care as safe, effective, timely, equitable, efficient and patient
centered.
Safety is the foundation of quality care.
The Institute of medicine defines patient safety as The prevention of harm to patients.
Nursing is the key to improving quality of care through patient safety.

Institute of Medicine Concepts

1999: Attention brought to the public on the crisis of public safety in the United States.
2001: Revealed detailed examination of the divide between what we know to be good health care and the
health care that people actually receive.
The difference was tremendous, the whole system had to change to begin achieving real improvement in
healthcare.
Safe, Effective, Patient-centered, Timely, Efficient and Equitable.

Fall Prevention
Most frequently reported adverse event among adults in the inpatient setting.
Hospital Acquired Condition (HAC)
Can cause fractures, subdermal hematomas, excessive bleeding and can lead to death.
Require assessments and identification of at fall risk patients

Stakeholders
Center for Medicare and Medicaid Services(CMS) and Hospital Falls Data
Joint Commission
National Database for Nursing Quality Indicators (NDNQI) and Falls Data
National Quality Forum (NQF) and Falls Data
Agency for Healthcare Research and Quality (AHRQ) and Fall Fracture

Significance of Patient Safety and Quality

Care Movement to the Nursing Profession
Continuing education based on evidence based practice
Systems thinking and root cause analysis over personal/individual care
Parameters of assessments
Nursing care strategies
Follow-up monitoring

Significance of Patient Safety and Quality

Care Movement to Nursing Students
The Quality and Safety Education for Nurses (QSEN)
Systems thinking and application
Reinforced safety education beginning with first semester clinicals
Learn and apply up to date evidence based practice to clinical setting

Conclusion
Continuous collaborate team effort
Up to date education on evidence based practice to implement the safest measures
Implement systems thinking over personal care
Safety is the foundation of quality care

References
Dolansky, M. A., & Moore, S. M. (2013). Quality and safety education for nurses (QSEN): The key is
systems thinking. Online Journal of Issues In Nursing, 18(3), 1-12. doi:10.3912OJIN.Vol18No03Man01
Quigley, P., White, S. (May 31, 2013). Hospital-Based Fall Program Measurement and Improvement in
High Reliability Organizations. The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 5.
DOI: 10.3912/OJIN.Vol18No02Man05
The National Academies of Sciences. (2013). Crossing the quality chasm: the IOM health care quality
initiative. http://
www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-Quality-Chasm-The-IOMHealth-Care-Quality-Initiative.aspx

References
Wood, D. (2016). Defining Patient Safety and Quality Care. NBCI.
http://www.ncbi.nlm.nih.gov/books/NBK2681/
Gray-Miceli, D., & Quigley, P. (2012). Fall prevention. In: Evidence-based geriatric nursing protocols
for best practice. Agent of Healthcare Research and Quality. https://
www.guideline.gov/content.aspx?id=43933
Neudorf, K., Dyck, N., Scott, D., Dick, D. (2008). Nursing Education: A Catalyst for the Patient Safety
Movement. Healthcare Quarterly. DOI:10.12927/hcq.2008.19647
Carr, S. (2014). Looking to the Future of Patient Safety. Patient Safety and Quality Healthcare. http://
psqh.com/july-august-2014/looking-to-the-future-of-patient-safety