Patient Safety & Quality Care Movement

Alexis Daubney

University of South Florida

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Introduction

 Patient Safety & Quality Care

Movement (PSQC)

 Types of Safety Errors

 Concepts for Safety by the Institute

of Medicine

 Application to the Nursing Field

 Personal Application

 Conclusion
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Patient Safety & Quality Care Movement

 History
 Florence Nightingale1

 To Err Is Human published by the

Institute of Medicine (IOM)
 98,000 patient deaths per year2

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Safety Errors3

Latent
Active
Organizational
Technical

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Institute of Medicine Concepts

Domains of Quality4 Safety Principles5

 Safe  Managers

 Effective  Identify limitations

 Patient-centered  Team

 Timely  Safety systems

 Efficient  Environment that supports learning

 Equitable

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Application to Nursing Practice5

① Governing boards that focus on safety

② Leadership and evidence-based management structures and processes

③ Effective nursing leadership

④ Adequate staffing

⑤ Organizational support for ongoing learning and decision support

⑥ Mechanisms that promote interdisciplinary collaboration

⑦ Work design that promotes safety

⑧ Organizational culture that continuously strengthens patient safety

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Personal Application

 Everyday Practice

 Evidenced Based Practice

 Higher Quality Care

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Conclusion

 Institute of Medicine made strides for the PSQC

 Guide for current practice

 Implemented in day-to-day practice

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Reference

 Majoua, Y., & Bozic, K. J. (2012). Brief history of quality movement in US healthcare.
[1]
Current Review in Musculoskeletal Medicine, 5(4): 265-273. doi: 10.1007/s12178-012-9137-8

 Institute of Medicine (IOM). Crossing the Quality Chasm: A New Health System for the 21st
[2]
Century. Washington, D.C: National Academy Press; 2001.

 [3] Patient
Safety Network (2017). Systems approach. Retrieved from
https://psnet.ahrq.gov/primers/primer/21/systems-approach

 [4] Agency for Healthcare Research and Quality (2016). The six domains of healthcare
quality. Retrieved from https://www.ahrq.gov/professionals/quality-patient-
safety/talkingquality/create/sixdomains.html

 [5] Agency for Healthcare Research and Quality (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
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