Patient Safety and Quality Care Movement UNIVERSI TY

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Patient Safety and Quality Care Movement UNIVERSI TY OF SOUTH FLORIDA COLLEGE O F

Patient Safety and Quality Care Movement UNIVERSI TY OF SOUTH FLORIDA COLLEGE O F NURSING BRITT A NY B OLIN

Introduction • According to the IOM (2010), medical errors result in as many as

Introduction • According to the IOM (2010), medical errors result in as many as 98, 000 deaths per year 1 • According to the CDC, medical errors are the 3 rd leading cause of death in the United States 2 • Medical errors can lead to adverse events, and even sentinel events Purpose • Preventing, Recognizing, Mitigating • The movement started when a study by the IOM was published in 1999 called, To Err is Human 3 • Root Cause Analysis

What is PSQCM? Patient Safety 4 Quality Care 4 • “Indistinguishable from the delivery

What is PSQCM? Patient Safety 4 Quality Care 4 • “Indistinguishable from the delivery • 5 Ds of quality health care” • “The prevention of harm to patients” - safe - effective - patient centered - timely - efficient - equitable

Types of Safety Errors • Latent 4 • Active 4 • Organizational 4 •

Types of Safety Errors • Latent 4 • Active 4 • Organizational 4 • Technical 4

Institute of Medicine (IOM) Concepts Four-Part Plan 4 1. National Center for Patient Safety

Institute of Medicine (IOM) Concepts Four-Part Plan 4 1. National Center for Patient Safety 2. Mandatory and Voluntary Reporting System 3. Role of Consumers, Professionals, and Accreditation Groups 4. Building a Culture of Safety (safe, patient-centered, effective, timely, efficient, equitable)

Significance of PSQCM to Nursing? Communication 5 Integrate Coordinate Education Staffing 6

Significance of PSQCM to Nursing? Communication 5 Integrate Coordinate Education Staffing 6

Significance of PSQCM to Student? Quality and Safety Education for Nurses (QSEN)7

Significance of PSQCM to Student? Quality and Safety Education for Nurses (QSEN)7

Conclusion • Identify errors in patient safety using Root Cause Analysis • Initiate solutions

Conclusion • Identify errors in patient safety using Root Cause Analysis • Initiate solutions • Prevent these medical errors from happening again • Improved patient safety

References 1. Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building

References 1. Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington, DC: National Academy Press, Institute of Medicine; 1999. 2. National Center for Health Statistics. (2017, March 17). Retrieved February 09, 2018, from https: //www. cdc. gov/nchs/fastats/leading-causes-of-death. htm# 3. Donaldson MS. An Overview of To Err is Human: Re-emphasizing the Message of Patient Safety. In: Hughes RG, editor. Patient Safety and Quality: An Evidence. Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 3. Available from: https: //www. ncbi. nlm. nih. gov/books/NBK 2673/ 4. Mitchell, P. H. (2008). Patient safety and quality: An evidence-based handbook for nurses, MD: Agency for Healthcare Research and Quality. 5. Hughes RG (ed. ). Patient safety and quality: An evidence-based handbook for nurses. (Prepared with support from the Robert Wood Johnson Foundation). AHRQ Publication No. 08 -0043. Rockville, MD: Agency for Healthcare Research and Quality; March 2008.

References cont. 6. Nursing and Patient Safety. (2017). Retrieved from https: //psnet. ahrq. gov/primers/primer/22/nursing-and-patient-safety

References cont. 6. Nursing and Patient Safety. (2017). Retrieved from https: //psnet. ahrq. gov/primers/primer/22/nursing-and-patient-safety 7. Dolansky, M. A. , Moore, S. M. , (September 30, 2013) "Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 3, Manuscript 1.

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