PATIENT SAFETY AND QUALITY CARE MOVEMENT University of

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PATIENT SAFETY AND QUALITY CARE MOVEMENT University of South Florida Krista Caprio

PATIENT SAFETY AND QUALITY CARE MOVEMENT University of South Florida Krista Caprio

PURPOSE v Define patient safety v Define the Patient Safety and Quality Care Movement

PURPOSE v Define patient safety v Define the Patient Safety and Quality Care Movement v Describe different safety errors v Explore Institute of Medicine (IOM) concepts v Explain the significance of the Patient Safety and Quality Care Movement to the nursing profession and nursing student

DEFINITION v. Patient safety • Discipline in the health care profession • Achieve a

DEFINITION v. Patient safety • Discipline in the health care profession • Achieve a reliable system of healthcare delivery • Minimize incidence of adverse events • Maximize recovery (Emanuel et al. 2008)

DEFINITION v. Patient Safety and Quality Care Movement • To Err is Human •

DEFINITION v. Patient Safety and Quality Care Movement • To Err is Human • Signed into law on July 29, 2005 • First federal legislative attempt to address patient safety • Establish a national medical error reporting system • Avoid error • Goal: ZERO preventable deaths by 2020 (Levy, Mareiniss, Iacovelli, & Howard, 2010)

TYPES OF ERRORS v. Active • Medication errors • Wrong procedure v. Latent •

TYPES OF ERRORS v. Active • Medication errors • Wrong procedure v. Latent • Equipment flaws • Organizational flaws • Unclear policies/procedures (Mitchell, 2008)

IOM CONCEPTS v. Focused on quality • • • Safe Effective Patient Centered Timely

IOM CONCEPTS v. Focused on quality • • • Safe Effective Patient Centered Timely Efficient Equitable (Institute for Healthcare Improvement, 2016)

SIGNIFICANCE TO THE NURSING PROFESSION v. Reduce/Prevent errors v. Improve safety and overall quality

SIGNIFICANCE TO THE NURSING PROFESSION v. Reduce/Prevent errors v. Improve safety and overall quality of care v. Change practice • Creating a culture of safety • Reporting errors

SIGNIFICANCE TO THE NURSING STUDENT v. Aware of types of errors v. New generation

SIGNIFICANCE TO THE NURSING STUDENT v. Aware of types of errors v. New generation of nurses v. Non-punitive measures

CONCLUSION v. Many Americans have suffered from preventable errors v. Patient Safety and Quality

CONCLUSION v. Many Americans have suffered from preventable errors v. Patient Safety and Quality Care Movement was the first attempt to address patient safety v. A system-wide change is necessary to improve patient safety v. Goal: ZERO preventable deaths by 2020

REFERENCES Emanuel, L. , Berwick, D. , Conway, J. , Combes, J. , Hatlie,

REFERENCES Emanuel, L. , Berwick, D. , Conway, J. , Combes, J. , Hatlie, M. , Leape, L. , . . . Walton, M. (2008). What exactly is patient safety? In K. Henriksen, J. B. Battles, M. A. Keyes, & M. L. Grady (Eds. ), Advances in patient safety: New directions and alternative approaches (Vol. 1). Retrieved from http: //www. ncbi. nlm. nih. gov/books/NBK 43624/ Levy, F. , Mareiniss, D. , Iacovelli, C. , & Howard, J. (2010). The Patient Safety and Quality Improvement Act of 2005. The Journal of Legal Medicine, 31(4), 397– 422. doi: 10. 1080/01947648. 2010. 535424

REFERENCES Mitchell, P. H. (2008). Defining patient safety and quality care. In R. G.

REFERENCES Mitchell, P. H. (2008). Defining patient safety and quality care. In R. G. Hughes (Ed. ), Patient safety and quality: An evidence- based handbook for nurses (pp. 1 -5). Retrieved from http: //www. ncbi. nlm. nih. gov/books/NBK 2681/ Institute for Healthcare Improvement (2016). Across the chasm: Six aims for changing the health care system. Retrieved from http: //www. ihi. org/Pages/default. aspx

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