Nursing quality and safety Exam 1 Study Guide 2023

Nursing quality and safety Exam 1 Study Guide 2023 QSEN Teamwork and Collaboration - work well with all staff to ensure quality patient care ex. gathering team members to discuss and communicate patient care QSEN - Quality and Safety Education for Nurses QSEN patient centered care - Recognize the patient as the source of control and base care on the needs, values, and beliefs of the patient ex. listen and accommodate patient needs QSEN Quality/Safety improvement - use data to monitor outcomes of care process and improvement methods ex. using ebp to enhance a process QSEN EBP - combine best current research with clinical expertise and patient values ex. using clinical expertise to modify patient care by implementing clinically proven research QSEN Informatics - use of info to communicate and manage knowledge ex. using a vitals machine to chart vitals Evidence based process 1 - develop searchable question ex. use - patient, interventions, comparison group, and outcomes to formulate question evidence based process 2 - research for evidence ex. does treatment A affect outcome b evidence based process 3 - critical analysis ex. Is there evidence to support the use evidence based process 4 - recommendations for practice evidence based process 5 - evaluate outcomes IOM - Institute of Medicine formed in June 1998 to develop a strategy that will result in a threshold improvement in quality over the next ten years Voluntary reporting system - focuses on safety improvement and errors resulting in no harm no disciplinary actions Mandatory Reporting system - focuses on errors resulting in serious injury or death mandatory reporting system purposes - 1. hold providers accountable, publicly to ensure follow ups will be done to protect patients 2. incentive for health care to improve safety to avoid public penalties re healthcare organizations to invest in patient safety OSHA - Occupational Safety and Health Administration OSHA purpose - reduction of workplace hazards to implement new or improve existing programs Joint Comission - the predominant organization responsible for accrediting health care facilities and organizing patient safety efforts Functions of Center for Patient Safety - 1. Voluntarily describe/disseminate info 2. Convene with external reporting to see what does/does not work 3. Periodically assess whether additional efforts to address gaps 4. Fund and evaluate pilot projects for reporting systems (individual and collaborative) active error - Caused by the individual ex. pt falls while under supervision of PT/OT latent error - Caused by a third party, often over-looked ex. equipment lift not installed properly by company misuse - avoidable complications - patient receives a med that is not prescribed and has an allergic reaction overuse - potential harm from the provision of a service that exceeds the possible benefit underuse - failure to provide a service that would have produced a favorable outcome for the patient domains of quality - safety, timeliness, effectiveness, efficiency, equitability, patient-centeredness