INTRODUCTION AND PURPOSE

Patient safety and quality care movement (PSQCM)

The types of safety errors
Concepts of the Institution of Medicine (IOM)
Significance of PSQCM to nursing profession
Personal significance of the PSQCM
 WHAT IS THE PSQCM?
Influenced by IOMs report1
To Err is Human2
98,000 hospital death each year

Implementation of actions to prevent error1

Freedom from accidental injury1
 TYPES OF SAFETY ERRORS3

Latent
Active
Organizational
Technical
 INSTITUTION OF MEDICINE CONCEPTS4
Safe
Effective
Patient-centered
Timely
Efficient
Equity
SIGNIFICANCE OF PSQCM TO THE NURSING
PROFESSION
IOMs eight patient safeguards for nurses1
1.Governing boards that focus on safety
2.Leadership and evidence-based management structures
and processes
3.Effective nursing leadership
4.Adequate staffing
5.Ongoing learning and decision support
6.Interdisciplinary collaboration
7.Work design that promotes safety
8.Culture of safety
 SIGNIFICANCE OF PSQCM TO ME AS A
STUDENT
A foundation I use as a student5
Patient-Centered Care
Teamwork and Collaboration
Evidence-based Practice (EBP)
Quality Improvement (QI)
Safety
Informatics
 CONCLUSION
Patient safety is the cornerstone1
Nurses are critical to the movement1
Evaluating the cause and continuously improving3
 REFERENCE
1. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for
nurses. Rockville, MD: Agency for Healthcare Research and Quality.

2. 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.
3. Agency for Healthcare Research and Quality. (2015.) Root cause analysis. Retrieved from
https://psnet.ahrq.gov/primers/primer/10
4. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st
century. Washington, DC: National Academy Press; 2001.
5. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., ...
Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-
131. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/#cite1