Quality and Safety in Nursing
A Competency Approach to Improving Outcomes
Gwen Sherwood, Jane Barnsteiner, Gwen Sherwood, Jane Barnsteiner
- English
- ePUB (mobile friendly)
- Available on iOS & Android
Quality and Safety in Nursing
A Competency Approach to Improving Outcomes
Gwen Sherwood, Jane Barnsteiner, Gwen Sherwood, Jane Barnsteiner
About This Book
Quality and Safety in Nursing
First published in 2012, Quality and Safety in Nursing was the first volume of its kind to explore the role of the nursing community in improving quality of care and patient safety. Now in its third edition, this comprehensive resource remains essential reading for all those involved in equipping current and future nurses with the knowledge, skills, and attitudes (KSAs) needed to deliver exceptional care.
The new edition begins with an overview of the Quality and Safety Education for Nurses (QSEN) initiative and its origins in the Future of Nursing report published in 2010, before defining each of the six QSEN competencies: patient-centered care, teamwork and collaboration, evidence based practice, quality improvement, safety and informatics. The content incorporates the 2020-2030 Future of Nursing recommendations, as well as the 2021 AACN Essentials for Education competencies. Finally, the text presents both teaching and clinical application strategies for building and implementing a culture of quality and safety across settings.
- Integrates QSEN competencies in simulation and provides new instructional and practice approaches
- Features redesigned chapters for reimagining classroom and clinical learning, applying reflective practices and transforming education and practice through inter-professional teamwork
- Provides new case studies and personal accounts highlighting key principles and their application in real-world scenarios
- Contains new and expanded material on assessment and evaluation, transition to practice, leadership and management, and primary, outpatient, and ambulatory care
- Offers a new discussion of future research directions and global perspectives on quality and safety
Quality and Safety in Nursing, Third Edition is required reading for graduate students in nursing education programs, faculty in nursing schools, nursing and healthcare educators, clinical nurse specialists, clinical administrators, and those working in professional development and quality improvement.
Frequently asked questions
Information
Section 1
Quality and Safety
An Overview
1
Driving Forces for Quality and Safety: Changing Mindsets to Improve Health Care
Julia stashed her umbrella and looked at the overflowing waiting room of the Emergency Department (ED) where she had worked weekends for the past five years. It was summer and staffing was short even for a Sunday evening in August; several staff were on vacation and one had called in sick. A storm had pounded the area, and there was a power outage. The hospital was on the emergency generators, and that meant the electronic chart was slow in response because of the overload. Staff were taking shortcuts due to time pressures. Julia thought about these breakdowns and remembered the workshop she had recently attended on quality improvement. The focus had been on identifying problems and applying quality improvement tools to collect data on the problem, analyze results, and design solutions to close the gap between actual and desired practice. She noted that Ms. Masraf was in the waiting area; she had diabetes, and wounds were difficult to heal. Infection was a constant threat so she had been to the ED on several occasions. Julia turned at the sound of a crash and saw that one of the nurse aides had fallen where water had collected from wet umbrellas. Falls were common in the ED as a result of the population served and, with social distancing precautions from the current global pandemic, there were fewer family members to help patients with mobility issues. She wondered if she could initiate a quality improvement study on any of these continuing problems she saw every time she came to work. Other staff seemed to think this was just a part of how the ED functioned and were exhausted from the additional burden of the pandemic.
- What evidenceābased instructional strategies can inspire and prepare health professionals to lead redesign of increasingly complex systems?
- What are the continuing barriers to reliable reporting systems in transparent just cultures?
- How do we prevent making the same mistakes over and over?
- What is the impact of the COVIDā19 pandemic on quality and safety issues?
Twenty Years Advancing Quality and Safety
The Call to Action: Institute of Medicine Quality Chasm Reports
Textbox 1.1 Summary: The Institute of Medicine Quality Chasm Series
- To Err Is Human: Building a Safer Health System (2000) This first IOM report presented the first aggregate data on the depth and breadth of quality and safety issues in US hospitals. Analysis of outcomes from hospitals in Colorado and Utah reported that 44,000 people die each year because of medical errors, while in New York hospitals there are 98,000 deaths. More people die annually from medical error than from motor vehicle accidents, breast cancer, or AIDS. Medical errors are the leading cause of unexpected deaths in health care settings. Communication is the root cause of 65% of sentinel events. The report presents a strategy for reducing preventable medical errors with a goal of a 50% reduction over five years.
- Crossing the Quality Chasm: A New Health System for the 21st Century (2001) Recognizing health care organizations as complex systems, the report offers system recommendations to achieve sweeping reform of the American healthcare system: quality ...