Care Movement
Lindsey D. Willis
University of South Florida, College of Nursing
Objectives
Patient Safety and Quality Care Movement
Institute of Medicine (IOM)
Medical Errors
Impact on Nursing Profession
Impact on Nursing Students
Institute of Medicine
Health Care Quality Initiative2
3 Phases2
1st phase (1996-1999)
2nd phase (1999-2001)
3rd phase (ongoing)
6 Domains of Health Care Quality3
Medical Errors
What are medical errors?4
Medical errors 3rd leading cause of death in the U.S.5
Most common types of error4,6
Medication Errors
Hospital-acquired Infections
Reducing Errors7
Conclusion
Patient safety is the key to quality care
Systems thinking = improved QUALITY and SAFETY
Improving quality health care is an ongoing process
Nurses are KEY to patient safety
References
1. Hughes, R. (2008). Patient safety and quality: An evidence-based handbook for nurses (Vol. 3). Rockville MD:
Agency for Healthcare Research and Quality.
2. Agency for Healthcare Research and Quality. (2011). The institute of medicines health care quality initiative.
Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/resources/initiatives/imqi.html
3. Agency for Healthcare Research and Quality. (2016). The six domains of health care quality. Retrieved from
http://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/sixdomains.html
References
4.
National Partnership for Women and Families. (2009). Medical errors: Not just a headline. Retrieved from
http://go.nationalpartnership.org/site/DocServer/Fact_Sheet_Medical_Errors_Not_Just_a_Headline.pdf?docID=5482
5.
The Leapfrog Group. (2013). Hospital errors are the third leading cause of death in u.s., and new hospital safety
scores show improvements are too slow. Retrieved from
http://www.hospitalsafetyscore.org/newsroom/display/hospitalerrors-thirdleading-causeofdeathinus-
improvementstooslow
6.
Anderson, P., & Townsend, T. (2015). Preventing high-alert medication errors in hospital patients. American Nurse
Today, 10(5), 18-23.
10
References
7. Pham, J., Aswani, M., Rosen, M., Lee, H., Huddle, M., Weeks, K., & Pronovost, P. (2012). Reducing medical errors
and adverse events. Annual Review of Medicine, 63(1), 447-463. doi: 10.1146/annurev-med-061410-121352
8. Ballard, K. (2003). Patient safety: A shared responsibility. Online Journal of Issues in Nursing, 8(3).
9. Dolansky, M., & Moore, S. (2013). Quality and safety education for nurses (qsen): The key is systems thinking. The
Online Journal of Issues in Nursing, 18(3). doi: 10.3912/OJIN.Vol18No03Man01
11