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Patient Safety

and
Quality Care Movement
ASHLEY RAYBOLD
UNIVERSITY OF SOUTH FLORIDA

Objectives

Purpose of Patient Safety & Quality Care Movement


Types of safety errors
Institute of Medicine (IOM) concepts
Patient Safety & Quality Care Movement in the

Nursing Profession
Patient Safety & Quality Care Movement related to
Student Nurses

Purpose of Patient Safety &


Quality Care Movement

Every day, tens if not hundreds of thousands of

errors occur in the United States health care system1


Purpose of the Patient Safety and Quality Care

Movement1:

Reduce healthcare-associated errors


Improve patient outcomes
Educate clinicians on safe patient care

Patient Safety & Quality Care Movement

Patient Safety & Quality Care Movement has evolved

into three main topics1:

Analyzing all types of events, including adverse events and


near misses
Automated surveillance of events
Using knowledge from reporting systems to create procedures
that can prevent errors

Institute of Medicine (IOM)

Institute of Medicine (IOM) was originated in the

1970s1

Identify issues of medical care, research, and education

Released To Err is Human and Crossing the Quality

Chasm1

After the release of these reports patient safety became


priority2:

Patient Safety and Quality Care Movement

Types of Safety Errors3

An error is the failure of planned action to be

completed as intended or the use of a wrong plan

Diagnostic, Treatment, Preventive, Other


Latent, Active

Near miss
Adverse event
Most common type of error: Medication-related

Institute of Medicine (IOM) Concepts3


1.
2.
3.
4.
5.
6.
7.
8.
9.

High-priority goals
Assess progress by looking at reporting system
Research agenda
Best practices
Education of best practices
Evaluation of reporting systems
Support for quality improvement
Educating consumers
Annual report

Patient Safety & Quality of Care Movement


and the Nursing Profession3,4
Education on patient safety and quality care

Best practices
Competencies for Health Professionals

Direct health care delivery

IOMs Six Aims for Improving Quality Care

Safe, Effective, Patient centered, Timely, Efficient, Equitable

Reporting errors

Voluntary reporting to help improve safety

Knowledge of common errors

Looking at annual reports and recommendations

Patient Safety & Quality of Care Movement


and the Nursing Student

Education standards

Best practices (Gold Standards)


Evidence-based practices
Competencies

Multitude of errors
Knowledge of reporting systems

Conclusion

Patient Safety & Quality Care Movement assisted in:

Focusing attention on medical errors


Reducing common medical errors
Improving the reporting system
Developing best practices in healthcare
Educating healthcare professionals on safe and quality care

References
1Aspden, P. (2005). IOM Report: Patient Safety-Achieving a New

Standard for Care. Academic Emergency Medicine, 12(10), 10111012. doi:10.1197/j.aem.2005.07.010


2Ulrich, B., & Kear, T. (2014). Patient safety and patient safety
culture: Foundations of excellent health care delivery. Nephrology
Nursing Journal, 41(5), 447-456, 505.
3Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2000). To err is
human: Building a safer health system. Washington, D.C.:
National Academy Press.
4Hughes, R. (2008). Patient safety and quality: An evidencebased handbook for nurses. Rockville, MD: Agency for Healthcare
Research and Quality, U.S. Dept. of Health and Human Services.