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PAT I E N T S A F E T Y

A N D Q UA L I T Y C A R E
M OV E M E N T ( P S Q C M )

Rebecca Netjes
University of South Florida

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INTRODUCTION

• What is the the Institute of Medicine


(IOM) and the PSQCM?
• What is safety?
• What is the significance to nurses?
• What is the significance to student?

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WHAT FUELED THE PSQCM?

• American Society of
Anesthesiologists (ASA)1
• IOM report “To Err is Human”
(1999)2
• Safety2
• Error
• Quality3
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THE PSQCM: NOW

1 2 3 4 5
Increase Increase Decrease Root Culture of
awareness safety and preventable cause safety3,4
quality error analysis3
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SAFETY ERRORS 2,3

 Active: direct patient contact

 Latent: decision making processes

 Organizational: management,
protocol, culture

 Technical: resources 5
IMPLICATIONS OF THE IOM 2,3

SAFE SYSTEMS QUALITY SYSTEMS


1. Manager commitment 1. Safe care
2. Acknowledge human 2. Effective care
limits 3. Patient-centered care
3. Team dynamics 4. Timely care
4. System design 5. Efficient care
5. Learning environment 6. Equitable care
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1. Care coordinator3
2. Evidence-based
PSQCM practice2,3
& 3. Education5
NURSES 4. Partnership and
collaboration3,5
5. Leadership4,5

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Patient-
centered
care

Evidence- PSQCM &


Mindset based THE
of safety practice STUDENT 3

Leadership

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CONCLUSION 2

 Safety is the foundation for


quality care
 A culture of safety is imperative
 Nurses are influential
 The work is not over
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REFERENCES

1. Gwartney, T. (2018). Preventing medical errors [PowerPoint slides].


2. Kohn, L. T., Corrigan, J., & Donaldson, M. S. (2009). To Err Is Human: Building a Safer
Health System. Washington: National Academy Press.
3. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for
nurses. Rockville, MD: Agency for Healthcare Research and Quality.
4. Boussat, B., Seigneurin, A., Giai, J., Kamalanavin, K., Labarère, J., & François, P. (2017).
Involvement in Root Cause Analysis and Patient Safety Culture Among Hospital
Care Providers. Journal of Patient Safety. doi:10.1097/PTS.0000000000000456
5. Institue of Medicine. (2011) The Future of Nursing: Leading change, advancing health.
Washington, DC: The National Academies Press.
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