Patient Safety and

Quality Care
Movement
UNIVERSITY OF SOUTH FLORIDA
COLLEGE OF NURSING
MARC-ALLEN DY
Introduction and Overview

• Definition and description of Patient Safety Quality Care

Movement
• Genesis of the movement
• Types of safety errors
• Institute of Medicine concepts
• Significance to the nursing profession
• Significance to the student
• Conclusion
Definition and Description of
Patient Safety and Quality Care
Movement
• What is the Patient Safety and Quality Movement
(PSQCM)?
• Patient safety – the prevention of harm to the patient1
o Prevent errors
o Learn from previous errors
o Build a culture of safety
• Quality-the deliverance of medical care by healthcare
organizations to individuals and communities1
o Goal- Increase positive patient outcomes
o Based on current healthcare practice and knowledge
Genesis of the Movement

• When did the movement begin?

o Pioneered by Florence Nightingale in 18602
o Furthered by the Institute of Medicine (IOM) starting
primarily in 19993
• Institute of Medicine Safety Strategy4
o Enhance the existing knowledge about patient safety
o Mandatory reporting systems
o Implementing safety systems to ensure safe practice
Types of Safety Errors - Root Causes
of Harm
• Defined by the National Quality Forum1
o Latent Failure-due to policies, procedures, and
resources
o Active Failure-harm directly affecting the patient
o Organizational system failure-due to management,
the organization, protocols, transferring of knowledge,
and external factors
o Technical failure-due to the facility or external
resources
Institute of Medicine Concepts
• Objectives to Improve Healthcare Quality of Care1
o Safe – prevent harm
o Effective –care based on current practice
o Patient centered – considers the patient's values to
help guide clinical decision making
o Timely – reducing wait time
o Efficient – avoid waste
o Equitable – consistent care regardless of race,
background, and ethnicity
Significance to the Nursing
Profession
• Implications for Practice1
o 1. Safety focused organizations and boards
o 2. Practice utilizing evidence based management and
leadership

o 3. Effective nurse leadership

o 4. Sufficient staffing
o 5. Promoting effective clinical decision making
o 6. Enhance interdisciplinary collaboration
o 7. Systems to promote safe work
o 8. Continuously improving a culture of safety
Significance to the Student and
Personal Application
• I am committed to uphold these principles, which are
provided by the Quality and Safety Education for Nurses
(QSEN)6:
• Patient-centered care
• Teamwork and interdisciplinary collaboration
• Evidence-based practice (EBP)
• Quality
• Safety
• Informatics
Conclusion

Main takeaways
o Patient safety is our #1 priority
o Nurses are the torch bearers of the movement
o Continuously strive towards a culture of safety and
high quality medical care
 References
1. Hughes, R. G. (2008). Patient safety and quality: An evidence-Based handbook for nurses.
Rockville, MD: Agency for Healthcare Research and Quality.
2. Lee, E. (2013). The Arduous and Challenging Journey of Patient Safety and Quality of Care.
Journal of PeriAnesthesia Nursing, 28(6), 383-398. Doi: https://doi.org/10.1016/j.jopan.2013.07.004
3. National Academy of Sciences. (2018). Crossing the Quality Chasm: The IOM Health Care Quality
Initiative. Retrieved
from: http://www.nationalacademies.org/hmd/Global/News%20Announcements/Crossing-the-
Quality-Chasm-The-IOM-Health-Care-Quality-Initiative.aspx
4. The National Academy of Sciences. (2000). To Err Is Human: Building a Safer Health System. PDF
file. Retrieved from: http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/1999/To-
Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf
5. American Association of Colleges of Nursing (2017). Nursing Shortage Fact Sheet. Retrieved from:
http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage
6. Barnesteiner, J.H., Cronenwett, L., Disch, J., Johnson, J. E., Mitchell, P., Warren, J. J., . . . Sullivan, D.
T. (2007). Quality and Safety Education for Nurses. Nursing Outlook, 55(3), 122-131.
Doi: https://doi.org/10.1016/j.outlook.2007.02.006