PATIENT SAFETY AND

QUALITY CARE MOVEMENT

Lindsey Morgan Swank
University of South Florida College of Nursing
 INTRODUCTION AND OBJECTIVES
A significant paradigm shift
Root cause of errors
Institute of Medicine (IOM) conceptual components
Significance to the nursing profession
Personal role and contribution
Conclusion

Patient Safety and Quality Care Movement 2

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THE BEGINNING OF A SAFER ERA

The Institute of Medicines To Err is Human 1

In 1999, 98,000 preventable deaths caused by medical error

Most medical errors caused by failing systems
Medical mistakes top 8th killer nationwide

Institute of Medicine recommends2

Creation of error reporting systems
Setting performance standards
Creating safety systems

Patient Safety and Quality Care Movement

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ROOT CAUSES OF ERRORS

As defined by Patient safety and quality: An
evidence-based handbook for nurses3
Latent
Active
Organizational system failure
Technical

Patient Safety and Quality Care Movement

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IOM CONCEPTUAL COMPONENTS

Six aims for changing the healthcare system4
Safe
Effective
Patient-centered
Timely
Efficient
Equitable

Patient Safety and Quality Care Movement

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SIGNIFICANCE TO THE NURSING

PROFESSION
Practice implications3
1. Organizational governing boards that focus on safety
2. Evidence-based management and leadership
3. Effective nursing leadership
4. Adequate staffing
5. Ongoing learning and clinical decision making
6. Promotion of interdisciplinary collaboration
7. Protection against fatigue and unsafe work
8. Error reporting, analysis, and feedback systems

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PERSONAL SIGNIFICANCE
I am personally committed to
Providing patient-centered care
Providing safe care
Being a team player
The role of EBP

Patient Safety and Quality Care Movement

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CONCLUSION
Patient safety and quality care go hand-in-hand
Nurses have a huge role in promoting patient safety
Committing to patient safety is a must for quality care

Patient Safety and Quality Care Movement

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REFERENCES
Palatnik, A. (2016). To err IS human. Nursing Critical Care, 11(5).
http://dx.doi.org/10.1097/ 01.CCN.0000490961.44977.8d
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (2000). To Err is Human:
Building a Safer Healthcare System. Institue of Medicine.
http://dx.doi.org/10.17226/9728
Hughes, R. (Ed.). (2008).Patient safety and quality: An evidence-based
handbook for nurses. Rockville, MD: Agency for Healthcare Research and
Quality.
Baker, A. (2001). Crossing the quality chasm: A new health system for the
21st century.BMJ,323(7322), 1192. doi: 10.1136/bmj.323.7322.1192

Patient Safety and Quality Care Movement