PATIENT SAFETY

AND QUALITY
CARE MOVEMENT
KIMONE K. WRIGHT
UNIVERSITY OF SOUTH FLORIDA
COLLEGE OF NURSING
INTRODUCTION
Definition of the
Patient Safety and
Quality Care
Movement
The root causes of
errors
Institute of
Medicine (IOM)
Significance to the
nursing profession
Personal
significance
Conclusion
DEFINITIONS AND DESCRIPTION

IOMs definition of patient safety2

IOMs definition of quality care2
To Err is Human (1999)1
IOM Recommendations3
ROOT CAUSES
OF ERRORS
The root causes of
error include2:
Latent failure
Active failure
Organizational
system failure
Technical failure
INSTITUTE OF
MEDICINE (IOM)
CONCEPTS
In order to improve health
care we must aim for4:
Safety
Effectiveness
Patient-centeredness
Timeliness
Efficiency
Equity
 SIGNIFICANCE TO NURSING
PROFESSION
IOMs patient safeguards5:
Governing boards that focus on safety
Leadership and evidence-based management structures
Effective nursing leadership
Adequate staffing
Organizational support for ongoing learning
Mechanisms that promote interdisciplinary collaboration
Work design that promotes safety
Organizational culture that continuously strengthens safety
PERSONAL SIGNIFICANCE
These include6:
Patient-centered care
Teamwork and collaboration
Evidence-based practice
Quality improvement
Safety
Informatics
CONCLUSION
Patients are
entitled to safe,
quality care
Patient safety is
the cornerstone
of high-quality
health care
All stakeholders
are responsible
to see that no
harm occurs to
patients
Nurses play a
critical role in
patient safety
 REFERENCES
1. Institute of Medicine (IOM). (2000). To err is human: Building a safer health system.
Retrieved from https://www.nap.edu/read/9728/chapter/1
2. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for
nurses. Rockville, MD: Agency for Healthcare Research and Quality.
3. Pereira-Argenziano, L., & Levy, F. H. (2015). Patient safety and quality improvement:
Terminology. Pediatrics in Review/American Academy of Pediatrics, 36(9), 403-413. doi:
10.1542/pir.36-9-403
4. The National Academies of Sciences. (2013). 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
5. Ulrich, B., & Kear, T. (2014). Patient safety and patient safety culture: Foundations of
excellent health care delivery. Nephrology Nursing Journal, 41(5), 447-456, 505.
6. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., ... Warren,
J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131.