Chapter 2 The Nurse’s Role in Healthcare Quality and Patient Safety
Quality (definition
Elements of Culture of Safety
1.
2.
3.
4.
QSEN Project Quality and Safety Competencies for Nursing
1.
2.
3.
4.
5.
6.
Safety aspects under nursing responsibility
a.
Use of 2 patient identifiers
b.
Reporting critical test and diagnostic values
c.
Recording and communicating accurate medication information
d.
Complying with and reinforcing appropriate hand hygiene guidelines
e.
Implementing evidence-based practice guidelines to prevent healthcare associated
infections
Safety issues in Healthcare
a.
Medication safety
b.
Healthcare worker risk
c.
Environmental
General tools for Quality and Safety Improvement
1.
Mistake proofing
2.
Check lists
3.
Redundancy
4.
Communication
Sentinel Event
Never Events:
Agencies that track Healthcare Quality and Safety (Sentinel events or Never events)
Centers for Medicare and Medicaid Services (CMS)
US Department of Labor’s Occupational Safety and Health Administration (OSHA)
The Joint Commission
State Health Agencies
