University of South FloridaCollege of Nursing Ashley Joseph 2 • Defining Patient Safety and Quality Care (PSQCM) • Types of safety errors • Institute of Medicine (IOM) concepts This Photo by Unknown Author is licensed under CC BY-NC-ND • Significance of PSQCM to nursing • Personal application • Conclusion Patient Safety and Quality Care Movement This Photo by Unknown Author is licensed under CC BY-ND 3 Patient Safety and Quality Care Movement 4 • Latent failure • Active failure • Organizational system failure This Photo by Unknown Author is licensed under CC BY-SA • Technical failure Patient Safety and Quality Care Movement 5 • 6 Domains of Health Care Quality Patient Safety and Quality Care Movement This Photo by Unknown Author is licensed under CC BY-SA 6 • Effective nursing leadership • Adequate staffing • Patient safety culture • Safe work design • Ongoing learning and support • Patient Safety governing boards • Interdisciplinary collaboration Patient Safety and Quality Care Movement 7 Patient Safety and Quality Care Movement 8 • Mistakes are inevitable, prevention is key • Safety is, and always should be, the main focus • Nurses are the biggest components of PSQCM Patient Safety and Quality Care Movement 9 1) Mitchell, P. H. (n.d.). Chapter 1 Defining Patient Safety and Quality Care. In R. G. Hughes (Ed.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved February 5, 2018. 2) La Pietra, L., Calligaris, L., Molendini, L., Quattrin, R., & Brusaferro, S. (2005). Medical errors and clinical risk management: state of the art. Acta Otorhinolaryngologica Italica, 25(6), 339–346. 3) ARHQ. (2017, June). Systems Approach. Retrieved February 05, 2018, from https://psnet.ahrq.gov/primers/primer/21/systems-approach 4) AHRQ. (2015, July 17). The Six Domains of Health Care Quality. Retrieved February 05, 2018, from https://www.ahrq.gov/professionals/quality- patient-safety/talkingquality/create/sixdomains.html 5) Page AEK. Practice Implications of Keeping Patients Safe. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 22. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2671/ Patient Safety and Quality Care Movement