PATIENT SAFETY

&QUALITY CARE
MOVEMENT
University of South Florida
College of Nursing
Jessica Cadorette
Purpose
• Define the Patient Safety and Quality Care Movement
• Describe the types of safety errors
• Define Institute of Medicine concepts
• Explain the significance to the nursing profession and students
Patient Safety and Quality Care
Movement
• Institute of Medicine (IOM) 1999 report, To Err is Human1
• Focus on maintaining patient safety

• IOM Recommendations:
• Increase knowledge base about patient safety
• Develop a mandatory reporting system
• Raise performance standards and expectations
• Implement safety systems to ensure safe practices
 Safety Errors
• The National Quality Forum defined the root
causes of harm1
• Latent
• Active
• Organizational
• Technical
Swiss Cheese
Model2
Institute of Medicine Concepts3

Safe

Equitable Effective

Quality
Care
Patient-
Efficient
centered

Timely
Significance to Nursing Profession
• Center of patient care
• Communication
• Evidence- based practice
• Effective leadership
• Adequate staffing
• Interdisciplinary care
Significance to Students4
• Patient centered care
• Collaboration
• Evidence based practice
• Safety
• Quality improvement
• Informatics
Conclusion

Safety is the foundation

Nurses play an important role

Integration of evidence-based practice

References
1. Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for
nurses (Vol. 3). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved
from https://www.ncbi.nlm.nih.gov/books/NBK2681/
2. Agency for Healthcare Research and Quality. (2017). Systems approach. Retrieved
from https://psnet.ahrq.gov/primers/primer/10
3. Agency for Healthcare Research and Quality. (2016). The six domains of health care
quality. Retrieved from https://www.ahrq.gov/professionals/quality-patient-
safety/talkingquality/create/sixdomains.html
4. Dolansky, M. A., & Moore, S. M. (2013). Quality and safety education for nurses (QSEN):
The key is systems thinking. OJIN: The Online Journal of Issues in Nursing, 18(3), 71-80.
Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26812094