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What is the Institute of Medicine?
Concerted efforts focused on evaluating, informing, and improving quality healthcare
The health arm of the National Academy of Sciences which was charted under President Abraham Lincoln in 1863
Institute of Medicine Patient Safety rights
Patients have the right to
Self-care
Practice that is consitent w/ the current medical knowledge
Customization of that care to meet the indivudal needs of the patient
List the 4 Quadruple Aims
Enhancing the patient experience
Lower costs
Improving Clinical outcomes
Improving Clinician experience
What is patient safety?
The prevention, avoidance, and amlioration of adverse injuries or outcomes originating from the process of healthcare
What us an setinel event?
An unexpected occurence involving death or serious physical or psychological injury. Life-altering and Life-threatening
List the Joint Commission Patient Safety goals
Identify patient by confirming identity in 2 ways
Improve communication
Identify patient saftey dangers & risks
Prevent infection by hand washing, post-op antibiotics, catheter changes, & central line precautions
Prevent mistakes in surgery by making sure correct surgery & corect body part; pause before surgery to double check
Use device alarms. Ensure alarms are heard and checked quickly
Use meds correctly & safely, double check labels & communicate w/ next shift
Label all meds, even those in syringes in location where medications prepared
Take extra time w/ patients prescribed w/ anticoagulants & chemotherapeutic agents
Prevent nosocomial infections w/ routine hand washinf before & after each patient
List the 2021 National Patient Saftey Goals chapters
Ambulatory health care
Behavorial health care & human services
Critical access hospital
Home care
Hospital
Laboratory
Nursing care center
Office-based surgery
List the 2021 Patient safety goals for hospitals
Improve accuracy of patient information
Improve staff communication
Improve safety communcation
What is the Culture of Safety?
A set of core values and behaviors resulting from a collective and sustained commitment by organizational leadership, managers, and healthcare workers to EMPHASIZE safety over competing goals
What is ther benefit of creating a culture of safety in hospital environments?
Creates openness and mutual respect
Reduces adverse events
Improves patient experience
Enhances the work environment for all
Saves lives!
What is patient centered care?
Patient-centered care entails the understanding of a person's multidimensional aspects to include cultural, ethnic and social backgrounds, as well as their individual, family and community values
What does PDSA stand for in regards to quality improvement model in nursing?
Plan
Do
Study
Act
Plan in PDSA meaning
Identify issues
What could change?
What will happen?
Do in PDSA meaning
Test your idea
prepare
start small
Study in PDSA meaning
Reflect on your test
What has changed?
positive? negative?
who was affected? how?
Act in PDSA meaning
act on your reflection
implement positive changes
modify/remove negative changes
Lewin’s Theory of Planned Change Model
Unfreeze
Change
Refreeze
Unfreeze Lewin’s Theory of Planned Change Model
Recognize the need for change
Determine what needs to change
Encourage the replacement of old behaviors and attitudes
Ensure there is strong support from management
Manage and understand the doubts of concern
Change in the Lewin’s Theory of Planned Change Model
Plan the changes
Implement the changes
Help employees to learn new concept or potns of view
Refreeze in the Lewin’s Theory of Planned Change Model
Changes are reinforced and stabilized
Integrate changes into the normal way of doing things
Develop ways to sustain the change
Celebrate sucess
What are nursing informatics?
The speciality that integrates nursing science with mutlple information management and analytical sciences to identify, define, manage, and communicate data, information knowledge, and wisdom, in nursing practice
What is an example of healthcare informatics?
Electronic Health Record (EHR) and Electron Medical Record (EMR)
What are the benefits of EHRs?
Improve quality care and convience of patient care
Increase patient participation in their care
Improve accuracy of diagnoses and health outcomes
Improve care coordination
What us the Health Information Exchange?
Standard for sharing health care information across organization as well as the name of central organizations that facilitate the exchange
How do EHR/EMRs prevent errors?
Improve communication
Provide centralized, concurrent access to patient data and healthcare and treatment resources
may force required information entries (e.g. allergies, drug doses, etc.)
Assist w/ calculations
Perform accuracy checks in real time
Assist with/ real-time monitoring
Provide immediate decision support
Track and alert to adverse effects
