QSEN / Safety / Quality Improvement (7-9)

What are QSEN's six competencies?

Patient-centered care, evidence-based practice, teamwork and collaboration, safety, quality improvement, and informatics.

What mnemonic helps remember QSEN's six competencies?

PETS-QI: Patient-centered care, Evidence-based practice, Teamwork and collaboration, Safety, Quality improvement, and Informatics.

What does each QSEN competency include?

Knowledge, skills, and attitudes (KSAs).

Why was QSEN launched?

In response to the Institute of Medicine's call for improvement.

What is patient-centered care in QSEN?

The patient is the source of control and a full partner in care.

What is evidence-based practice (EBP)?

Combining the best available evidence, clinical expertise, and patient values.

What is quality improvement (QI)?

Using data to monitor outcomes and test changes.

What is safety in QSEN?

Minimizing harm through system effectiveness and individual performance.

What is informatics in QSEN?

Using technology to communicate, manage knowledge, and mitigate error.

What are the basic areas of nursing safety?

Medication safety, infection prevention, fall prevention, accurate communication, and vigilant monitoring.

What is TeamSTEPPS?

A teamwork and communication framework developed by AHRQ and the Department of Defense (DoD).

What are the four TeamSTEPPS skills?

Communication, leadership, situation monitoring, and mutual support.

What mnemonic helps remember the four TeamSTEPPS skills?

CLSM: Communication, Leadership, Situation monitoring, and Mutual support.

What does SBAR stand for?

Situation, Background, Assessment, Recommendation.

What are call-outs and check-backs used for?

Supporting communication and confirming information within the healthcare team.

What does CUS stand for?

"I am Concerned," "I am Uncomfortable," and "This is a Safety issue."

What is the two-challenge rule?

State a safety concern; if it is not acknowledged, state it again; if still unresolved, escalate through the chain of command.

What does "stop the line" mean in patient safety?

Stop or escalate a process when an essential safety concern remains unresolved.

Who should speak up about patient safety concerns?

Any team member, including the least experienced member.

What is Just Culture?

An approach that treats errors as learning opportunities and promotes transparent reporting and supportive feedback.

What are the components of the AACN Healthy Work Environment framework?

Skilled communication, true collaboration, effective decision making, meaningful recognition, appropriate staffing, and authentic leadership.

What does staffing evidence indicate about nurse-to-patient ratios?

Better ratios are associated with lower mortality, less burnout, and better patient surveillance.

Why is civility part of patient safety?

Incivility can make healthcare workers afraid to speak up about safety concerns.

What does incivility do to communication within healthcare teams?

It discourages speaking up and can undermine patient safety.

What is Domain 9 of the AACN Essentials associated with?

Professionalism.

What is IPEC?

An additional framework referenced in nursing teamwork and interprofessional education.

What is Magnet recognition associated with?

Better nurse retention and improved quality.