QSEN Flashcards
3 Strategies of the IOM’s “To Err is Human”
- preventing error
- recognizing error
- mitigating harm from error
Overview of IOM’s “To Err is Human”
Described magnitude of problems in a variety of care settings, the efforts to make change, and the results of those efforts in improving patient safety
Purpose of QSEN initiative
- enhance and promote a culture of safety
- developed 6 core competencies every graduating nurse needs to know
- developed KSAs for each competency
- funded by Robert Woods Johnson Foundation
3 Phases of the QSEN initiative
- 2005-2007: evaluated quality and safety factors to determine what core competencies every graduating nurse should have
- 2007-2009: competencies were implemented into 15 pilot nursing programs
- 2009-2012: address need for faculty who could teach the competencies
Six QSEN Competencies
Patient-centered care
teamwork and collaboration
safety
quality improvement
evidence-based practice
informatics
Patient-centered care and KSAs
-patient is source of control and partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
K: show understanding of pain, suffering, and physiological mood
S: evaluate levels of pain, suffering and client’s emotional comfort. Assess Client’s and family’s expectations of pain relief
A: acknowledge nurse’s position as source of pain relief and treatment. Acknowledge that client’s expectations can affect outcomes
Teamwork & Collaboration and KSAs
- function w/in nursing and interprofessional teams
- foster open communication, mutual respect, and shared decision-making to achieve patient care
K: know roles of team members
S: fulfill your role, ask for help if needed
A: respect team members’ views and skills and recognize that patient’s family is part of the team
Evidence-based practice and KSAs
-integrate best current evidence with clinical expertise and patient/family preferences and values for optimal HC
K: display familiarity with scientific methods and processes
S: take part in quantitation and research activities. develop client care based on client values and beliefs, professional expertise, and research evidence
A: recognize pros and cons of scientific research in practice. Recognize necessity for ethical and responsible research.
Quality Improvement and KSAs
use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of HC systems
K: acknowledge HC professionals affect client results
S: examine root causes of sentinel events
A: recognize the value of contributions to care outcomes
Safety and KSAs
-minimizes risk of harm to patients and providers through both system effectiveness and individual performance
K: know common safety factors as well as unsafe practices
S: show how successful protocol implementation can increase safety
A: recognize benefits of standardization toward safety; recognize limits of personal performance
Informatics and KSAs
-use information and technology to communicate, manage knowledge, mitigate error, support decision-making
(EHR, Automatic RX dispensing, etc..)
K: know the benefits of information technology skills
S: use information technology systems to provide safer care
A: recognize need for continuous information technology education during HC career
SBAR
Teamwork/Collaboration
- Situation
- Background
- Assessment
- Recommendation
Effective communication of the entire situation when in the healthcare setting.
How you would approach an MD or HC worker with information
CUS
Teamwork/Collaboration
C: I am concerned
U: I am uncomfortable
S: I think this is a safety issue
Rating System for the Hierarchy of Evidence
- Level 1 is the highest (systematic review, trials, etc..)
- Level 7 is the lowest (opinion of authorities and/or reports of experts committee
PDSA Cycle for Improvement
Quality Improvement
Plan–>Do–>Study–>Act
