NURS 1110 Chapter Notes - Chapter 12: Sentinel Event, Specific Performance, Managed Care
Document Summary
Iom (institute of medicine) quality and safety reports, recommendations. Nurses and nursing play major roles in ensuring quality care and reaching of outcomes. Quality improvement - not individual"s job, it"s everybody"s job. The healthcare system is fragmented and in need of improvement. Individual patient care is part of overall emphasis on healthcare improvement. Institute for healthcare improvement suggests new designs can be developed to accomplish three objectives. Reduce or control the per capita cost of care. Most providers would say they want to keep patients safe and that care is safe. To err is human: impact on safety. Blameless society, never just one person"s error that causes a problem. Nurse did wrong calculation, but what happened was she was interrupted by a family member so she miscalculated. The joint commission root cause analysis matrix. Patient safety: achieving a new standard for care. A culture of safety and a blame-free. Safer environment for patients is safer for staff.
