QSEN Primer Or, “QSEN in a Nutshell” 1

 1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction and on trust in the healthcare system  One of four recommendations to prevent medical errors: “Implementing safety systems in health care organizations to ensure safe practices at the delivery level” Background 2

 The Quality and Safety Education for Nursing program was established in October, 2005  Developed specifically for future nurses to understand the knowledge, skills, and attitudes required for quality and safety in our healthcare system  Correlates with the recommendations of the Institute of Medicine Development of QSEN 3

 Shift from identifying one person to blame  Recognized that mistakes arise from flaws or holes in the system  Continued mistakes create deeper flaws or holes in the system Why the change 4

 Preparing future nurses to have the knowledge, skills and attitudes (KSAs) to continuously improve the quality and safety of the health- care systems in which they work  There are 6 competencies (or, areas of competency) Goal of QSEN initiative 5

 The patient is the source of control  The patient is your partner for your providing compassionate and coordinated care  Requires respect for the patient’s preferences, values, and needs 1. Patient centered care 6

 Function effectively within nursing and other teams through:  Open communication  Mutual respect  Shared decision-making 2. Teamwork and collaboration 7

 Use the best current evidence in your practice  Recognize patient and family preferences and values 3. Evidence-based practice 8

 Use data to monitor the outcomes of care processes  Use improvement methods to create change  Continuously improve the quality and safety of healthcare systems 4. Quality improvement 9

 Minimize risk of harm to patients and providers  Improve system effectiveness  Improve individual performance 5. Safety 10

 Use information and technology to:  Communicate  Manage knowledge  Reduce error  Assist with decision making 6. Informatics 11

Requirements for continued personal and system improvement Patient Centered Care Teamwork And Collaboration Evidence Based Practice Quality Improvement SafetyInformatics Knowledge Skills Attitudes 12

 How do the competencies (patient-centered care; teamwork; evidence-based practice; quality improvement; safety; informatics) of QSEN apply to this situation?  What knowledge, skills, and attitudes are required for this situation? As you study and practice, ask yourself… 13

Competency: Patient centered care  Knowledge: Collaboration with the family is crucial  Skills: Assess patient and family for risk  Attitudes: Understand the unique qualities of each patient, family, and culture Example of QSEN standard 14