1. QSEN Primer Or, “QSEN in a Nutshell” 1

2.  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

3.  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

4.  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

5.  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

6.  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

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

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

9.  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

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

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

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

13.  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

14. 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