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chapter10 CikguOnline
Quality and Safety
OBJECTIVES OUTLINE
After reading this chapter, the student should be able to: History and Overview
■ Discuss the history of quality and safety within the U.S. Historical Trends and Issues
health-care system. The IOM and the Committee on the Quality of Health
■ Analyze historical, social, political, and economic trends Care in America
affecting the nursing profession and the health-care delivery
system. Quality in the Health-Care System
■ Explain the importance of quality improvement (QI) for the QI
nurse, patient, organization, and health-care delivery system. Using CQI to Monitor and Evaluate Quality of Care
■ Discuss the role of the nurse in continuous quality improve- QI at the Organizational and Unit Levels
ment (CQI) and risk management. Strategic Planning
■ Examine factors contributing to medical errors and Structured Care Methodologies
evidence-based methods for the prevention of medical errors.
Critical Pathways
■ Explain the use of technology to enhance and promote safe Aspects of Health Care to Evaluate
patient care, educate patients and consumers, evaluate
health-care delivery, and enhance the nurse’s knowledge base. Structure
■ Describe the effects of communication on patient-centered Process
care, interdisciplinary collaboration, and safety. Outcome
■ Promote the role of the nurse in the contemporary Risk Management
health-care environment.
The Economic Climate in the Health-Care System
Economic Perspective
Regulation and Competition
Nursing Labor Market
Defining and Identifying the Nursing Shortage
Factors Contributing to the Nursing Shortage
Safety in the U.S. Health-Care System
Types of Errors
Error Identification and Reporting
Developing a Culture of Safety
Organizations, Agencies, and Initiatives Supporting
Quality and Safety in the Health-Care System
Government Agencies
Health-Care Provider Professional Organizations
Nonprofit Organizations and Foundations
Quality Organizations
Integrating Initiatives and Evidenced-Based Practices
into Patient Care
Health-Care System Reform
Role of Nursing in System Reform
The ANA’s Agenda
Influence of Nursing
Conclusion
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