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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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