Patient Safety Movement: Nursing Impact & IOM Concepts

1. Patient Safety and Quality Care Movement University of South Florida Krista Caprio

2. Purpose • Define patient safety • Define the Patient Safety and Quality Care Movement • Describe different safety errors • Explore Institute of Medicine (IOM) concepts • Explain the significance of the Patient Safety and Quality Care Movement to the nursing profession and nursing student

3. Definition • Patient safety • Discipline in the health care profession • Achieve a reliable system of healthcare delivery • Minimize incidence of adverse events • Maximize recovery (Emanuel et al. 2008)

4. Definition • Patient Safety and Quality Care Movement • To Err is Human • Signed into law on July 29, 2005 • First federal legislative attempt to address patient safety • Establish a national medical error reporting system • Avoid error • Goal: ZERO preventable deaths by 2020 (Levy, Mareiniss, Iacovelli, & Howard,2010)

5. Types of errors • Active • Medication errors • Wrong procedure • Latent • Equipment flaws • Organizational flaws • Unclear policies/procedures (Mitchell, 2008)

6. IOM concepts • Focused on quality • Safe • Effective • Patient Centered • Timely • Efficient • Equitable (Institute for Healthcare Improvement, 2016)

7. Significance to the Nursing Profession • Reduce/Prevent errors • Improve safety and overall quality of care • Change practice • Creating a culture of safety • Reporting errors

8. Significance to The Nursing student • Aware of types of errors • New generation of nurses • Non-punitive measures

9. Conclusion • Many Americans have suffered from preventable errors • Patient Safety and Quality Care Movement was the first attempt to address patient safety • A system-wide change is necessary to improve patient safety • Goal: ZERO preventable deaths by 2020

10. References Emanuel, L., Berwick, D., Conway, J., Combes, J., Hatlie, M., Leape, L., . . . Walton, M. (2008). What exactly is patient safety? In K. Henriksen, J. B. Battles, M. A. Keyes, & M. L. Grady (Eds.), Advances in patient safety: New directions and alternative approaches (Vol. 1). Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK43624/ Levy, F., Mareiniss, D., Iacovelli, C., & Howard, J. (2010). The Patient Safety and Quality Improvement Act of 2005. The Journal of Legal Medicine, 31(4),397–422.doi: 10.1080/01947648.2010.535424

11. References Mitchell, P. H. (2008). Defining patient safety and quality care. In R. G. Hughes (Ed.), Patient safety and quality: An evidence- based handbook for nurses (pp. 1-5).Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2681/ Institute for Healthcare Improvement (2016). Across the chasm: Six aims for changing the health care system. Retrieved from http://www.ihi.org/Pages/default.aspx