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QSEN Primer. Or, “QSEN in a Nutshell”. Background. 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
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QSEN Primer Or, “QSEN in a Nutshell”
Background 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”
Development of QSEN 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
Why the change 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
Goal of QSEN initiative 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)
1. Patient centered care 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
2. Teamwork and collaboration • Function effectively within nursing and other teams through: • Open communication • Mutual respect • Shared decision-making
3. Evidence-based practice Use the best current evidence in your practice Recognize patient and family preferences and values
4. Quality improvement Use data to monitor the outcomes of care processes Use improvement methods to create change Continuously improve the quality and safety of healthcare systems
5. Safety Minimize risk of harm to patients and providers Improve system effectiveness Improve individual performance
6. Informatics • Use information and technology to: • Communicate • Manage knowledge • Reduce error • Assist with decision making
As you study and practice,ask yourself… 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?
Example of QSEN standard 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