INTRODUCTION

IOM Competency: Quality Improvement Emily Bolter, Lindsey Bricker, Kristin Hawkins, Samantha Kowalczyk,

Hillary Simpson, Kristina Wilson

University of Florida College of Nursing, Gainesville, Florida

Purpose

Background & Significance

METHODS

RESULTS

DISCUSSION

ConclusionsProcedures

Table

REFERENCES: SEE HANDOUT

Quality improvement is often measured through the results obtained from patient satisfaction surveys, hospital staff evaluations, and findings from quality indicators such as medication administration errors, patient falls, nosocomial infections rates, pressure ulcer rates, and etc.

The IOM Competency quality improvement aims to improve the health of the population,enhance the patient experience of care (including quality, access, and reliability), to reduce or control the per capita cost of care.

With the modernization of healthcare, quality improvement has become the primary focus of providing care. Before the implementation of these quality improvement measures many preventable errors and deaths occurred for patients seeking care in hospital settings. Introduction of quality improvement measures has significantly improved patient care outcomes while decreasing healthcare costs. Because of quality improvement efforts, nurses and other hospital staff are able to monitor and modify their practice to provide optimal patient centered care.

Advances in technology have greatly impacted the effectiveness of quality improvement initiatives. The introduction of electronic health records has significantly improved patient care by preventing errors and incorporating interdisciplinary collaboration. Through continuous quality improvement measures, nursing schools are now introducing these techniques throughout their curriculum.

Author/ Date Purpose of Article Article Summary Roy Ann Sherrod, DSN, RN, CNERuby Shaw Morrison, DSN, RNAugust 2008

Leadership experiences for baccalaureate nursing students to improve quality in a health clinic.

Roy Ann Sherrod and Ruby Shaw Morrison’s Leadership Experiences for Baccalaureate Nursing Students: Improving Quality in a Nurse-Managed Rural Health Clinic is based on a study of continuous rising healthcare costs and quality improvement. Continuous quality improvement helps to ensure quality of care to patients is maintained and in some cases improved.

Mark White, John S.G. Wells, Tony Butterworth 2014

To explore how the ‘Productive Ward’ quality improvement programme affects work engagement.

Mark White, John S.G. Wells, and Tony Butterworth ‘s The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the ‘Productive Ward’ (2014) is a cross-disciplinary study which articulates how the quality improvement program Productive Ward positively impacts work engagement of ward based teams. The authors describe the Productive Ward as a releasing-time-to-care initiative designed to engage and empower teams to actively contribute, revolutionize and lead quality improvement efforts.

Claudia T. Matthaeus-Kraemer, Daniel O. Thomas-Rueddel 2015

Identify barriers and supportive conditions for QI teams to implement an effective and successful QI project to improve quality of care.

Claudia T. Matthaeus-Kraemer and Daniel O. Thomas-Rueddel’s Barriers and supportive conditions to improve quality of care for critically ill patients: A team approach to quality improvement, is a qualitative study that gathers data from clinical leaders stating supportive condition that will lead to ideal environments that promote quality improvement. Researchers identified 5 core conditions that support quality improvement teams during implementation of their programs.

Marla Weston, Darryl Roberts2013

Provide an analysis of the quality and performance improvement initiatives of three of the major healthcare systems in the U.S. that are driving significant change in the nation’s healthcare systems.

Marla Weston’s and Darryl Roberts’ The Influence of Quality Improvement Efforts on patient Outcomes and Nursing Work: A Perspective from Chief Nursing Officers at Three Large Health Systems (2013) provides an analysis of three of the nation’s major healthcare structures’ quality and performance improvement initiatives that are driving significant change in the nation’s healthcare system. The goals of these initiatives are aimed at improving the patient care experience, improving the population’s health, and reducing healthcare costs.

Marilyn J. Rantz 2001

To determine if providing nursing staff with comparative quality performance information about quality improvement would improve resident outcomes.

In the article Randomized Clinical Trial of a Quality Improvement Interaction in Nursing Homes, the results of a study testing whether providing nursing home staff with comparative quality performance feedback influenced the quality of care delivered were analyzed. There are numerous factors that can lead to nursing home facility improvement and subsequent improved resident outcomes.

Dana Tschannen, PhD, RNMichelle Aebersold, PhD, RNMary Jo Kocan, MSN, RN, CNRNFrancene Lundy, BSN,MSA, RNKathleen Potempa, PhD, RN, FAAN2014

To provide an in depth look at a an analysis performed by nursing students at the University of Michigan School of Nursing focusing on quality improvement issues within the hospital.

The article Improving Patient Care Through Student Learning in Team Quality Improvement Projects by Tschannen, Aebersoldm, Kocan, Lundy, and Potempa, highlights not only the effectiveness of quality improvement for better patient outcomes but also the importance of integrating quality improvement projects into nursing school curriculum. This article describes an analytical project nursing students engaged in as part of their curriculum in which they critiqued and implemented improvements to the quality improvement efforts with the hospital nearby their school. Ultimately, the projects were deemed successful in both increasing quality improvement efforts within the hospital and the students understanding of this IOM competency.