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QSEN PrimerOr, “QSEN in a Nutshell”

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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”

Background

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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

Development of QSEN

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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

Why the change

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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)

Goal of QSEN initiative

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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

1. Patient centered care

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Function effectively within nursing and other teams through: Open communication Mutual respect Shared decision-making

2. Teamwork and collaboration

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Use the best current evidence in your practice

Recognize patient and family preferences and values

3. Evidence-based practice

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Use data to monitor the outcomes of care processes

Use improvement methods to create change Continuously improve the quality and safety of healthcare systems

4. Quality improvement

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Minimize risk of harm to patients and providers

Improve system effectiveness Improve individual performance

5. Safety

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Use information and technology to: Communicate Manage knowledge Reduce error Assist with decision making

6. Informatics

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Requirements for continued personal and system improvement

Patient Centered Care

TeamworkAndCollaboration

EvidenceBasedPractice

Quality Improvement

Safety

Informatics

Knowledge

Skills

Attitudes

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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?

As you study and practice,ask yourself…

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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

Example of QSEN standard