overall goal of QSEN phases
prepare future nurses with knowledge, skills, and attitudes necessary to improve the quality and safety of the health care systems in which they work
Guiding Principles for Patient Engagement
-9 core principles that support HCP in their practice of patient-centered, quality care
Who developed the Guiding Principles for Patient Engagement?
Alliance for Quality Care (NAQC) and supported by Robert Wood Johnson Foundation with the aim of “patient relationship as the cornerstone of patient safety and quality”
9 core principles of guiding principles for patient engagement
- confidentiality
- mutual responsibilities and accountabilities
- levels of engagement
- advocacy
- respecting boundaries
- appreciation of pt’s rights
- mutuality
- healthcare literacy
- appreciation of diverse backgrounds
Six Rights
- right patient
- right drug
- right dose
- right time
- right route
- right documentation
Three Label Checks
compare the MAR to the medication label 3x prior to administration
Steps of the “Three Label Checks” may…
vary depending upon medication distribution system, however rule remains the same
Patient Identifiers
- ID bracelet, photos in EHR
- name alert precautions, warnings highlighted
- ID bracelets coded for allergy status
- w/ no ID bracelet, nurse must accurately identifying the individual by other means when administering a medication
QSEN Initiatives
- patient- and family-centered care
- collaboration and teamwork
- evidence-based practice
- quality improvement
- safety
- informatics
The Joint Commission Patient Safety Goals
- “do not use” abbreviations list
- focus on problems in health care safety and how to solve them
- no trailing zero
- no naked decimals
TJC Patient Safety Goals include…
- ambulatory healthcare
- hospitals
- lab services
- long-term care
- office-based surgeries
ISMP
Institute of Safe Medical Practice
- error prone abbreviations, symbols, and dose designations
- high alert medications
Black Box Warning
- FDA’s strongest labeling requirement
- warns HCP of risks associated with certain drugs
Creating a culture of safety
- teamwork
- collaboration
- remember shared goals
- incorporating the guiding principles for patient engagement
medication reconciliation
- verify
- clarify
- reconcile
- communicate
