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7.7: Summary

  • Page ID
    9377
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    SUMMARY

    This chapter introduced the philosophy of QM in health care and highlighted events across the international health care environment that have put a focus on patient safety culture, such as the development of Magnet hospitals in the US and the Francis inquiry in the UK. In addition, common QI approaches such as Magnet hospitals and Lean were described and discussed, with a focus on their contribution to patient safety. Finally, PDSA, a prevalent QI tool, was introduced.

    After completing this chapter, you should now be able to:

    1. Describe the key issues leading to the development of Magnet hospitals.
    2. Identify how Magnet hospitals changed health care in the United States.
    3. Describe the key issues leading to the publication of the Francis report in the UK.
    4. Describe the features of “a culture of safety.”
    5. Appraise the use of Lean in health care.
    6. Appraise the plan-do-study-act (PDSA) cycle as a basis for QI work.
    7. Identify your leadership imperative to create safe work environments and support QI work.

    Exercises

    1. Apply the proposed 2014 NHS framework for measuring and monitoring safety to a hospital where you have had a clinical placement. Can you see areas for improvement in measurement and monitoring of safety?
    2. You are the director of nursing for a long-term care facility. When an elderly woman falls out of her bed during the night and breaks her hip, you look at recent incident reports and notice that there has been an increase in residents’ nighttime falls. Use the PDSA QI tool to find a solution that will reduce the nighttime falls of residents.

    REFERENCES

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    Crema, M., & Verbano, C. (2015). Investigating the connections between health lean management and clinical risk management: Insights from a systematic literature review. International Journal of Health Care Quality Assurance, 28(8), 791–811. doi:10.1108/IJHCQA-03-2015-0029

    European Union Network for Patient Safety [EUNetPaS]. (2010). Use of patient safety culture instruments and recommendations. Aarhus, DK: European Society for Quality in Health Care—Office for Quality Indicators. Retrieved from http://www.pasq.eu/DesktopModules/Bl...%20%202010.pdf

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    Francis, R. (2010). The Mid Staffordshire NHS Foundation Trust Inquiry. Retrieved from www.gov.uk/government/upload...109/0375_i.pdf

    Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public InquiryExecutive Summary. Retrieved from www.gov.uk/government/upload...79124/0947.pdf

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    Wong, C. (2015). Understanding and designing organizational structures. In P. S. Yoder-Wise, L. G. Grant, & S. Regan (Eds.), Leading and managing in Canadian nursing(pp. 125–148). Toronto: Elsevier.

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    This page titled 7.7: Summary is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by Joan Wagner via source content that was edited to the style and standards of the LibreTexts platform; a detailed edit history is available upon request.