System Thinking
What is the definition of system thinking?
-The ability to recognize, understand, and synthesize the interactions and interdependencies in a set of components designed for a specific purpose and understand how the components of a complex healthcare system influence the care of an individual patient
Name two interventions for patient safety.
-fall risk precautions
-infection precautions
-etc.
What does QSEN stand for?
-Quality and Safety Education for Nurses.
What are two qualities of a good leader?
-communication
-respect
-empathy
-gratitude
-etc.
Give two examples of quality care
-reducing hospital readmissions
-reducing hospital infections
-patient-centered care
What are the 4 key principles of system thinking?
-big picture
-recognize patterns
-reflective practice
-willingness to adapt to change
What are the 4 types of workplace violence?
-verbal abuse
-physical abuse
-sexual assault
-active shooter
What does KSA stand for?
-Knowledge
-Skills
-Attitude
Roles of leaders
-establishing direction
-creating a vision
-aligning people
-communicating goals
-building teams
-motivating and inspiring
-empowering
Overriding medication alerts in epic is an example of what?
A work-around
What is an example of a simple system?
Independent rural hospitals
What is the third leading cause of death?
Medical errors
252,454 people lose their lives annually because of medical errors (2016)
What does patient satisfaction measure?
Patient outcomes
Patient/family feedback
Roles of management
-planning and budgeting
-making agendas
-setting time tables
-allocating resources
-organizing and staffing
-providing structures
-job placement
-establishing jobs and procedures
Name one organization that influences the quality of care and patient safety.
-Institute for Safe Medication Practices
-The National Academy of Medicine
-The National Quality Forum
-Institute for Healthcare Improvement
-The joint commission
-The leapfrog group
What are examples of complex systems?
Larger Hospitals
ex. UK, baptist
-Curb infection spread (e.g. wash hands)
-Identify patients correctly
-Use medicines correctly
-etc.
Name one way to improve the quality of care.
-give safer care
-deliver patient and family-centered care
-promote effective communication and family-centered care
-work with the community-provide affordable quality care
Name 2 leadership styles
-democratic
-authoritative
-transactional
-participative
-servant
-delegative
-laissez-faire
Who provides information to patients on the quality of care, including patient satisfaction, timely and effective care, complications, readmissions, and deaths, use of medical imaging, payment, and value of care?
-Centers for Medicare and Medicaid Services
Explain To Err is Human?
Asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer.
What is one way to implement safety science?
-how errors and near misses are recognized and reported
-manage human factors that impact safe care delivery and competencies
-approaches to safety first developed in other high performance industrices
Name two steps of the STEEEP tool.
-Safe
-Timely
-Efficent
-Equitable
-Effective
-Patient Centered
Name 3 out of the 6 core competencies.
-Patient-centered care
-teamwork and collaboration
-evidence-based practice
-quality improvement
-safety
-informatics
What is the goal of Quality and Safety Education for Nurses (QSEN)?
Preparing future nurses who will have the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.