Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Basics of Health Care Performance Improvement: A Lean Six Sigma Approach prepares future healthcare administrators to meet the challenges of a changing marketplace through the proven Lean Six Sigma method of quality improvement—straightforward principles and procedures that enhance how healthcare organizations operate. With an eye toward meeting consumers’ increasing demand for value in health care, this new volume provides in-depth information on planning and implementing a “Define-Measure-Analyze-Improve-Control” (DMAIC) initiative to reduce errors and improve performance in healthcare settings, and serves as an essential reference on the basics of Lean Six Sigma and its application in augmenting the quality of care. Key Features: Lean Six Sigma case studies drawn from the industry; A thorough exploration of DMAIC approach to quality improvement; Discussion questions in every chapter Instructor Resources: Instructor's Manual, PowerPoint Presentations, and a TestBank

"I congratulate the editors of [this book] on their commitment to continuously updating the resources needed by nursing leaders, faculty, and students who seek to develop or enhance their quality and safety competencies. The chapters and the contents of this edition align magnificently with new domains of the AACN accreditation standards (2021). Whatever your level of education or role in nursing, this textbook is rich in resources to support your growth." -Linda Cronenwett, PhD, RN (ret.), FAAN Professor & Dean Emeritus University of North Carolina at Chapel Hill School of Nursing Former Principal Investigator, QSEN: Quality and Safety Education for Nurses (From the Foreword) This Third Edition of Quality and Safety Education for Nurses has been thoroughly updated for students in undergraduate Associate, Baccalaureate, Accelerated and BSN completion Nursing programs. There is a chapter focusing on each of the six Quality and Safety Education for Nurses (QSEN) Competency areas, with content on Nursing Leadership and Patient Care Management infused throughout the chapters. The Third Edition also includes new chapters on Systems Thinking, Implementation Science, and Population Health. It includes an Instructor’s manual and Powerpoints. New to the Third Edition: New Chapters: Chapter 3: Systems Thinking Chapter 13: Implementation Science Chapter 15: Population Health and the Role of Quality and Safety Incorporates new content based on The Future of 2020-2030 Report and the 2021 AACN Essentials Contains a "Competency Crosswalk" connecting each chapter's content to QSEN/AACN Competencies Key Features: Supports nursing schools to fulfill accreditation standards for Quality and Safety curricula Includes Clinical Judgment Activities, Case Studies, Interviews, NCLEX-Style Questions, Figures, Tables, Bibliography, Suggested Readings, and more to clarify content Designed to be used in a stand-alone Quality and Safety course, Leadership and Management Nursing course, or as a support for Nursing courses Provides instructor package with an unfolding case study with suggestions for assignments, questions and answers for case study and critical thinking exercises, PowerPoint slides, and more

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

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