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When planning patient-centered care within a systems-based practice, demonstrate leadership strategies that promote safety and quality in nursing practice, as well as increased collaboration with other disciplines. (PO2)

In your workplace (or previous clinical setting), how do nurses promote patient safety and quality? What changes would you make to your unit or facility to promote a nonpunitive safety culture? Quality care and nurses go hand in hand. You probably have dashboards or quality boards if you work in an American Nurses Credentialing Center (ANCC) Magnet organization or are on the Journey to Magnet. If you do not work in that environment, you may still be able to obtain quality reporting through national databases. The National Database of Nursing Quality Indicators TM (NDNQI®) is the only national nursing database that reports structure, process, and outcome indicators to evaluate nursing care at the unit level on a quarterly and annual basis. Falls, Pressure Ulcers, Hospital Acquired Infections, and Nurse Satisfaction data are provided at the unit level. NDNQI and the Centers for Disease Control’s National Healthcare Safety Network (NHSN) are two hospital-acquired infection databases. Aside from many high-quality projects on these topics, safety is at the top of the list of concerns in healthcare organizations. Many hospitals have implemented “safety first” campaigns based on nuclear industry safety programs. According to the Institute of Medicine Quality Chasm Series, preventable medical errors kill between 44,000 and 98,000 people each year. (Hood, 2018) and medical errors are one of the leading causes of unexpected deaths in the United States. Hood (2018) defines formalized formalized formalized formalized formalized formalized formalized formalized formalized What are the factors that cause these health-care professionals to make these errors? Is it understanding? Process? Systems? Ignorance on purpose?


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