so the last section of this portion of unit one I want to talk about quality care and patient safety back in I want to say was it the right at 2000 I believe there was a report called to ER is human it outlined how the large Healthcare systems that we know today because of the nature of a large system there's a huge breakdown in quality in relation to communication which is a big one big one and essentially in 2000 they found that one hundred thousand Americans die annually from preventable medical errors in 2013 the last number we had it was up to 400 000 people die in the Health Care system because we're just not communicating correctly we weren't preventing Falls appropriately we were preventing infection appropriately and a lot of it has to do with how big organizations are and how many moving Parts there are so the Joint Commission has put together annual National patient safety goals and I know you reviewed them probably in a prior class you'll review them again in clinical so National patient safety goals those are areas where Health Care Professionals still struggle to keep patients safe and they seem very basic but there's still areas of concern preventing Falls preventing infections making sure the right surgical site is operated on preventing suicide so look at those National patient safety goals and keep those in your mind because that's where most errors and deaths occur I think one that's important to to drive home within that list is patient identification I think oftentimes in check-offs and in in lab especially in the beginning students may not understand the need to always identify a patient over and over and over again every time you go in to give a medication or do a procedure but just not identifying the patient correctly is another National patient safety goal where procedures are done the wrong patient medications are given to the wrong patient things are withheld from the wrong patient so that's a that's a major area and that's why we are really we're sticklers with patient identification and checkoffs so Medicare and Medicaid there are certain core measures that hospitals have to abide by so VAP preventing VAP you'll learn more about that in medsearch 2. so ventilator Associated pneumonia is a big condition uh that we have to use evidence and a bundle or multiple things to help prevent sepsis which is a body-wide infection caughty catheter Associated urinary tract infections so basically urinary tract infections because of Foley catheters and also making sure that patients receive beta blockers and you'll learn more about beta blockers and Med search too and the importance of those medications but those bundles or those core measures are put together to help Healthcare professionals provide Safe Care to patients and there's also a systems survey and you'll hear it called age camps and hcaps is essentially an assessment of patient satisfaction and safety so this is something that hospitals look at and evaluate per What patients say per their perception of satisfaction of their level of care and quality of care received and their safety within the Healthcare System evidence-based practice or ABP this is something that is near and dear to my heart as evidence-based practice is making sure that we are practicing based on information that we glean from the available and the highest quality research and not just on what we think is right what we feel is right now that doesn't mean that clinician expertise is not a piece of it but that we start with what does the research tell us is best for our patients so pause for a moment and think whether it is you a loved one should Health Care be based on Research or be based on someone's opinion that doesn't have any research to support it think about that if there is research available of course we want our care based on Research and as you progress through this program and going to get your BSN you'll understand more about evidence-based practice but essentially it's making sure practice is based on research it involves clinician expertise not just opinion but then also patient preference as well because sometimes patients just don't want certain types of treatment they have the right to refuse control and the last thing I want to talk about in this presentation is the quality and safety education for nurses initiative cusin now qsyn has actually recently I don't want to say disbanded but they met their overall goals was which was to integrate certain knowledge skills and attitudes or ksas into nursing curricula and into the hospital setting in response to that to Eris human report so these knowledge skills and attitudes were are we focused on the patient providing care are we focusing on ourselves because it's very common that nurses provide patient care and Physicians nrt and everybody else based on their own schedule and not so much what the patient needs that we work together and we communicate effectively to prevent patient death prevent patient damage and that's a big big reason as to why in this class there is group work it's helping you guys learn how to work as a team how to collaborate how to communicate effectively though we also use research to base our practice off of so EBP that we're aware of the need for preventing harm in both inpatient and outpatient settings that we promote safety and the last piece is how can we use informatics to help us provide care in the last several years there's been an issue where nurses have felt they'd been maybe nursing the computer more than the patient technology should support us not distract us from the bedside