Emphasis is placed on the followingexemplars/topics:*Clinical decision support systems*Competence*Computers in health organizations*Ethical dilemmas*Just culture*National Patient Safety Goals
Learning Outcomes:Upon completion of this module, the student will be able to:-Analyze ethical principles used to make decisions inproviding individual client care.-Analyze factors influencing nursing practice andaccountability.-Apply knowledge of the National Patient Safety Goals forHospitals.-Explain the purpose of the National Patient Safety Goals.-Explain the steps involved in quality improvement.-Summarize the goals of a nursing information system.
Williams, L. & Hopper, P., Chapter 2 – pp 10-16,EBP, Quality, and Safety: They Belong Together,Chapter 3 – 23-24, Ethics and Values.
EBPis a systematic process that uses currentevidence to make decisions aboutpatient care. Sackett and colleagues(1996) define evidence-based medicineas the “conscientious, explicit andjudicious use of current best evidence inmaking decisions about the care ofindividual patients” and “integratingindividual clinical expertise with thebest available external clinical evidencefrom systematic research”
Evidence Based PracticeThe Academy of Medical-SurgicalNurses (AMSN) valuesevidence basedpractice(EBP) as a way to affect bestpatient care. EBP integrates the bestavailable evidence to guide nursing careand improve patient outcomes./evidence-based-practice
5 steps of Evidence Based PracticeAsk a question. ...Find information/evidence toanswer question. ...Critically appraise theinformation/evidence. ...Integrate appraised evidencewith own clinical expertise andpatient's preferences. ...Evaluate.
EBPisimportantbecause it aims toprovide the most effective care that isavailable, with the aim of improvingpatient outcomes.Patients expect to receive the mosteffective care based on the bestavailable evidence.
Quality and SafetyIn the future, patients willhave more access to their owndata and more communicationchannels with their extendedcare team.
Electronic Clinical Quality MeasuresNext generation quality and safety productswill need to support standards-basedinteroperability and all aspects of electronicclinical quality measuresQuality and safety technology systems willneed to support the incorporation of patient-reported data either entered directly bypatients or generated from their devices asadditional data sources for a new generationof patient-reported quality and safetymeasures