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- Quality Improvement Strategies
- Specialization of Care 2
- Transparency and Accountability 1
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Cases & Commentaries
- Web M&M
Donna L. Washington, MD, MPH; January 2004
A triage nurse instructed by a physician to immediately bring a febrile child, who was possibly dehydrated, to the treatment area is stopped by the charge nurse, citing overcrowding. The parents seek treatment elsewhere; upon arrival, the child is in full arrest.
National Quality Forum. Washington, DC: National Quality Forum; 2010.
The National Quality Forum originally published the Safe Practices for Better Healthcare in 2003. These practices are intended to be universally applicable, "gold standard" interventions for reducing preventable harm, and have been widely endorsed and implemented. As in the 2009 update, the 34 specific practices are organized into seven content areas: creating a culture of safety, providing patient-centered care and disclosing errors, matching health care needs with delivery capacity, facilitating information transfer and clear communication between providers, managing medications safely, preventing health care–associated infections, and implementing safe practices for specific clinical conditions and sites of care. There are no major changes in the recommended practices since 2009, but the report contains specific recommendations on engaging patients and families in safety efforts.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
Journal Article > Commentary
Easter K, Tamburri LM. Crit Care Nurse. 2018;38:58-66.
Public reporting of safety and quality deficits is a key component of health care transparency. This commentary introduces terminology, tools, and skill development tactics to enhance nurses' use and application of outcome data to address problems. Plan-do-study-act cycles illustrate evaluation and quality improvement actions nurses can use on the front line to test and refine improvements.