Do you know what standards and outcome measures are used in your clinical setting?
Questions to Challenge You 1. Imagine that an organization is debating among several quality management programs. What would
you recommend? Why? 2. Do you know what standards and outcome measures are used in your clinical setting? How are data
handled? Are they shared with employees? 3. What comparable groups, both internal and external, are used for benchmarking performance in
your organization? 4. Universities also use benchmarking. What institutions does your college or university use to bench-
mark its performance? Find out. 5. Have you, a family member, or a friend ever had a serious problem in a health care organization that
resulted in injury? What was the outcome? Is this how you would have handled it? What will you do in the future in a similar situation?
6. Have you or anyone you know ever made a mistake in a clinical setting? What happened? Would you assess the organization as a blame-free environment?
84 PART 1 • UNDERSTANDING NURSING MANAGEMENT AND ORGANIZATIONS
References Anderson, E. F., Frith, K. H., &
Caspers, B. (2011). Linking economics and quality: Developing an evidence- based nurse staffing tool. Nursing Administration Quarterly, 35(1), 53–60.
Brown, C. E., Wickline, M. A., Ecoff, L., & Glaser, D. (2008). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 64(4), 371–381.
Cebul, R. D. (2008). Using electronic medical records to measure and improve performance. Transactions of the American Clinical and Climatological Asso- ciation, 119, 65–76.
Chan, K. S., Fowles, J. B., & Weiner, J. P. (2010). Electronic medical records and the reliability and validity of quality mea- sures: A review of the lit- erature. Medical Care Research and Review, 67(5), 503–527.
Chassin, M. R., Loeb, J. M., Schmaltz, S. P., & Wachter, R. M. (2010). Accountabil- ity measures: Using mea- surement to promote quality improvement. The New England Journal of Medi- cine, 363(7), 683–688.
Davis, K. K., Capozzoli, J., & Parks, J. (2009).
Implementing peer review: Guidelines for managers and staff. Nursing Admin- istration Quarterly, 33(3), 251–257.
DMAIC tools: Six sigma training tools. (2011). Retrieved October 21, 2011 from http://www. dmaictools.com
Federico, F. (2010). An overview of error-reduction options. Nursing Management, 41(9), 14–16.
Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16.
Frith, K. H., Tseng, R., & Anderson, F. (2008). The effect of nurse staffing on patient outcomes in acute care hospitals. 2008 Mini Grant Proceedings. Huntsville, AL: University of Alabama in Huntsville, 1–10.
Fujita, L. Y., Harris, M., Johnson, K. G., Irvine, N. P., & Latimer, R. W. (2009). Nursing peer review: Integrating a model in a shared governance environ- ment. Journal of Nursing Administration, 39(12), 524–530.
Gorzeman, J. (2008). Balancing just culture with regula- tory standards. Nursing
Administration Quarterly, 32(4), 308–311.
Hader, R. (2010). The evident that isn’t . . . interpreting research. Nursing Manage- ment, 41(9), 23–26.
Heath, C. & Heath, D. (2010). Switch: How to change things when change is hard. New York: Crown.
Hedges, C. (2006). Research, evidence-based practice, and quality improvement. AACN Advanced Critical Care, 17(4), 457–458.
Hitchings, K. S., Davies-Hathen, N., Capuano, T. A., & Morgan, G. (2008). Peer case review sharpens event analysis. Journal of Nursing Care Quality, 23(4), 296–304.
Hyun, W., Gakken, S., Douglas, K., & Stone, P. (2008). Evidence-based staffing: Potential roles for informat- ics. Nursing Economics, 26(3), 151.
Institute for Healthcare Improvement (IHI) (2011). Current IHI strategic initiatives. Retrieved May 26, 2011 from http:// www.ihi.org/IHI/Programs/ StrategicInitiatives/
Institute for Healthcare Improvement (IHI) (2009). IHI Collaborative: Trans- forming care at the bedside. Retrieved May 9, 2011 from http://www.ihi.org/ IHI/Programs/Collaboratives/
Pearson Nursing Student Resources Find additional review materials at www.nursing.pearsonhighered.com
Prepare for success with additional NCLEX®-style practice questions, interactive assignments and activities, Web links, animations and videos, and more!
CHAPTER 6 • MANAGING AND IMPROVING QUALITY 85
TransformingCareatthe Bedside.htm
Institute of Medicine. (1999). To err is human: Build- ing a safer health system. Washington, DC: National Academy Press.
Institute of Medicine. (2003). Health professions educa- tion: A bridge to quality. Washington, DC: National Academy Press.
Joint Commission. (2011). Hospital national patient safety goals. Retrieved May 26, 2011 from http://www. jointcommission.org/ assets/1/6/2011_NPSG_ Hospital_3_17_11.pdf
Kazley, A. S., & Ozcan, Y. A. (2008). Do hospitals with electronic medical records (EMRs) provide higher quality care? Medical Care Research and Review, 65(4), 496–513.
Khatri, N., Brown, G. D., & Hicks, L. L. (2009). From a blame culture to a just culture in health care. Health Care Man- agement Review, 34(4), 312–322.
National Quality Forum (NQF) (2011). About NQF. Retrieved May 26, 2011
from http://www.quality- forum.org/About_NQF/ About_NQF.aspx
Needleman, J. (2008). Is what’s good for the patient good for the hospital? Policy, Politics, and Nursing Practice, 9(2), 80–87.
Niemeijer, G. C., Trip, A., Ahaus, K. T. B., Does, R. J. M. M., & Wendt, K. W. (2010). Quality in trauma care: Improving the dis- charge procedure of patients by means of Lean Six Sigma. Journal of Trauma Injury, Infection, and Critical Care, 69(3), 614–619.
Reeves, K. (2207). New evidence report on nurse staffing and quality of patient care. MEDSURG Nursing, 16(2), 73–74.
Swearingen, S. (2009). A journey to leadership: Designing a nursing leadership develop- ment program. Journal of Continuing Education in Nursing, 40(3), 107–112.
Unruh, L., Agrawal, M., & Hassmiller, S. (2011). The business case for trans- forming care at the bedside among the “TCAB 10” and lessons learned. Nursing
Administration Quarterly, 35(2), 97–109.
Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2010). Association of interrup- tions with an increased risk and severity of medication administration errors. Ar- chives of Internal Medicine, 170(8), 683–692.
Weiss, A. P. (2009). Quality improvement in healthcare: The six Ps of root-cause analysis. (Letter to the editor). American Journal of Psychiatry, 166(3), 372.
Wu, A. W., Lipshutz, A. K., & Pronovost, P. J. (2008). Effectiveness and efficiency of root cause analysis in medicine. Journal of the American Medical Associa- tion, 299(6), 685–687.
Yamamoto, J. J., Malatestinic, B., Lehman, A., & Juneja, R. (2010). Facilitating process changes in meal delivery and radiological testing to improve inpatient insulin timing using Six Sigma method. Quality Management in Health Care, 19(3), 189–200.