Quality and Safety Education for
Nurses (QSEN) Electronic Resource
Matrix
PAMELA HUDSON, LATASHA LEWIS, SONIA STOKES
& SYLVIA YARBROUGH
Baccalaureate Capstone Students
PURDUE UNIVERSITY CALUMET
College of Nursing
NUR 498 CAPSTONE Course in Nursing
Evidence-Based Project
ii
© COPYRIGHT
PAMELA HUDSON, LATASHA LEWIS, SONIA STOKES & SYLVIA YARBROUGH
2014
ALL RIGHTS RESERVED
iii
ACKNOWLEDGMENTS
Our QSEN Team would like to extend our thanks to Betsy Lee RN, BSN, MSPH,
Director of the Indiana Patient Safety Center and the Indiana Hospital Association
(IHA), for their collaboration and faithful dedication to our QSEN capstone project, Ellen
Moore DNP, RN, FNP-BC, faculty mentor at Purdue University Calumet, and Beth
Vottero Ph.D., RN, CNE, College of Nursing assistant professor at Purdue University
Calumet for her suggestions of resources to include within our QSEN electronic
resource matrix.
iv
TABLE OF CONTENTS
Section Page
ACKNOWLEDMENTS
iii
TABLE OF CONTENTS
iv
PREFACE
v
QSEN PRE-LICENSURE KSAS
vi
QUALITY AND SAFETY EDUCATION FOR NURSES (QSEN) ELECTRONIC RESOURCE MATRIX
SAFETY
1
QUALITY
19
PATIENT-CENTERED CARE
29
TEAMWORK AND COLLABORATION
44
INFORMATICS
48
EVIDENCE-BASED PRACTICE
53
REFERENCES
62
v
PREFACE
Implication for this project is to integrate the knowledge and skills of each
competency into an online matrix in order to aid nurses in clinical practice. Providing this
electronic resource will allow nurses access to information that will help them uphold the
QSEN competencies and provide safe and quality care. We have also provided this
booklet, which is a print copy of our QSEN electronic matrix. We hope that the
consumers of this booklet find it easy to follow and that in turn, it becomes a personal
asset to your health care organization or clinical practice to assist in the improvement of
safety and quality care in the clinical setting.
vi
PRE-LICENSURE KSAS
OVERVIEW
The overall goal for the Quality and Safety Education for Nurses (QSEN) project is
to meet the challenge of preparing future nurses who will have the knowledge,
skills and attitudes (KSAs) necessary to continuously improve the quality and
safety of the healthcare systems within which they work.
Using the Institute of Medicine1 competencies, QSEN faculty and a National
Advisory Board have defined quality and safety competencies for nursing and
proposed targets for the knowledge, skills, and attitudes to be developed in nursing
pre-licensure programs for each competency. These definitions are shared in the six
tables below as a resource to serve as guides to curricular development for formal
academic programs, transition to practice and continuing education programs 2.
vii
PATIENT-CENTERED CARE
Definition: Recognize the patient or designee as the source of control and full partner in providing
compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
Knowledge
Integrate understanding of multiple
dimensions of patient centered care:
Attitudes
Value seeing health care situations
“through patients’ eyes.”
•
Respect and encourage individual
expression of patient values,
preferences and expressed needs.
•
•
•
•
•
Skills
Elicit patient values,
preferences and
expressed needs as part
of clinical interview,
patient/family/community preferences,
implementation of care
values
plan and evaluation of
coordination and integration of care
information, communication, and education care.
physical comfort and emotional support
involvement of family and friends
Communicate patient
transition and continuity
values, preferences
Describe how diverse cultural, ethnic and
social backgrounds function as sources of
patient, family, and community values.
Demonstrate comprehensive understanding
of the concepts of pain and suffering,
including physiologic models of pain and
comfort.
Value the patient’s expertise with
own health and symptoms.
and expressed needs
to other members of
health care team.
Seek learning opportunities with
patients who represent all aspects
of human diversity.
Provide patientcentered care with
sensitivity and
respect for the
diversity of human
experience.
Recognize personally held
attitudes about working with
patients from different ethnic,
cultural and social backgrounds.
Assess presence and
extent of pain and
suffering
Recognize personally held values
and beliefs about the management
of pain or suffering
Assess levels of
physical and
emotional comfort
Elicit expectations of
patient & family for
relief of pain,
discomfort, or
Appreciate the role of the nurse
in relief of all types and sources
of pain or suffering.
Willingly support patientcentered care for individuals and
groups whose values differ from
own.
Recognize that patient
expectations influence outcomes
in management of pain or
viii
suffering.
suffering.
Initiate effective
treatments to relieve
pain and suffering in
light of patient
values, preferences
and expressed needs.
Examine how the safety, quality and cost
effectiveness of health care can be improved
through the active involvement of patients
and families.
Examine common barriers to active
involvement of patients in their own
health care processes.
Remove barriers to
presence of families
and other designated
surrogates based on
patient preferences.
Assess level of
patient’s decisional
conflict and provide
access to resources.
Describe strategies to empower patients or
Engage patients or
families in all aspects of the health care
designated surrogates
process.
in active partnerships
that promote health,
safety and wellbeing, and self-care
management.
Value active partnership with
patients or designated surrogates in
planning, implementation, and
evaluation of care.
Respect patient preferences for
degree of active engagement in
care process.
Respect patient’s right to access
to personal health records.
Explore ethical and legal implications of
patient-centered care.
Recognize the
boundaries of
therapeutic
relationships.
Acknowledge the tension that may
exist between patient rights and the
organizational responsibility for
professional, ethical care.
Describe the limits and boundaries of
therapeutic patient-centered care.
Facilitate informed
patient consent for
care.
Appreciate shared decisionmaking with empowered patients
and families, even when conflicts
occur.
Discuss principles of effective
communication.
Assess own level of
Value continuous improvement of
communication skill in own communication and conflict
encounters with
resolution skills.
patients and families.
ix
Describe basic principles of consensus
building and conflict resolution
Examine nursing roles in assuring
coordination, integration, and continuity
of care.
Participate in
building consensus
or resolving conflict
in the context of
patient care.
Communicate care
provided and needed
at each transition in
care.
TEAMWORK AND COLLABORATION
Definition: Function effectively within nursing and inter-professional teams, fostering open
communication, mutual respect, and shared decision-making to achieve quality patient care.
Knowledge
Describe own strengths, limitations, and
values in functioning as a member of a team.
Skills
Demonstrate
awareness of own
strengths and
limitations as a team
member.
Initiate plan for selfdevelopment as a
team member
Act with integrity,
consistency and
respect for differing
views.
Attitudes
Acknowledge own potential to
contribute to effective team
functioning.
Appreciate importance of intraand inter-professional
collaboration.
Describe scopes of practice and roles of
health care team members.
Function competently Value the perspectives and expertise
within own scope of
of all health team members.
practice as a member
of the health care team. Respect the centrality of the
Describe strategies for identifying and
managing overlaps in team member roles
and accountabilities.
Assume role of team
member or leader.
based on the
situation.
Recognize contributions of other
Initiate requests for
patient/family as core members
of any health care team.
Respect the unique attributes that
members bring to a team
including variations in
x
individuals and groups in helping
patient/family achieve health goals.
help when
appropriate to
situation.
professional orientations and
accountabilities.
Clarify roles and
accountabilities
under conditions of
potential overlap in
team member
functioning.
Integrate the
contributions of
others who play a
role in helping
patient/family
achieve health goals.
Analyze differences in communication style
preferences among patients and families,
nurses and other members of the health team.
Describe impact of own communication
style on others.
Discuss effective strategies for
communicating and resolving conflict.
Communicate with
team members,
adapting own style of
communicating to
needs of the team and
situation.
Demonstrate
commitment to team
goals.
Value teamwork and the
relationships upon which it is based.
Value different styles of
communication used by patients,
families and health care
providers.
Contribute to resolution of
conflict and disagreement.
Solicit input from
other team members
to improve
individual, as well as
team, performance.
Initiate actions to
resolve conflict.
Describe examples of the impact of team
functioning on safety and quality of care.
Follow communication Appreciate the risks associated with
practices that minimize handoffs among providers and
risks associated with
across transitions in care.
handoffs among
xi
providers and across
transitions in care.
Explain how authority gradients influence
teamwork and patient safety.
Assert own
position/perspective
in discussions about
patient care.
Choose
communication
styles that diminish
the risks associated
with authority
gradients among
team members.
Identify system barriers and facilitators of
effective team functioning.
Examine strategies for improving systems
to support team functioning.
Participate in
designing systems that
support effective
teamwork.
Value the influence of system
solutions in achieving effective team
functioning.
EVIDENCE-BASED PRACTICE (EBP)
Definition: Integrate best current evidence with clinical expertise and patient/family preferences and values
for delivery of optimal health care.
Knowledge
Demonstrate knowledge of basic scientific
methods and processes.
Skills
Participate effectively
in appropriate data
collection and other
research activities.
Describe EBP to include the components
of research evidence, clinical expertise
and patient/family values.
Adhere to
Institutional Review
Board (IRB)
guidelines.
Base individualized
care plan on patient
values, clinical
Attitudes
Appreciate strengths and
weaknesses of scientific bases for
practice.
Value the need for ethical conduct
of research and quality
improvement.
Value the concept of EBP as
integral to determining best
clinical practice.
xii
expertise and
evidence.
Differentiate clinical opinion from research
and evidence summaries.
Read original research
and evidence reports
related to area of
practice.
Describe reliable sources for locating
evidence reports and clinical practice
guidelines.
Locate evidence
reports related to
clinical practice
topics and guidelines.
Explain the role of evidence in determining
best clinical practice.
Participate in
structuring the work
environment to
facilitate integration of
new evidence into
standards of practice.
Describe how the strength and relevance
of available evidence influences the
choice of interventions in provision of
patient-centered care.
Discriminate between valid and invalid
reasons for modifying evidence-based
clinical practice based on clinical expertise or
patient/family preferences.
Appreciate the importance of
regularly reading relevant
professional journals.
Value the need for continuous
improvement in clinical practice
based on new knowledge.
Question rationale
for routine
approaches to care
that result in lessthan-desired
outcomes or adverse
events.
Consult with clinical
experts before
deciding to deviate
from evidence-based
protocols.
Acknowledge own limitations in
knowledge and clinical expertise
before determining when to deviate
from evidence-based best practices.
QUALITY IMPROVEMENT (QI)
Definition: Use data to monitor the outcomes of care processes and use improvement methods to design and
test changes to continuously improve the quality and safety of health care systems.
Knowledge
Describe strategies for learning about the
outcomes of care in the setting in which one
is engaged in clinical practice.
Skills
Seek information
about outcomes of care
for populations served
in care setting.
Attitudes
Appreciate that continuous quality
improvement is an essential part of
the daily work of all health
professionals.
xiii
Seek information
about quality
improvement
projects in the care
setting.
Recognize that nursing and other health
professions students are parts of systems of
care and care processes that affect outcomes
for patients and families.
Give examples of the tension between
professional autonomy and system
functioning.
Explain the importance of variation and
measurement in assessing quality of care.
Use tools (such as flow Value own and others’ contributions
charts, cause-effect
to outcomes of care in local care
diagrams) to make
settings.
processes of care
explicit.
Participate in a root
cause analysis of a
sentinel event.
Use quality measures
to understand
performance.
Use tools (such as
control charts and
run charts) that are
helpful for
understanding
variation.
Appreciate how unwanted variation
affects care.
Value measurement and its role in
good patient care.
Identify gaps
between local and
best practice.
Describe approaches for changing processes
of care.
Design a small test of
change in daily work
(using an experiential
learning method such
as Plan-Do-StudyAct).
Practice aligning the
aims, measures and
changes involved in
improving care.
Value local change (in individual
practice or team practice on a unit)
and its role in creating joy in work.
Appreciate the value of what
individuals and teams can to do
to improve care.
xiv
Use measures to
evaluate the effect of
change.
SAFETY
Definition: Minimizes risk of harm to patients and providers through both system effectiveness and
individual performance.
Knowledge
Examine human factors and other basic
safety design principles as well as commonly
used unsafe practices (such as, work-arounds
and dangerous abbreviations).
Describe the benefits and limitations of
selected safety-enhancing technologies
(such as, barcodes, Computer Provider
Order Entry, medication pumps, and
automatic alerts/alarms).
Discuss effective strategies to reduce
reliance on memory.
Delineate general categories of errors and
hazards in care.
Describe factors that create a culture of
safety (such as, open communication
strategies and organizational error
reporting systems).
Skills
Demonstrate effective
use of technology and
standardized practices
that support safety and
quality.
Demonstrate
effective use of
strategies to reduce
risk of harm to self or
others.
Attitudes
Value the contributions of
standardization/reliability to safet.
Appreciate the cognitive and
physical limits of human
performance.
Use appropriate
strategies to reduce
reliance on memory
(such as, forcing
functions,
checklists).
Communicate
observations or
concerns related to
hazards and errors to
patients, families and
the health care team.
Use organizational
error reporting
systems for near miss
and error reporting.
Value own role in preventing errors.
xv
Describe processes used in understanding
causes of error and allocation of
responsibility and accountability (such as,
root cause analysis and failure mode effects
analysis).
Participate
appropriately in
analyzing errors and
designing system
improvements.
Value vigilance and monitoring
(even of own performance of care
activities) by patients, families, and
other members of the health care
team.
Engage in root cause
analysis rather than
blaming when errors
or near misses occur.
Discuss potential and actual impact of
national patient safety resources, initiatives
and regulations.
Use national patient
safety resources for
own professional
development and to
focus attention on
safety in care settings.
Value relationship between national
safety campaigns and
implementation in local practices
and practice settings.
INFORMATICS
Definition: Use information and technology to communicate, manage knowledge, mitigate error, and support
decision making.
Knowledge
Skills
Attitudes
Explain why information and technology
Seek education about
Appreciate the necessity for all
skills are essential for safe patient care.
how information is
health professionals to seek lifelong,
managed in care
continuous learning of information
settings before
technology skills.
providing care.
Apply technology
and information
management tools to
support safe
processes of care.
Identify essential information that must be
available in a common database to support
patient care.
Navigate the electronic Value technologies that support
health record.
clinical decision-making, error
prevention, and care coordination.
Document and plan
Contrast benefits and limitations of
patient care in an
different communication technologies and electronic health
their impact on safety and quality.
record.
Protect confidentiality of
protected health information in
electronic health records.
xvi
Employ
communication
technologies to
coordinate care for
patients.
Describe examples of how technology and
information management are related to the
quality and safety of patient care.
Recognize the time, effort, and skill
required for computers, databases and
other technologies to become reliable and
effective tools for patient care.
Respond appropriately
to clinical decisionmaking supports and
alerts.
Value nurses’ involvement in
design, selection, implementation,
and evaluation of information
technologies to support patient care.
Use information
management tools to
monitor outcomes of
care processes
Use high quality
electronic sources of
healthcare
information.
REFERENCES
1 Institute of Medicine. Health professions education: A bridge to
quality. Washington DC: National Academies Press; 2003.
2 Cronenwett, L., Sherwood, G., Barnsteiner J., Disch, J., Johnson, J., Mitchell, P.,
Sullivan, D., Warren, J. (2007). Quality and safety education for nurses. Nursing
Outlook, 55(3)122-1
Copyright © 2005-2014 QSEN All Rights Reserved
1
Quality and Safety Education for Nurses (QSEN)
Resource Matrix
Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual
performance


Knowledge Keywords: culture, hazards, national patient safety, reduce error, root cause analysis, safety
briefing, safety-enhancing technologies, strategies, unsafe practices, walk around
Skills Keywords: analyzing errors, checklists, communicate, error reporting, errors to patients, families and
the health care team, health care team, national patient safety, patient safety, reduce risk of harm, safety,
standardized, technology
Toolkits
Springer
Publishing
Company
Description
Links
The book “Introduction to Quality and Safety
Education for Nurses” (patient safety, health
care team): is the first undergraduate
textbook that introduces the Quality and
Safety Education for Nurses (QSEN) providing
a comprehensive description of essential
knowledge, skill, and attitudes reflecting on
the six areas of nursing competencies. The six
QSEN competencies include: quality
improvement, patient safety, teamwork and
collaboration, evidence-based practice,
informatics, and patient-centered care.
Teaching strategies and tools included are
PowerPoint slides, critical thinking exercises,
case studies, and rationales for review
questions.
http://www.springerpub.com/prod
uct/9780826121837#.U0sPhV5Yw8
M
Costs
Purchase
price of
$75.00
2
Institute for
Healthcare
Improvement
(IHI)
Online course (unsafe practices): focusing on
the introduction to patient safety. Course
objectives: Summarize, describe, and explain
the scope and impact of medical errors and
preventable harm to patients in health care.
Identifies ways for providers to improve
patient safety care.
http://app.ihi.org/lms/coursedetail
view.aspx?CourseGUID=c67a038cb021-43c3-b7b8f74e4ec303f4&CatalogGUID=6cb1c
614-884b-43ef-9abdd90849f183d4&LessonGUID=0000
0000-0000-0000-0000000000000000
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
Online course (reduce error): Focuses on the
consumer learning different error types, why
they occur, and effective strategies for
responding to errors. Values and limitations
of voluntary reporting systems are also
discussed.
http://app.ihi.org/lms/coursedetail
view.aspx?CourseGUID=e8c11f1d5332-4493-b798cb87d033ac8e&CatalogGUID=6cb1
c614-884b-43ef-9abdd90849f183d4&LessonGUID=0000
0000-0000-0000-0000000000000000
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
Online course (human factors, errors, safetyenhancing technologies): Focuses on the
human factors and safety. The consumer will
explore case studies provided for the analysis
of human factor issues involved in health
care. Effective strategies to prevent error,
including the use of technology to reduce
error.
http://app.ihi.org/lms/coursedetail
view.aspx?CourseGUID=0d1d53a11ec4-4065-825056247132fb9e&CatalogGUID=6cb1
c614-884b-43ef-9abdd90849f183d4
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
Online course-small group recommended
(root cause analysis, analyzing errors):
Focuses on the consumer learning root cause
analysis (RCA) in detail, in conjunction with
case studies and examples provided from
both industry and health care. A step-by-step
approach is learned to complete a RCA after
an error for improvement of the process that
led to the error.
http://app.ihi.org/lms/coursedetail Free
view.aspx?CourseGUID=450435c3- subscription
f015-4541-9432if registered
46eb235461bb&CatalogGUID=6cb1
c614-884b-43ef-9abdd90849f183d4
Institute for
Healthcare
Improvement
(IHI)
Online course-small group recommended
(communicate): Focuses on consumers
learning why patient communication after
adverse events, minor harm and near misses
is difficult for health care professionals.
http://app.ihi.org/lms/coursedetail
view.aspx?CourseGUID=614af4d509ed-4c08-b49559673b0a581a&CatalogGUID=6cb1
c614-884b-43ef-9abd-
Free
subscription
if registered
3
Teaches how to restore caregiver/patient
trust with effective apology after event
occurs. Description of what and how to say
during communication of adverse events.
d90849f183d4
Institute for
Healthcare
Improvement
(IHI)
Online course (culture): Focuses on how a
culture of safety can be created and fostered
by providers. The consumer learns what a
culture of safety encompass, the power of
speaking up about patient safety, and how to
contribute to a culture of safety by making it
safe to talk about mistakes and errors.
http://app.ihi.org/lms/coursedetail
view.aspx?CourseGUID=789d9cbb7dd3-4fe9-8df2e0c63725b350&CatalogGUID=6cb1
c614-884b-43ef-9abdd90849f183d4
Institute for
Healthcare
Improvement
(IHI)
Online course (reduce risk of harm): This
course is based on the IHI: “How-to Guide:
Prevent Pressure Ulcers”, which describes the
basics of pressure ulcers; provide video tips
with strategies used for prevention and
treatment; sharing the latest research; and
highlight exemplary organizations.
http://app.ihi.org/lms/coursedetail Free
view.aspx?CourseGUID=c3f350f3subscription
3e27-47a9-a0fbif registered
8d780bd2b0bc&CatalogGUID=6cb1
c614-884b-43ef-9abdd90849f183d4
Institute for
Healthcare
Improvement
(IHI)
The toolkit “ISHAPED Patient-Centered
Approach to Nurse Shift Change Bedside
Report” (safety, communicate): focuses on
including patients in the ISHAPED
(I=Introduce, S=Story, H=History,
A=Assessment, P=Plan, E=Error) during nurse
shift change at the bedside to enable patients
to communicate any concerns related to
safety. This toolkit includes a handoff report
form, patient surveys, patient/parent
interview guide and FAQS documents.
http://www.ihi.org/resources/Page Free
s/Tools/ISHAPEDPatientCenteredN subscription
urseShiftChangeBedsideReport.asp if registered
x
Department
of Health and
Human
Services (HHS)
Online course (culture): Video simulation
training program that highlights effective
communication, involving decision making
and prevention of health care associated
infections.
http://www.health.gov/hai/trainin
g.asp
Free
subscription
if registered
Free
4
Institute for
Healthcare
Improvement
(IHI)
Journal accompanied by “Guidelines for
Responding to Adverse Events”
(communicate, error): Presents practical tips
and facts on the first steps essential to
learning from medical errors, such as
disclosure and apology.
http://www.ihi.org/resources/Page Free
s/Publications/WhenThingsGoWro subscription
ngAmbulatory.aspx
if registered
Institute for
Healthcare
Improvement
(IHI)
(Safety Briefing) is a simple, easy-to-use tool
that front-line staff can use to share
information about potential safety problems
and concerns on a daily basis. This will make
staff aware of patient safety issues, create an
environment to share information, and
integrate the reporting of medication safety
issues into daily work. Over time safety
briefing will decrease medication errors and
improve patient outcome.
http://www.wsha.org/files/82/Safe Free
tyBriefings.pdf
Institute for
Healthcare
Improvement
(IHI)
The article “IHI Global Trigger Tool for
Measuring Adverse Events (Second Edition)”
(reduce risk for harm, error reporting)
provides the consumer with comprehensive
information on the development and
principles of the IHI Global Trigger Tool. Stepby-step instructions are provided for the use
of the tool to accurately identify and measure
the rate of adverse events over time.
http://www.ihi.org/resources/Page Free
s/IHIWhitePapers/IHIGlobalTrigger subscription
ToolWhitePaper.aspx
access to
PDF if
registered
Institute for
Healthcare
Improvement
(IHI)
The article “Leaders Guide to Patient Safety”
(errors, reduce risk of harm, culture,
communicate) shares the experience of
senior leaders, addressing patient safety and
quality strategies used within their
organizations. The leaders present eight
recommended steps to achieve patient safety
and high reliability.
http://www.ihi.org/resources/Page Free
s/IHIWhitePapers/LeadershipGuide subscription
toPatientSafetyWhitePaper.aspx
access to
PDF if
registered
5
Institute for
Healthcare
Improvement
(IHI)
The article “Respectful Management of
Serious Clinical Adverse Events” (reduce risk
of harm; errors to patients, families and the
health care team; patient safety; culture,
checklists) introduces an overall approach
supporting the processes of proactively
preparing a plan for managing serious clinical
adverse events and reactive emergency
response for an organization. Included in the
paper are three tools for leaders: a Checklist,
a Work Plan, and a Disclosure Culture
Assessment Tool.
http://www.ihi.org/resources/Page
s/IHIWhitePapers/RespectfulMana
gementSeriousClinicalAEsWhitePap
er.aspx
Free
subscription
assess to
PDF if
registered
Institute for
Healthcare
Improvement
(IHI)
A safety webcast “The Second Victim” hosted
by GE Healthcare Partners (errors, hazards,
root cause analysis, culture): discuss topics
including: a successful second victim support
program; creation of a culture that supports
second victims; and how institutions should
proactively plan to respond to patients,
caregivers, media, and board members in the
case of an adverse event.
http://partners.gehealthcare.com/
videos/webcasts/the-secondvictim.php
Free
Institute for
Healthcare
Improvement
(IHI)
An audio broadcast “WIHI: Adverse Events
and Their Aftermath: SOS from Clinicians
(errors, health care team): discuss the design
of reliable “aftermath safety nets” created for
clinicians and staff in the case of an adverse
event. Installation of Microsoft Silverlight is
required.
http://www.ihi.org/resources/Page Free
s/AudioandVideo/WIHIAdverseEve subscription
ntsandTheirAftermathSOSfromClini if registered
cians.aspx
Institute for
Healthcare
Improvement
(IHI)
The article “Harm to Healing – Partnering with
Patients Who Have Been Harmed” (errors,
hazards, harm, human factors,
communications, culture, patients, families):
a study by the Canadian Patient Safety
Institute exploring the development of a
framework to collaborate patients and
families as advisors in patient safety
initiatives.
http://www.patientsafetyinstitute.
ca/English/research/commissioned
Research/HarmtoHealing/Docume
nts/Harm%20to%20Healing.pdf
Free
6
Institute for
Healthcare
Improvement
(IHI)
A DVD video link provided by the IHI
“Listening” (errors, harm, accountability,
communication): examines communication
failures in organizations and the critical issue
of listening through the stories of several
patients whose loved ones have been injured
due to medical error.
http://www.safetyleaders.org/pag
es/idPage.jsp?ID=4885
Donation
requested:
$10/DVD
Institute for
Healthcare
Improvement
(IHI)
Tools for Building a Clinician and Staff Support
Program (checklist, resources): a collection of
tools used after an adverse event to support
clinicians and their staff. Along with the
downloadable copy of the Tool Kit (request
form submission required for actual tool kit),
two additional tools were developed
(available for download without request):
http://www.mitsstools.org/toolkit-for-staff-support-forhealthcare-organizations.html
Free with
request
form
submission
only for
toolkit


Institute for
Healthcare
Improvement:
(IHI)
MITSS Organizational Assessment Tool
for Clinician Support
Comprehensive Work Plan for
Organizations
A case study “An Extended Stay” (error,
communicate): focuses on an adverse event
involving a 64-year-old man entering the
hospital with numerous health issues. The
care team forgets a standard treatment and a
medication error causes unnecessary harm to
the patient. Learning objectives:



Learn how system failures lead to the
harm of patients
Describe how the lack of
communication between providers
and interdisciplinary teams can lead to
patient harm
After an adverse event, discuss how to
debrief with colleagues
http://www.mitsstools.org/upload
s/3/7/7/6/3776466/mitss_organiza
tional_assessment_tool_for_clinici
an_support_12-30-20102.pdf
http://www.mitsstools.org/upload
s/3/7/7/6/3776466/checklist_for_b
uilding_a_second_victim_support_
program_checklist_3.pdf
http://www.ihi.org/education/IHIO
penSchool/resources/Pages/CaseSt
udyAnExtendedStay.aspx
Free
7
Institute for
Healthcare
Improvement
(IHI)
LEAD Program Case Studies: Transforming
Safety and Quality Performance (patient
safety): an innovative program sponsored by
Blue Cross Blue Shield of Massachusetts to
transform safety and quality performance in
health care organizations. The case studies
were written to share the experiences of five
organizations that participated in the LEAD
program.
http://www.ihi.org/resources/Page Free
s/CaseStudies/LEADProgramCaseSt subscription
udies.aspx
if registered
Institute for
Healthcare
Improvement
(IHI)
This audio broadcast WIHI: SBAR (Situation,
Background, Assessment, Recommendations):
Structured Communication and Psychological
Safety in Health Care (patient safety,
communicate): is a discussion with WIHI Host
Madge Kaplan and guests, focusing on the
critical role that SBAR plays in drawing
attention to any patient or staff situation that
requires immediate attention or decision
making to ensure safe care.
http://www.ihi.org/resources/Page Free
s/AudioandVideo/WIHISBARStruct subscription
uredCommunicationandPsychologi if registered.
calSafetyinHealthCare.aspx
Installation
of Microsoft
Silverlight is
required.
Institute for
Healthcare
Improvement
(IHI)
SBAR (Situation, Background, Assessment,
http://www.ihi.org/resources/Page Free
Recommendations) Toolkit (communicate,
s/Tools/SBARToolkit.aspx
subscription
standardized): offers a simple way to
if registered
effectively and efficiently communicate
important information between physicians
and nurses. The consumer is provided with
the SBAR communication tool, generic report
to physician, scenarios, lesson plans, report
competency check off, poster example, phone
sticker template, and tips for using SBAR.
Institute for
Healthcare
Improvement
(IHI)
The article “Reducing cardiac arrests in the
acute admissions unit: a quality improvement
journey” (culture, checklists): focuses on a
quality improvement project that was
undertaken to reduce cardiac arrests to
<1/1000 admissions per month.
http://qualitysafety.bmj.com/cont Free
ent/early/2013/07/17/bmjqs-2012001404.full
8
Institute for
Healthcare
Improvement
(IHI)
The audio “WIHI: The Patient Activist” (safety, http://www.ihi.org/resources/Page Free
patients, families): presents a discussion on
s/AudioandVideo/WIHIThePatientA subscription
health care organizations gaining a voice from ctivist.aspx
if registered.
activated patients and family members,
Installation
utilizing their expertise to help solve some of
of Microsoft
health care’s problems related to quality and
Silverlight is
safety
required.
Institute for
Healthcare
Improvement
(IHI)
The article “Using Evidence-Based
Environmental Design to Enhance Safety and
Quality” (patient safety): focuses on showing
health care leaders how evidence-based
environmental design interventions improve
the care and perception of that care by
patient, their families, and health care team.
http://www.ihi.org/resources/Page Free
s/IHIWhitePapers/UsingEvidenceBa subscription
sedEnvironmentalDesignWhitePap if registered
er.aspx
Institute for
Safe
Medication
Practices
(ISMP)
ISMP publication (national patient safety):
2014-15 Targeted Medication Safety Best
Practices for Hospitals focuses on identifying,
inspiring, mobilizing widespread, the national
adoption of consensus based best practices
specific to medication safety issues that
contributes to errors that are fatal or cause
harm.
http://www.ismp.org/Tools/BestPr
actices/TMSBP-for-Hospitals.pdf
Free
Joint
Commission
Sentinel Events (root cause analysis, action
http://www.jointcommission.org/a
plan, surveys) this website provides the policy ssets/1/6/CAMH_2012_Update2_2
on sentinel events and the proper
4_SE.pdf
procedures.
Free
Joint
Commission
National Patient Safety Goals (national
patient resources): The purpose of the
National Patient Safety Goals is to focus on
problems in the clinical setting and how to
solve them to improve patient safety.
Free
http://www.jointcommission.org/a
ssets/1/6/2014_HAP_NPSG_E.pdf
9
Joint
Commission
Facts about the Official “Do Not Use” List
(dangerous medical abbreviations) This
website provides you with the official Do Not
Use list of abbreviations to prevent sentinel
events.
http://www.jointcommission.org/a
ssets/1/18/Do_Not_Use_List.pdf
Free
Joint
Commission
Sentinel Event Alert Issue 50: Medical device
http://www.jointcommission.org/a Free
alarm safety in hospitals (safety) These alarm- ssets/1/18/SEA_50_alarms_4_5_13
equipped devices provides a guide for
_FINAL1.PDF
information needed to deliver safe care to
patients in the clinical setting. These devices
will also guide you with treatment decisions.
Health On Net
foundation
(HON)
A Strategic Approach for Funding Research:
The Agency for Healthcare Research and
Quality’s Patient Safety Initiative (initiative,
safety, medical errors) The main focus of this
Initiative was a series of six research
solicitations on patient safety that illustrates
the potential delivery of safe health care.
http://www.ncbi.nlm.nih.gov/book
s/NBK20611/pdf/ch2.pdf
Free
National
Patient Safety
Foundation
(NPSF)
“What You Can Do to Make Healthcare Safer
“ (national patient safety, errors): target
nurses on what to do to make healthcare
safer. Everyone has a role in safety and with
communication and learning everyone will
succeed in improving patient safety.
http://www.npsf.org/for-patientsconsumers/tools-and-resourcesfor-patients-and-consumers/whatyou-can-do-to-make-healthcaresafer/
Free
The National
Academies
Press
To Err is Human (medical errors) There is an
estimate that 98,000 people die from medical
errors in the hospital This book entitles on
how medical errors happen and their
consequences. There is an estimate that
98,000 people die from medical errors in the
hospital.
http://books.nap.edu/catalog.php?
record_id=9728
View book
for free
membership
is required
to download
free PDF
with an
10
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled Patient Safety: Achieving a New
http://www.nap.edu/catalog.php?r View book
Standard for Care (National patient safety,
ecord_id=10863
for free
error, error reporting, analyzing errors):
membership
Builds on the Institute of Medicine reports To
is required
Err Is Human and Crossing the Quality Chasm.
to download
This Book discusses safe healthcare by
free PDF
providing a roadmap for developing and
with an
adapting important health care data
option to
standards that supports reporting and
purchase
analyzing patient safety data. This can be
the
achieved by a healthcare system that
hardcopy.
prevents errors and learning from them when
they occur. Accesses to other topics on safety
are available.
The National
Academies
Press
Book titled Redesigning Continuing Education
in the Health Professions (national patient
safety): Focuses on the importance of
continuing education (CE) to improve high
quality healthcare and patient safety. It is
important for health professionals to
maintain up-to-date knowledge and skills to
safely care for their patients. It also suggest
the principles needed to create a national
continuing education institute in order to
promote continuous professional
development.
http://www.nap.edu/catalog.php?r View book
ecord_id=12704
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
11
The National
Academies
Press
Book titled Occupational Health Nurses and
Respiratory Protection: Improving Education
and Training: Letter Report (national patient
safety): Focuses on improving the current
respiratory protection education curriculum
by giving recommendations to improve
respiratory protection education and training
for Occupational health nurses (OHN).
Education and training in respiratory
protection is needed to ensure the safety of
both the OHN and American workers.
http://www.nap.edu/catalog.php?r View book
ecord_id=13183
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled National Research Council.
http://www.nap.edu/catalog.php?r View book
Keeping Patients Safe: Transforming the Work ecord_id=10851
for free
Environment of Nurses (national patient
membership
safety, reduce error, culture): Builds on the
is required
Institute of Medicine reports To Err Is Human
to download
and Crossing the Quality Chasm. This book
free PDF
identifies important features of nurses work
with an
environment that impacts patient safety.
option to
Health care working conditions improvements
purchase
that may increase patient safety are also
the
identified.
hardcopy.
The National
Academies
Press
Book titled How Can Health Care
http://www.nap.edu/catalog.php?r View book
Organizations Become More Health Literate? : ecord_id=13402
for free
Workshop Summary (national patient
membership
safety): Focuses on developing strategies that
is required
can improve healthcare organizations health
to download
literacy. It identifies attributes that will help
free PDF
to improve negative consequences of limited
with an
health literacy in order to improve access to
option to
safety health care services. It gives a vision of
purchase
how organizations should progress in order to
the
support the limited health literacy population
hardcopy.
to improve overall care.
12
The National
Academies
Press
Book titled Preventing Medication Errors:
Quality Chasm Series (errors, reduce risk of
harm): Focuses on providing an agenda for
improving both long term and short-term safe
medication use. It also presents data that will
help in reducing medication errors. The
patient along with health care providers and
health care organizations will benefit from
this reducing medication errors guide.
http://www.nap.edu/catalog.php?r View book
ecord_id=11623
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
Journal of
Nursing Care
Quality
“Influencing Leadership Perceptions of
Patient Safety Through Just Culture Training”
(safety, culture) There are differences in
perceptions of safety culture between
healthcare leaders and staff. Having resources
and strategies required true culture of safety
to close the gap.
http://journals.lww.com/jncqjourn
al/Abstract/2010/10000/Influencin
g_Leadership_Perceptions_of_Pati
ent.3.aspx
Purchase
the article
for a fee.
Hospitals in
Pursuit of
Excellence
(HPOE)
Checklists to Improve Patient Safety
(checklists): is designed to improve patient
care across 10 areas of patient harm through
carrying out the best practices to improve
quality. This guide includes checklists of
resources and webinars of Adverse drug
events, Catheter-associated urinary tract
infections, Central line-associated blood
stream infections, Early elective deliveries,
Injuries from falls and immobility, Hospitalacquired pressure ulcers, Preventable
readmissions, Surgical site infections,
Ventilator-associated pneumonias, Venous
thromboembolisms.
http://www.hpoe.org/resources/h
poehretaha-guides/1398
Free
13
Health
research &
Educational
Trust (HRET)
“Implementing Patient Safety Leadership
Walk Rounds” (walk around) is a program to
Increase awareness of safety issues among
healthcare workers. It provides education to
staff about patient safety such as “just
culture” and barriers to safety.
http://www.hret.org/quality/proje
cts/walkrounds.shtml
Free
Health
research &
Educational
Trust (HRET)
The Pathways for Patient Safety modules
http://www.hret.org/quality/proje
(Medication Safety) Creating Medication
cts/resources/creating_medication
Safety, presents materials to facilitate safe
_safety.pdf
medication management and includes specific
references for obtaining and sharing patient’s
medications, to prevent adverse drugs effects
and error.
Free
AHRQ (Agency
for Healthcare
Research and
Quality)
The Comprehensive Unit-based Safety
Program (CUSP) (checklist, reduce risk of
harm) provides a checklist that gives ways to
decrease the incidence of infections from
central lines. The checklists put an emphasis
on documenting abnormal findings.
http://www.ahrq.gov/professionals Free
/quality-patient-safety/patientsafety-resources/resources/clichecklist/index.html
AHRQ (Agency
for Healthcare
Research and
Quality)
The “Understand the Science of Safety”
(analyzing errors & designing system
improvements) module of the CUSP Toolkit
offers a PowerPoint that addresses the
necessity of system design and principles of
safe design. The aim is to help nurses
understand patient safety as a science; as a
result, the hospital unit they practice on will
have a better quality of patient-centered care.
http://www.ahrq.gov/professionals Free
/education/curriculumtools/cusptoolkit/modules/underst
and/index.html
AHRQ (Agency
for Healthcare
Research and
Quality)
This CUSP video (open communication
strategies, near miss, error reporting, root
cause analysis) provide strategies on how to
utilize effective communication among
physicians, nurses, and other clinical team
members of the health care in order to
provide safe care.
http://www.ahrq.gov/professionals Free
/education/curriculumtools/cusptoolkit/videos/04f_techt
mwork/index.html
14
Sigma Theta
Tau
International:
Honor Society
for nursing
Nurse Manager Certificate Program: Patient
Safety in the Health Care Workplace - ONLINE
COURSE (error) This online course for
continuing education is worth eight hours.
This course introduces new approaches on
how to improve patient safety and
understand the occurrence of errors.
http://www.nursingknowledge.org
/nurse-manager-certificateprogram-patient-safety-in-thehealth-care-workplace.html
UpToDate
Peer reviewed journal “Operating room
safety” focuses on safety principles and
efforts to improve safety in the Operating
Room. (Safety enhancing technology,
hazards, reduce risk of harm, supports safety
& quality, human factors, checklist, work
around, culture of safety, errors to patients).
The goal is to reduce adverse events and
improve patient safety by applying scientific
principles to healthcare.
http://www.uptodate.com/content Paid
s/operating-roomSubscription
safety?source=search_result&searc is required
h=safety&selectedTitle=1%7E150
UpToDate
UpToDate (support safety & quality, effective
use of technology) shares an article that
discusses the issues of screening individuals of
intimate partner violence and ways of
improvement. The article also talks about the
effectiveness of computer-based screening.
http://www.uptodate.com/content Free
s/intimate-partner-violencediagnosis-andscreening?source=search_result&s
earch=intimate+partner+violence+
diagnosis+andscreening&selectedT
itle=1~19
( nursing
knowledge
international)
Online
course for
continuing
education 8
hours.
Cost $59.95
15
QSEN (Quality
and Safety
Education for
Nurses)
Committed to Safety: Ten Case Studies on
reducing harm to patients (error, culture,
reduce risk of harm, national patient safety):
This link was provided by QSEN.org and gives
report on 10 case studies that describe the
actions, results, and lessons learned by
patient safety leaders in addressing reducing
harm . It also gives suggestions on how to be
successful in reducing harm to patients.
http://www.commonwealthfund.o
rg/Publications/FundReports/2006/Apr/Committed-toSafety--Ten-Case-Studies-onReducing-Harm-to-Patients.aspx
Free
QSEN (Quality
and Safety
Education for
Nurses)
QSEN (hazards to patients, reduce risk of
harm, support safety and quality, errors to
patients, analyzing errors) provided an article
that utilizes a SLE (simulating learning
experience) to identify the hazards of patient
safety and ways to eliminate those hazards.
http://ovidsp.tx.ovid.com/sp3.11.0a/ovidweb.cgi?WebLinkFram
eset=1&S=BGCCFPLMJMDDENDNN
CMKHBFBEDLMAA00&returnUrl=o
vidweb.cgi%3f%26Full%2bText%3d
L%257cS.sh.27.28%257c0%257c00
006223-20110500000011%26S%3dBGCCFPLMJMDDE
NDNNCMKHBFBEDLMAA00&directl
ink=http%3a%2f%2fgraphics.tx.ovi
d.com%2fovftpdfs%2fFPDDNCFBH
BDNJM00%2ffs046%2fovft%2flive
%2fgv023%2f00006223%2f000062
23-20110500000011.pdf&filename=Teaching+Pat
ient+Safety+in+Simulated+Learning
+Experiences.&pdf_key=FPDDNCFB
HBDNJM00&pdf_index=/fs046/ovft
/live/gv023/00006223/00006223201105000-00011
Requires
registration
to:
https://ww
w.ovid.com/
webapp/wc
s/stores/ser
vlet/UserRe
gistrationFo
rm?catalogI
d=13151&la
ngId=1&storeId=1
3051&krypt
o=JeuX%2B
VEXYJB2VpJ
qM5V0LA%
3D%3D&ddk
ey=http:Use
rRegistratio
nForm
QSEN (Quality
and Safety
Education for
Nurses)
QSEN (support safety) provides a
documentary that discusses how healthcare
professionals can enhance patient safety.
http://qsen.org/videos/chasingzero-winning-the-war-onhealthcare-harm/
Free
16
QSEN (Quality
and Safety
Education for
Nurses)
QSEN (error to patient, open communication
strategies, near miss, designing system
improvements) provides a link to an article
that addresses the different kinds of errors
that occurred in a simulation of nursing
students; solutions are provided for the
errors.
http://www.sciencedirect.com/scie Free
nce/article/pii/S089718970800009
8?via=ihub
Quality and
Safety
Education for
Nurses (QSEN)
The video “The Josie King Story clip for QSEN”
(errors to patients, communicate, patient
safety, health care team): shares the story of
Josie King who died in the hospital due to
medical errors, to bring awareness to the
decline in patient safety. The Josie King
Foundation was created to share the story
and promote patient safety practices in the
health care system. Video opens on
youtube.com web-link.
https://www.youtube.com/watch?
v=JeVcXhvPvbU&feature=youtu.be
Free
Quality and
Safety
Education for
Nurses (QSEN)
The video “Introducing the Partnership for
Patients with Sorrel King” (errors to patients,
communicate, patient safety, health care
team): shares the story of Josie King who died
in the hospital due to medical errors. The
Josie King Foundation pushed for the
partnership of families, patients, healthcare
team, along with the U.S. health care systems
to provide improved patient safety and
patient-centered care. Video opens on
youtube.com web-link.
https://www.youtube.com/watch?
v=ak_5X66V5Ms&feature=youtu.b
e
Free
Quality and
Safety
Education for
Nurses (QSEN)
The toolkit “Teaching Pre-Licensure Nursing
Students to Communicate In SBAR In the
Clinical Setting” (safety, communicate,
strategies): includes a two part online video
vignette and SBAR rubric pdf. The vignettes
are designed for both faculty and students to
teach them how to communicate using SBAR
to improve quality and safety in the care of
nursing.
http://qsen.org/teaching-prelicensure-nursing-students-tocommunicate-in-sbar-in-theclinical-setting/
Free
17
Quality and
Safety
Education for
Nurses (QSEN)
The paper assignment “Nurse Leader
Interview Assignment” (safety,
communicate): is learning strategy to be
completed by the nursing student by
interviewing nurse leaders with questions
that will help the student describe the
processes within the clinical setting related to
the utilization of all six of the QSEN
competencies.
http://qsen.org/nurse-leaderinterview-assignment/
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “End-Of-Life
http://qsen.org/end-of-lifeSimulation” (strategies, communicate,
simulation/
safety): is designed to teach by simulation
how to perform a physical assessment to
manage end-of life symptoms; practice
therapeutic support; assess spiritual needs;
provide cultural sensitivity; demonstrate an
approach to care that is patient and family
centered; advocate and advocate the
patient’s advanced directive; develop an
individualized plan of care by utilizing the
nursing process; evaluate personal beliefs and
values influencing the ability to provide endof-life care; perform nurse-to-nurse death
verification; utilize a standardized expiration
checklist for death documentation;
demonstrate safe handling precautions during
post mortem care; and as death approaches,
practice interdisciplinary collaboration.
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation” (safety,
communicate): is designed to educate the
nursing student on describing the nurse’s
role; successfully triaging victims of mass
casualty events; successfully performing rapid
trauma assessments, recognizing the patient
as full partner In his/her care; functioning
effectively in teamwork and collaboration;
integrating the best current evidence into
practice; utilizing data and improvement
methods to monitor outcomes to improve
Free
http://qsen.org/simulation/
Free
18
quality and safety within the health care
systems; and the utilization of information
and technology in the clinical setting.
Quality and
Safety
Education for
Nurses (QSEN)
The case study “Exploring the Complexity of
Advocacy: Balancing Patient-Centered Care
and Safety” (patient safety): is designed to
promote focused a discussion, intended to
create the opportunity for students to
commit to both patient-centered care and
safety by exploring the complexities of
advocacy.
http://qsen.org/exploring-thecomplexity-of-advocacy-balancingpatient-centered-care-and-safety/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Promoting Safety in
an Unfolding Simulated Public Health
Disaster” (safety): designed to educate
nursing students on recognizing signs and
symptoms, identifying essential assessment
parameters, participating effectively with
interdisciplinary teams, the application of
appropriate infectious control standards, and
the demonstration of correct nursing actions
during infectious disease outbreaks.
http://qsen.org/promoting-safetyin-an-unfolding-simulated-publichealth-disaster/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The clinical assessment tool “Clinical
Assessment Tool: Teaching Strategy for Safety
and Patient Centered Care” (patient safety,
reduce risk of harm, strategies,
communicate, checklists): is developed as a
strategy to provide students with a simple
checklist to help focus their attention on
safety issues in the clinical setting; and
sample interview questions to provide
opportunities to express concerns related to
patient-centered care.
http://qsen.org/clinicalassessment-tool-teaching-strategyfor-safety-and-patient-centeredcare/
Free
19
Free
Quality and
Safety
Education for
Nurses (QSEN)
The video “Chasing Zero: Winning the War on
Healthcare Harm” (patient safety, errors to
patients): is hosted by Dennis Quad sharing
the story of the near-death experience of his
infant twins due to medical error and the his
initiation of a call to action for healthcare
leaders to invest in patient safety. A series of
short stories are also included in this video,
each story opening with challenges with
practices that can be adopted by everyone.
http://qsen.org/videos/chasingzero-winning-the-war-onhealthcare-harm/
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
Safety Education for Nurses Competencies to
the Observer Role” (patient safety,
strategies, reduce error): describes the
transformation of a previously used highfidelity simulation observer record by
undergraduate baccalaureate nursing faculty,
into one that is focused in the prelicensure
Quality and Safety Education for Nurses
(QSEN) competencies.
http://www.nursingsimulation.org/ Free
article/S1876-1399(12)003015/fulltext
Quality Improvement: Use data to monitor the outcome of care processes and use improvement
methods to design and test changes to continuously improve the quality and safety of health care systems.



Knowledge keywords: assessing, clinical practice, engaged, families, outcomes, patients, processes,
strategies
Skills keywords: aligning, changes, gaps, improvement, improvement projects, measures, outcomes,
populations, quality, root cause analysis, tools
Attitudes: value
Toolkits
Springer
Publishing
Company
Description
Links
The book “Introduction to Quality and Safety
Education for Nurses” (quality,
improvement): is the first undergraduate
textbook that introduces the Quality and
Safety Education for Nurses (QSEN) providing
a comprehensive description of essential
knowledge, skill, and attitudes reflecting on
the six areas of nursing competencies. The six
QSEN competencies include: quality
http://www.springerpub.com/prod
uct/9780826121837#.U0sPhV5Yw8
M
Costs
Purchase
price of
$75.00
20
improvement, patient safety, teamwork and
collaboration, evidence-based practice,
informatics, and patient-centered care.
Teaching strategies and tools included are
PowerPoint slides, critical thinking exercises,
case studies, and rationales for review
questions.
Institute for
Health
Improvement
(IHI)
The IHI Quality Metric Advisor Tool (tools,
improvement, measures): a simple algorithm
organizations use to help maintain and
improve clinical quality during cost-savings
improvement initiatives by identifying and
addressing crucial balancing measures. The
algorithm is closely connected to the quality
of direct patient services.
http://www.ihi.org/resources/Page
s/Tools/QualityMetricAdvisor.aspx
Free
subscription
if registered
Institute for
Health
Improvement
(IHI)
The article “To Reconcile Mission and Margin,
Deliver Better Outcomes at Lower Costs”
(outcomes, processes, improvement, value):
focuses on increasing the value and
improving patient outcomes, during the
process of reducing costs. The partnerships
among the Institute for Healthcare
Improvement, the Harvard Business School,
and various orthopedic surgical groups are
highlighted in this overview of value-based
health care delivery.
http://www.healio.com/orthopedic Free
s/business-oforthopedics/news/print/orthopedic
s-today/{48410cce-4bc5-4585bce2-5b19c8153c38}/to-reconcilemission-and-margin-deliver-betteroutcomes-at-lowercosts?page=0&Filter=
Institute for
Health
Improvement
(IHI)
The summary report and brief video message http://www.aha.org/research/repo
“Ensuring a Healthier Tomorrow: Actions to
rts/healthiertomorrow.shtml
Strengthen Our Health Care System and Our
Nation’s Finances” (strategies, improvement,
outcomes, engaged, patients, families,
populations): Due to the Patient Protection
and Affordable Care Act (ACA) expanding
access to health care coverage, two
interconnected strategies are the focus in this
report used to improve the healthcare system
and ensure short and long-term financial
viability of the Medicare and Medicaid
Free
21
programs.
Institute for
Improvement
(IHI)
The book “What Works: Effective Tools and
Case Studies to Improve Clinical Office
Practice” (improvement, clinical practice):
includes tools, case studies, and other
resources used to help identify areas needed
for quality improvement in clinical office
practices.
http://www.ihi.org/resources/Page Free
s/Publications/WhatWorkseffective subscription
toolsandcasestudiestoimproveclinic if registered
alofficepractice.aspx
Institute for
Improvement
(IHI)
LEAD Program Case Studies: Transforming
Safety and Quality Performance
(improvement, quality, changes): an
innovative program sponsored by Blue Cross
Blue Shield of Massachusetts to transform
safety and quality performance in health care
organizations. The case studies were written
to share the experiences of five organizations
that participated in the LEAD program.
http://www.ihi.org/resources/Page
s/CaseStudies/LEADProgramCaseSt
udies.aspx
Free
subscription
if registered
Institute for
Improvement
(IHI)
Pursuing the IHI Triple Aim: CareOregon Case
Study (aims, strategies, populations,
improvement): focuses on the CareOregon
site working with the IHI on the Triple Aim to
study effective strategies and exchange key
findings for possible further action.
http://www.ihi.org/resources/Page
s/CaseStudies/PursuingtheTripleAi
mCareOregonCaseStudy.aspx
Free
subscription
if registered
Institute for
Improvement
(IHI)
The article “Leaders Guide to Patient Safety”
(strategies, changes, improvement, aligning)
shares the experience of senior leaders,
addressing patient safety and quality
strategies used within their organizations.
The leaders present eight recommended
steps to achieve patient safety and high
reliability.
http://www.ihi.org/resources/Page
s/IHIWhitePapers/LeadershipGuide
toPatientSafetyWhitePaper.aspx
Free
subscription
for PDF
access if
registered
Institute for
Improvement
(IHI)
The article “Respectful Management of
Serious Clinical Adverse Events” (tools,
processes, patients, families, improvement)
introduces an overall approach supporting
the processes of proactively preparing a plan
for managing serious clinical adverse events
and reactive emergency response for an
http://www.ihi.org/resources/Page
s/IHIWhitePapers/RespectfulMana
gementSeriousClinicalAEsWhitePap
er.aspx
Free
subscription
if registered
22
organization. Included in the paper are three
tools for leaders: a Checklist, a Work Plan,
and a Disclosure Culture Assessment Tool.
Institute for
Improvement
(IHI)
This audio broadcast WIHI: SBAR (Situation,
Background, Assessment,
Recommendations): Structured
Communication and Psychological Safety in
Health Care (improvement, tools): is a
discussion with WIHI Host Madge Kaplan and
guests, focusing on the critical role that SBAR
plays in drawing attention to any patient or
staff situation that requires immediate
attention or decision making to ensure safe
care.
http://www.ihi.org/resources/Page Free
s/AudioandVideo/WIHISBARStructu subscription
redCommunicationandPsychologica if registered.
lSafetyinHealthCare.aspx
Installation
of Microsoft
Silverlight is
required.
Institute for
Improvement
(IHI)
SBAR (Situation, Background, Assessment,
Recommendations) Toolkit (tools, assessing):
offers a simple way to effectively and
efficiently communicate important
information between physicians and nurses.
The consumer is provided with the SBAR
communication tool, generic report to
physician, scenarios, lesson plans, report
competency check off, poster example,
phone sticker template, and tips for using
SBAR.
http://www.ihi.org/resources/Page
s/Tools/SBARToolkit.aspx
Institute for
Improvement
(IHI)
The article “Reducing cardiac arrests in the
acute admissions unit: a quality improvement
journey” (improvement projects, outcomes,
measurements): focuses on a quality
improvement project that was undertaken to
reduce cardiac arrests to <1/1000 admissions
per month.
http://qualitysafety.bmj.com/conte Free
nt/early/2013/07/17/bmjqs-2012001404.full
Institute for
Improvement
(IHI)
This How-to-Guide “Transforming Care at the http://www.ihi.org/resources/Page
Bedside How-to-Guide: Developing Front-Line s/Tools/TCABHowToGuideDevelopi
Nursing Managers to Lead Innovation and
ngFrontLineNursingManagers.aspx
Improvement (changes, strategies, assessing,
improvement): describes innovative changes
that focus on improving strategies for
Free
subscription
if registered.
Free
subscription
for
document
access if
registered
23
developing transformational leadership skills
in front-line nursing managers.
Institute for
Healthcare
Improvement
(IHI)
Adverse Events Prevented Calculator Toolkit
(tools, quality improvement): this tool is
used to track the change in rate of adverse
events over a period of time, unnecessary
deaths, potential cost savings, and
investment returns on quality improvement
work that targets adverse events. An audio
recording, adverse events prevented
calculator, and an instructions document can
be accessed as part of this toolkit.
http://www.ihi.org/resources/Page Free
s/Tools/AdverseEventsPreventedCa subscription
lculator.aspx
if registered
for
documents
Installation
of Microsoft
Silverlight is
required.
Institute for
Healthcare
Improvement
(IHI)
The article “Leaders Challenged to Reduce
http://www.ihi.org/resources/Page
Cost, Deliver More” (quality, improvement,
s/Publications/LeadersChallengedR
strategies): discusses leadership strategies for educeCostDeliverMore.aspx
the creation of a culture possible for quality
improvement and cost savings.
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The audio “WIHI: The Patient Activist”
(quality, patients, families): presents a
discussion on health care organizations
gaining a voice from activated patients and
family members, utilizing their expertise to
help solve some of health care’s problems
related to quality and safety.
http://www.ihi.org/resources/Page
s/AudioandVideo/WIHIThePatientA
ctivist.aspx
Free
subscription
if registered.
Institute for
Healthcare
Improvement
(IHI)
The article “Using Evidence-Based
Environmental Design to Enhance Safety and
Quality” (quality, improvement, strategies,
measures, gaps, patients, families): focuses
on showing health care leaders how
evidence-based environmental design
interventions improve the care and
perception of that care by patient, their
families, and health care team.
http://www.ihi.org/resources/Page
s/IHIWhitePapers/UsingEvidenceBa
sedEnvironmentalDesignWhitePap
er.aspx
Free
subscription
if registered
Teamstepps/
AHRQ handbook provides evidence-based
practices to utilize (quality measures) when
caring for hospitalized patients (care setting,
http://www.ncbi.nlm.nih.gov/book
s/NBK2632/
Free
AHRQ
Installation
of Microsoft
Silverlight is
required.
24
clinical practice).
Teamstepps/
AHRQ
Teamstepps/
AHRQ
Teamstepps/
AHRQ
Teamstepps/
AHRQ
QSEN
(Quality and
Safety
Education for
Nurses)
Quality and
Safety
Education for
Nurses (QSEN)
Commentary discussed a case of neonatal
jaundice. Discussion included common
mistakes made by healthcare providers (root
cause analysis) and the correct guidelines for
caring for a neonatal infant with jaundice
(Improving care).
http://www.webmm.ahrq.gov/case Free
.aspx?caseID=319
AHRQ provided a case that discussed
medication errors and strategies to reduce
error (Root cause analysis).
http://www.webmm.ahrq.gov/case Free
.aspx?caseID=314
A document from AHRQ discusses measures
to utilize (Quality measures) when providing
ambulatory care.
http://www.ahrq.gov/professionals Free
/quality-patient-safety/qualityresources/tools/ambulatorycare/starter-set.html
Toolkit provides a list of resources that will
help hospitals enhance the quality of care
(Improving care) it provides.
http://www.ahrq.gov/professionals Free
/systems/hospital/qitoolkit/qiroad
map.html
QSEN provides a manual that explains quality
improvement (flow charts, quality
improvement projects); it also explains how
one can improve his/her competence as an
individual (professional autonomy)
https://docs.google.com/a/case.ed
u/file/d/0B5YGF5c2vqn5a3BGTElTd
mtwOEU/edit?pli=1
Free
The paper assignment “Nurse Leader
Interview Assignment” (quality,
improvement, clinical practice, value): is
learning strategy to be completed by the
nursing student by interviewing nurse leaders
with questions that will help the student
describe the processes within the clinical
setting related to the utilization of all six of
http://qsen.org/nurse-leaderinterview-assignment/
Free
25
the QSEN competencies.
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation” (quality http://qsen.org/simulation/
improvement, communicate, value,
outcomes): is designed to educate the
nursing student on describing the nurse’s
role; successfully triaging victims of mass
casualty events; successfully performing rapid
trauma assessments, recognizing the patient
as full partner In his/her care; functioning
effectively in teamwork and collaboration;
integrating the best current evidence into
practice; utilizing data and improvement
methods to monitor outcomes to improve
quality and safety within the health care
systems; and the utilization of information
and technology in the clinical setting.
Free
Joint
Commission
Sentinel Events (root cause analysis, action
plan, surveys) this website provides the
policy on sentinel events and the proper
procedures.
http://www.jointcommission.org/a
ssets/1/6/CAMH_2012_Update2_2
4_SE.pdf
Free
Health
research &
Educational
Trust (HRET)
Using Workforce Practices to Drive Quality
Improvement: A Guide for Hospitals (quality
improvement) joins the idea that workforce
can certainly impact the quality of hospitals.
This guide posits 14 high performance work
practices (HPWPs) that fall into four
categories: organizational engagement, staff
acquisition and development, frontline
empowerment, and leadership alignment and
development.
www.hret.org/workforce/resources Free
/workforce-guide.pdf
Hospitals in
Pursuit of
Excellence
(HPOE)
The State of Quality Improvement Science in
Health What Do We Know about how to
Provide Better Care? (quality improvement)
This PDF analyses the evolution of quality
improvement initiatives, the current evidence
and what interventions work that will help
enhance the health care.
http://www.rwjf.org/content/dam/ Free
farm/reports/reports/2011/rwjf717
82
26
Hospitals in
Pursuit of
Excellence
(HPOE)
(quality improvement) This link provides
several videos of webinars on how quality is
use in healthcare.
http://www.hpoe.org/resources?q
=quality
Free
The National
Academies
Press
Book titled Advancing Quality Improvement
Research (outcomes, assessing, strategies,
tools): Discusses the events at the Institute
of Medicine’s Forum on the Science of Health
Care Quality Improvement and
Implementation workshop. The purpose of
this workshop was to discuss what quality
improvement is, the barriers that exist in
quality improvement for the health care
industry, and to research quality
improvement.
http://www.nap.edu/catalog.php?r
ecord_id=11884
View book
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled Redesigning Continuing Education
in the Health Professions (strategies,
learning, improvement): Focuses on the
importance of continuing education (CE) to
improve high quality healthcare and patient
safety. It is important for health
professionals to maintain up-to-date
knowledge and skills to safely care for their
patients. It also suggest the principles needed
to create a national continuing education
institute in order to promote continuous
professional development.
http://www.nap.edu/catalog.php?r
ecord_id=12704
View book
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled Best Care at Lower Cost: The Path http://www.nap.edu/catalog.php?r View book
to Continuously Learning Health Care in
ecord_id=13444
for free
America (learning, improvement, tools):
membership
Focuses on the knowledge and tools that exist
is required
to continuously improve the health care
to download
system by achieve a better quality of care at a
free PDF
lower cost.
with an
option to
purchase
the
hardcopy.
27
The National
Academies
Press
Book titled How Far Have We Come in
http://www.nap.edu/catalog.php?r View book
Reducing Health Disparities? (outcomes,
ecord_id=13383
for free
improvement, tools): Focuses on progression
membership
to addressing health disparities by looking at
is required
various federal initiatives success in reducing
to download
health disparities
free PDF
with an
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled Delivering High-Quality Cancer
http://www.nap.edu/catalog.php?r View book
Care: Charting a New Course for a System in
ecord_id=18359
for free
Crisis (strategies, outcomes, quality, patients,
membership
families, tools): Discusses a conceptual
is required
framework for improving the quality of cancer
to download
care by developing a higher care delivery
free PDF
system. This will aid in the quality of life and
with an
outcomes for cancer patients can be
option to
improved.
purchase
the
hardcopy.
The National
Academies
Press
Book titled How Can Health Care
Organizations Become More Health Literate?:
Workshop Summary (strategies, learning,
improvement, quality): Focuses on
developing strategies that can improve
healthcare organizations health literacy. It
identifies attributes that will help to improve
negative consequences of limited health
literacy in order to improve access to safety
health care services. It gives a vision of how
organizations should progress in order to
support the limited health literacy population
to improve overall care.
http://www.nap.edu/catalog.php?r View book
ecord_id=13402
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
28
The National
Academies
Press
Book titled Preventing Medication Errors:
Quality Chasm Series (outcomes, strategies,
quality, improvement): Focuses on
improving the nation’s quality of healthcare
by providing an agenda for both long term
and short term safe medication use. It also
presents data that will help in reducing
medication errors. The patient along with
health care providers and health care
organizations will benefit from this reducing
medication errors guide.
http://www.nap.edu/catalog.php?r View book
ecord_id=11623
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
The National
Academies
Press
Book titled Future Directions for the National
Healthcare Quality and Disparities Reports
(outcomes, assessing, quality, improvement,
measures): Discusses how successful the U.S.
system has been in delivering high-quality
care. The Agency for Healthcare Research
and Quality (AHRQ) annual National
Healthcare Quality Reports (NHQR) and
National Healthcare Disparities Report
(NHDR) revealed that health care quality has
improved but there is still room for more
improvement. The NHQR and the NHDR are
considered sources of data on past trends of
improvement. The national healthcare
reports provides detailed information on
current performance, closes gaps in quality,
and gives timelines on bridging gaps while
considering improvements current pace.
http://www.nap.edu/catalog.php?r View book
ecord_id=12846
for free
membership
is required
to download
free PDF
with an
option to
purchase
the
hardcopy.
29
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
Safety Education for Nurses Competencies to
the Observer Role” (quality, improvement,
outcomes, strategies): describes the
transformation of a previously used highfidelity simulation observer record by
undergraduate baccalaureate nursing faculty,
into one that is focused in the prelicensure
Quality and Safety Education for Nurses
(QSEN) competencies
http://www.nursingsimulation.org/ Free
article/S1876-1399(12)003015/fulltext
Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in
providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs



Knowledge: active, communication, community, cultural, empower, ethical, healthcare, patient-centered
care
Skills: assess, effectiveness, engage, families, health care team, implementation, needs, pain, partnerships,
patients, preferences, respect, safety, sensitivity, suffering, values
Attitudes: organizational
Toolkits
Springer
Publishing
Company
Descriptions
Links
The book “Introduction to Quality and Safety http://www.springerpub.com/prod
Education for Nurses” (patient-centered care, uct/9780826121837#.U0sPhV5Yw8
safety, health care team): is the first
M
undergraduate textbook that introduces the
Quality and Safety Education for Nurses
(QSEN) providing a comprehensive
description of essential knowledge, skill, and
attitudes reflecting on the six areas of nursing
competencies. The six QSEN competencies
include: quality improvement, patient safety,
teamwork and collaboration, evidence-based
practice, informatics, and patient-centered
care. Teaching strategies and tools included
Costs
Purchase
price of
$75.00
30
are PowerPoint slides, critical thinking
exercises, case studies, and rationales for
review questions.
Institute for
Healthcare
Improvement
(IHI)
The animated video “The Power of Empathy” https://www.youtube.com/watch?f Free
(pain, suffering, sensitivity): this video from
eature=player_embedded&v=1Evw
RSA Shorts is presented on youtube.com used gu369Jw
to remind us that genuine empathetic
connections can only be created if we are
brave enough to channel into our own
fragilities.
Institute for
Healthcare
Improvement
(IHI)
Patient- and Family-Centered Care
Organizational Self-Assessment Tool (assess,
patients, families, patient-centered care,
organizational): This self-assessment tool
allows organizations to assess how it’s
performing in patient- and family –centered
care.
http://www.ihi.org/resources/Page Free
s/Tools/PatientFamilyCenteredCare subscription
OrganizationalSelfAssessmentTool. if registered
aspx
Institute for
Healthcare
Improvement
(IHI)
The article “Partnering with Patients and
Families to Design a Patient- and FamilyCentered Health Care System: A Roadmap for
the Future” (partnership, patients, families,
patient-centered care, health care team):
provides background information on the
development of an action plan to ensure
patient-centered care is in place in health
systems.
http://www.ihi.org/resources/Page
s/Publications/PartneringwithPatie
ntsandFamilies.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The article “Partnering with Patients and
Families to Design a Patient- and FamilyCentered Health Care System:
Recommendations and Promising Practices”
(partnership, patients, families, patientcentered care, health care team): provides
examples highlighting partnering with
patients and families with best practices from
health care entities including hospitals,
ambulatory programs, medical and nursing
schools, and organizations that are patientand family led.
http://www.ihi.org/resources/Page
s/Publications/PartneringwithPatie
ntsandFamiliesRecommendationsP
romisingPractices.aspx
Free
subscription
if registered
31
Institute for
Healthcare
Improvement
(IHI)
The article “Achieving an Exceptional Patient
and Family Experience of Inpatient Hospital
Care” (patients, families, effectiveness,
safety, respect, partnership): provides a list
of primary and secondary drivers of
exceptional patient and family inpatient
hospital experiences, exemplars from various
hospitals, tips on how to use this framework,
and extensive references to use for further
guidance.
http://www.ihi.org/resources/Page
s/IHIWhitePapers/AchievingExcepti
onalPatientFamilyExperienceInpati
entHospitalCareWhitePaper.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Always Events Getting Started
Kit” (patients, families, implementation,
partnership): helps health care providers at
the front line of care determine an Always
Event and select a set practices to implement
an Always Event initiative including:
leadership, staff engagement, patient and
family partnership, and measurement.
http://www.ihi.org/resources/Page
s/Tools/AlwaysEventsGettingStarte
dKit.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The video “The Art and Science of Personand Family-Centered Care” (patient-centered
care): presents questions for the IHI Vice
President Pat Rutherford to address related
to the art of science person- and familycentered care.
http://www.ihi.org/resources/Page
s/AudioandVideo/ArtandScienceof
PFCC.aspx
Free
Institute for
Healthcare
Improvement
(IHI)
The audio “WIHI: Recognizing Person- and
http://www.ihi.org/resources/Page
Family-Centered Care: Always Events at IHI”
s/AudioandVideo/WIHIAlwaysEven
(patient-centered care): provides a discussion tsatIHI.aspx
featuring principles welcoming family and
friends into the decision process and more,
holding health care accountable for its
actions.
Free
subscription
if registered
for
document
and
installation
of Microsoft
Silverlight
required for
audio
Institute for
Healthcare
Improvement
The audio “WIHI: The Patient Activist”
(safety, active, patients, families): presents a
discussion on health care organizations
Free
subscription
if registered
http://www.ihi.org/resources/Page
s/AudioandVideo/WIHIThePatientA
ctivist.aspx
32
(IHI)
gaining a voice from activated patients and
family members, utilizing their expertise to
help solve some of health care’s problems
related to quality and safety.
and
installation
of Microsoft
Silverlight
required for
audio
Institute for
Healthcare
Improvement
(IHI)
The book “Always Events Blueprint for Action
and Always Events Healthcare Solutions
Book” (patient-centered care,
implementation, healthcare): describes tools
used to guide organizations in creating a
more family- and patient-centered culture by
developing and implementing the Always
Events initiative.
http://www.ihi.org/resources/Page
s/Tools/AlwaysEventsBlueprintand
SolutionsBook.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The toolkit “ISHAPED Patient-Centered
Approach to Nurse Shift Change Bedside
Report” (safety, communication, patients,
families, assess): focuses on including
patients in the ISHAPED (I=Introduce, S=Story,
H=History, A=Assessment, P=Plan, E=Error)
during nurse shift change at the bedside to
enable patients to communicate any
concerns related to safety. This toolkit
includes a handoff report form, patient
surveys, patient/parent interview guide and
FAQS documents.
http://www.ihi.org/resources/Page
s/Tools/ISHAPEDPatientCenteredN
urseShiftChangeBedsideReport.asp
x
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Always Use Teach Back!”
(patients, families, effectiveness): is utilized
to confirm patient understanding after given
instruction of care by having the patients to
teach back the instruction using their own
words.
http://www.ihi.org/resources/Page
s/Tools/AlwaysUseTeachBack!.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Same Page” Transitional Care
Resources for Patients and Care Partners
(patients, health care team): includes
resources and tools developed to support
patients, their care partners, and the health
care team to all be “on the same page” in
http://www.ihi.org/resources/Page
s/Tools/SamePageTransitionalCare
ResourcesforPatientsandCarePartn
ers.aspx
Free
subscription
if registered
33
understanding the patient’s care needs
during transitioning of settings in the hospital
or skilled nursing facility.
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Transplant Guardian Angel
http://www.ihi.org/resources/Page Free
Always Event” (patients, families,
s/Tools/TransplantGuardianAngelAl subscription
effectiveness, communication): provides
waysEvent.aspx
if registered
patients and their families with accurate, realtime updates and clinical information to
support them through the transplant surgical
process to reduce anxiety and increase the
effectiveness of communication between the
health care team.
Institute for
Healthcare
Improvement
(IHI)
The article “Using Evidence-Based
Environmental Design to Enhance Safety and
Quality” (safety, patients, families): focuses
on showing health care leaders how
evidence-based environmental design
interventions improve the care and
perception of that care by patient, their
families, and health care team.
http://www.ihi.org/resources/Page
s/IHIWhitePapers/UsingEvidenceBa
sedEnvironmentalDesignWhitePap
er.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The “Patient-Centered Care Improvement
Guide” (patient-centered care,
implementation, organizational, assess):
facilitates best practices and practical
implementation tools to help identify and
prioritize opportunities for health care
organizations to become more patientcentered.
http://planetree.org/wpcontent/uploads/2012/01/PatientCentered-Care-ImprovementGuide-10-28-09-Final.pdf
Free
Institute for
Healthcare
Improvement
(IHI)
The audio “Patient-Centered Care: Rebecca
Bryson’s Story”(patient-centered care): is
presented by Rebecca Bryson who
throughout her experience with a chronic
illness, found that system problems were
the culprit of challenges faced by patients.
http://www.ihi.org/resources/Page
s/AudioandVideo/PatientCentered
CareRebeccaBryson.aspx
Free
subscription
if registered.
Institute for
Healthcare
The improvement story “Delivering Great
Care: Engaging Patients and Families as
http://www.ihi.org/resources/Page
s/ImprovementStories/DeliveringG
Installation
of Microsoft
Silverlight is
required.
Free
34
Improvement
(IHI)
Partners” (patient-centered care, families,
reatCareEngagingPatientsandFamili
respect, preferences, needs, values):
esasPartners.aspx
addresses the need for patient-centered care
which is defined by the IOM (Institute of
Medicine) as “Providing care that is respectful
of and responsive to individual patient
preferences, needs, and values and ensuring
that patient values guide all clinical decisions”
in the health system.
Institute for
Healthcare
Improvement
(IHI)
The report “Promising Practices for PatientCentered Communication with Vulnerable
Populations: Examples from Eight Hospitals”
(patient-centered care, effectiveness,
communication, assess, organizational,
cultural, preferences, needs, values,
community, ethical): focuses on a study that
from across the country, identified eight
hospitals that demonstrated their
commitment to provide to the vulnerable
patient populations patient-centered
communication.
http://www.commonwealthfund.or Free
g/Publications/FundReports/2006/Aug/PromisingPractices-for-Patient-CenteredCommunication-with-VulnerablePopulations--Examples-fromEi.aspx
Institute for
Healthcare
Improvement
(IHI)
The article “The pursuit of genuine
partnerships with patients and family
members: The challenge and opportunity for
executive leaders” (patient-centered care):
utilizes the Kouzes and Posner’s leadership
framework to demonstrate how executive
leaders may accomplish embracing change
and examples of practice from the Institute
for Healthcare Improvement.
http://www.ihi.org/resources/Page
s/Publications/PursuitGenuinePart
nershipswithPatientsFamily.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The monograph “Advancing Effective
Communication, Cultural Competence, and
Patient- and Family-Centered Care”(patientcentered care, organizational,
communication, cultural): focuses on
providing hospitals with the know-how to
integrate communication, cultural
competence, and patient-centered care
http://www.ihi.org/resources/Page
s/Publications/AdvancingEffectiveC
ommunicationCulturalCompetence
PFCC.aspx
Free
35
concepts into their organizations.
Institute for
Healthcare
Improvement
(IHI)
The article “Impact of patient-centered
decision support on quality of asthma care in
the emergency department” (patientcentered care, communication): studies
barriers to communication between parents
of children suffering from asthma and the
clinical emergency department (ED) health
care providers, impeding improvements in
disease management.
http://pediatrics.aappublications.or Free
g/content/117/1/e33.long
Institute for
Healthcare
Improvement
(IHI)
The book “Patient Advocacy for Health Care
Quality: Strategies for Achieving PatientCentered Care” (patient-centered care,
effectiveness, strategies): focuses on
identifying and synthesizing patient advocacy
from a multi-level approach.
http://www.amazon.com/exec/obi
dos/ASIN/0763749613/qualityhealt
h-20
Purchase
price of
$97.08 +tax
at
Amazon.co
m
Institute for
Healthcare
Improvement
(IHI)
The article “Advancing the Practice of Patient- http://www.ihi.org/resources/Page
and Family Centered Care: How to Get
s/Publications/AdvancingthePractic
Started” (patient-centered care, safety,
ePFCCHowtoGetStarted.aspx
assess): provides answers to commonly asked
questions by many hospitals, assessment
tools, and outlines steps to assist them in
bringing the perspectives of patients and
their families into the process of planning,
delivery, and evaluation of health care.
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The book “Putting Patients First: Best
Practices in Patient-Centered Care (2nd
edition)” (patient-centered care, safety):
highlights the Planetree organization and
Planetree facilities learning of patientcentered care to create a healing
environment and integrating with quality and
safety.
http://www.amazon.com/exec/obi
dos/ASIN/047037702X/qualityhealt
h-20
Purchase
price of
$41.16 +tax
at
Amazon.co
m
Institute for
Healthcare
Improvement
The toolkit “Strategies for Leadership:
Patient-and Family-Centered Care Toolkit”
(patient-centered care, strategies, assess):
contains a teaching video, resource and video
http://www.aha.org/advocacyissues/quality/strategiespatientcentered.shtml
Free
36
(IHI)
discussion guide, and hospital selfassessment tool to help hospital become
more patient- and family-focused in their
clinical practices.
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Get to Know Me Patient
Information Form” (patient-centered care): is
used by critical care unit staff to provide
more patient-centered care by gathering
specific personal information from patients
focused to their likes and dislikes.
http://www.ihi.org/resources/Page
s/Tools/GetToKnowMePatientInfoF
orm.aspx
Free
subscription
if registered
Institute for
Healthcare
Improvement
(IHI)
The toolkit “Patient and Family Contact
Information and Orientation Checklist”
(patients, families): is a form to be used in
conjunction with the “Get to Know Me
Patient Information Form” tool to provide a
checklist for family orientation to the clinical
setting and obtain key contact information
family and friends of patients on a critical
care unit.
http://www.ihi.org/resources/Page
s/Tools/PatientFamilyContactInfoa
ndOrientationChecklist.aspx
Free
subscription
if registered
National
Patient Safety
Foundation
(NPSF)
The report “Safety is Personal: Partnering
with Patients and Families for the Safest
Care” (partnerships, safety, engage): discuss
necessary steps for health leaders, clinicians,
and policy makers to take to ensure patient
and family engagement in health care. This
report includes specific action items used in
the pursuit to making patient and family
engagement a core value in health care.
http://www.npsf.org/wpcontent/uploads/2014/03/Safety_I
s_Personal.pdf
Free
Agency for
Healthcare
Research and
Quality
(AHRQ)
The report “Expanding Patient-Centered Care
To Empower Patients and Assist Providers”
(patient-centered care, preferences,
empower, assess, strategies): describes tools
developed by AHRQ designed to improve the
quality of care from the perspectives of
patients, providers, and health plans.
http://www.ahrq.gov/research/finding
s/factsheets/patient-centered/riaissue5/index.html#Questionnaires
Free
Agency for
Healthcare
Research and
The report “Patient-Centered Care: What
Does It Take?” (patient-centered care,
effectiveness, implementation,
http://www.commonwealthfund.org/
Publications/FundReports/2007/Oct/Patient-Centered-
Free
37
Quality
(AHRQ)
organizational, strategies, needs,
preferences): describes the experience and
expertise of opinion leaders in the
implementation or designing of strategies for
achieving excellent patient-centered care.
Care--What-Does-It-Take.aspx
Agency for
Healthcare
Research and
Quality
(AHRQ)
The brief “The Patient-Centered Medical
Home: Strategies to Put Patients at the
Center of Primary Care” (patient-centered
care, strategies, patients, families, needs,
preferences, and priorities): describes how a
model of care can be encouraged by
decisionmakers that reflects patients and
families needs, preferences, and goals.
http://pcmh.ahrq.gov/page/patientcentered-medical-home-strategiesput-patients-center-primary-care
Free
Agency for
Healthcare
Research and
Quality
(AHRQ)
The brief “Ensuring that Patient Centered
Medical Homes Effectively Serve Patients
with Complex Needs” (patient-centered care,
effectiveness, needs): describes how better
delivery of services to all patients, including
those with complex needs can be helped in
practices with the implementation of
programmatic and policy changes.
http://pcmh.ahrq.gov/page/ensuringpatient-centered-medical-homeseffectively-serve-patients-complexhealth-needs
Free
Agency for
Healthcare
Research and
Quality
(AHRQ)
The article “Engaging Patients and Families in
the Medical Home” (patients, families,
engage): offers a framework for
conceptualizing opportunities for
policymakers and researchers to utilize for
the engagement of patients and families in
the medical home.
http://pcmh.ahrq.gov/page/engagingpatients-and-families-medical-home
Free
Agency for
Healthcare
Research and
Quality
(AHRQ)
http://www.ahrq.gov/professionals/sy Free
The guide “Guide to Patient and Family
stems/hospital/engagingfamilies/guide
Engagement in Hospital Quality and Safety”
(patient, families, engage, safety, strategies): .html
is a evidence-based resource which includes
four tested strategies to help form a
partnership between the hospital, patients,
and families to improve quality and safety.
Hospitals in
Pursuit of
Excellence
The article “A Leadership Resource for Patient http://www.hpoe.org/resources/hpoe
and Family Engagement Strategies” (patients, hretaha-guides/1407
families, engage, strategies, organizational):
Free
38
(HPOE)
to improve patient and family engagement,
this article gives hospital and health system
leaders concrete and practical steps that is
grounded on evidence-based research.
Hospitals in
Pursuit of
Excellence
(HPOE)
The case study “Patient- and Family-Centered
Rounds at Cincinnati Children’s Hospital”
(patients, families, preferences, patientcentered care): focus was to provide a
solution to the problem in relation to families
not being included in rounding and the
decision making process to support the
providers in the care of the patient.
http://www.hpoe.org/resources/casestudies/1267
Free
Hospitals in
Pursuit of
Excellence
(HPOE)
The case study “Patient- and Family-Centered
Rounds at Helen DeVos Children’s Hospital”
(patients, families, engage, patient-centered
care): focus was to provide a solution to the
problem in relation to the need for the family
and patient to be involved in the decisionmaking process and participation in clinical
readiness for discharge.
http://www.hpoe.org/resources/casestudies/1268
Free
The National
Academies
Press (NAP)
http://www.nap.edu/catalog.php?reco Purchase
The workshop summary “Patient-Centered
rd_id=13155
Cancer Treatment Planning: Improving the
price of
Quality of Oncology Care: Workshop
$24.00
Summary (2011)” (patient-centered care,
communication): includes an overview of
best practices, models of treatment planning,
and tools to utilize for their facilitation in
providing patient-centered care, cancer
treatment planning, shared decision making,
and communication in the health care setting.
The National
Academies
Press (NAP)
The workshop summary “Patients Charting
the Course: Citizen Engagement in the
Learning Health System: Workshop Summary
(2011)” (engage, needs, preferences,
patients): focuses on advancing patient
involvement by assessing the prospects for
the improvement of health and cost
reduction in a learning health system.
http://www.nap.edu/catalog.php?reco Purchase
rd_id=12848
price of
$68.00
39
The National
Academies
Press (NAP)
The workshop summary “Partnering with
Patients to Drive Shared Decisions, Better
Value, and Care Improvement” (patients,
value, engage, communication, values): this
workshop purpose was to build awareness
and create a health care system that will
provide better care by increasing patient
engagement in shared decision making and
communication with providers related to
testing and treatment.
http://www.nap.edu/catalog.php?reco Purchase
rd_id=18397
price of
Sigma Theta
Tau
International:
Honor Society
for Nursing
(STTI)
The book “Transforming Interprofessional
Partnerships: A New Framework for Nursing
and Partnership-Based Healthcare”
(partnerships, effectiveness, patientcentered care, empower, patients,
healthcare, communication): serves as a
template to empower patients to become
active in the decision-making process of their
health care and an illustration of the full
partnership model in practice, education, and
research to improve interprofessional
communication and collaboration.
http://www.nursingknowledge.org/tra
nsforming-interprofessionalpartnerships-a-new-framework-fornursing-and-partnership-based-healthcare.html
Purchase
price of
$54.95
Quality and
Safety
Education for
Nurses (QSEN)
The five part video “The Lewis Blackman
Story” (patients, families, healthcare): is an
interview and lecture presented by the
mother of Lewis Blackmon, to discuss her
view of his untimely death following routine
surgery in the hospital.
http://qsen.org/videos/the-lewisblackman-story/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The video “The Josie King Story clip for QSEN”
(partnership, patients, communication,
safety): shares the story of Josie King who
died in the hospital due to medical errors, to
bring awareness to the decline in patient
safety. The Josie King Foundation was created
to share the story and promote patient safety
practices in the health care system. Video
opens on youtube.com web-link.
https://www.youtube.com/watch?v=J
eVcXhvPvbU&feature=youtu.be
Free
$58.00
40
Quality and
Safety
Education for
Nurses (QSEN)
The video “Introducing the Partnership for
Patients with Sorrel King” (partnership,
patients, communication, safety): shares the
story of Josie King who died in the hospital
due to medical errors. The Josie King
Foundation pushed for the partnership of
families, patients, healthcare team, along
with the U.S. health care systems to provide
improved patient safety and patient-centered
care. Video opens on youtube.com web-link.
https://www.youtube.com/watch?v=a
k_5X66V5Ms&feature=youtu.be
Free
Quality and
Safety
Education for
Nurses (QSEN)
The toolkit “Teaching Pre-Licensure Nursing
Students to Communicate In SBAR In the
Clinical Setting” (safety, communication,
strategies, healthcare team): includes a two
part online video vignette and SBAR rubric
pdf. The vignettes are designed for both
faculty and students to teach them how to
communicate using SBAR to improve quality
and safety in the care of nursing.
http://qsen.org/teaching-prelicensure-nursing-students-tocommunicate-in-sbar-in-the-clinicalsetting/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The paper assignment “Nurse Leader
Interview Assignment” (patient-centered
care, communication, safety, values): is
learning strategy to be completed by the
nursing student by interviewing nurse leaders
with questions that will help the student
describe the processes within the clinical
setting related to the utilization of all six of
the QSEN competencies.
http://qsen.org/nurse-leaderinterview-assignment/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “End-Of-Life
Simulation” (strategies, communication,
safety, patient-centered care, assess): is
designed to teach by simulation how to
perform a physical assessment to manage
end-of life symptoms; practice therapeutic
support; assess spiritual needs; provide
cultural sensitivity; demonstrate an approach
to care that is patient and family centered;
advocate and advocate the patient’s
advanced directive; develop an individualized
http://qsen.org/end-of-lifesimulation/
Free
41
plan of care by utilizing the nursing process;
evaluate personal beliefs and values
influencing the ability to provide end-of-life
care; perform nurse-to-nurse death
verification; utilize a standardized expiration
checklist for death documentation;
demonstrate safe handling precautions
during post mortem care; and as death
approaches, practice interdisciplinary
collaboration.
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation” (safety, http://qsen.org/simulation/
communication, patients, assess, values,
needs, preferences, partnerships): is
designed to educate the nursing student on
describing the nurse’s role; successfully
triaging victims of mass casualty events;
successfully performing rapid trauma
assessments, recognizing the patient as full
partner In his/her care; functioning effectively
in teamwork and collaboration; integrating
the best current evidence into practice;
utilizing data and improvement methods to
monitor outcomes to improve quality and
safety within the health care systems; and the
utilization of information and technology in
the clinical setting.
Free
Quality and
Safety
Education for
Nurses (QSEN)
The case study “Exploring the Complexity of
Advocacy: Balancing Patient-Centered Care
and Safety” (patient-centered care, safety,
preferences, values, families, patients): is
designed to promote focused a discussion,
intended to create the opportunity for
students to commit to both patient-centered
care and safety by exploring the complexities
of advocacy.
http://qsen.org/exploring-thecomplexity-of-advocacy-balancingpatient-centered-care-and-safety/
Free
Quality and
Safety
Education for
The case study “Providing Patient Centered
Care Through Teamwork and Collaboration”
(patient-centered-care, preferences, values,
families, patients, respect, cultural,
http://qsen.org/providing-patientcentered-care-through-teamworkand-collaboration/
Free
42
Nurses (QSEN) community): is designed to teach how to
integrate and understand the multiple
dimensions of patient-centered care; describe
cultural aspects related to patient-centered
care; recognize personal attitudes towards
working with patients from different ethnic
cultures; provide patient-centered care with
sensitivity, respect, integrity, and consistency.
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Promoting Safety in http://qsen.org/promoting-safetyan Unfolding Simulated Public Health
in-an-unfolding-simulated-publicDisaster” (safety, assess): designed to
health-disaster/
educate nursing students on recognizing signs
and symptoms, identifying essential
assessment parameters, participating
effectively with interdisciplinary teams, the
application of appropriate infectious control
standards, and the demonstration of correct
nursing actions during infectious disease
outbreaks.
Free
Quality and
Safety
Education for
Nurses (QSEN)
The clinical assessment tool “Clinical
Assessment Tool: Teaching Strategy for Safety
and Patient Centered Care” (patient-centered
care, safety, strategies, communication): is
developed as a strategy to provide students
with a simple checklist to help focus their
attention on safety issues in the clinical
setting; and sample interview questions to
provide opportunities to express concerns
related to patient-centered care.
http://qsen.org/clinicalassessment-tool-teaching-strategyfor-safety-and-patient-centeredcare/
Free
Institute for
Patient- And
FamilyCentered Care
(IPFCC)
The guide “Advancing the Practice of Patientand Family-Centered Geriatric Care” (patientcentered care, assess): contains selfassessment, design planning, and medical
education for geriatric care in hospitals and
long-term care settings.
http://www.ipfcc.org/resources/ot
her/index.html
Purchase
price of
$44.00
Institute for
Patient- And
Family-
The guide “Collaborative Design Planning”
(patients, families, organizational): focuses
on creating a more supportive environment
http://www.ipfcc.org/resources/ot
her/index.html
Purchase
price of
$30.00
43
Centered Care
(IPFCC)
in health care facilities, by guiding
organizations through the process of
collaborative design planning.
Institute for
Patient- And
FamilyCentered Care
(IPFCC)
The guide “Partnering with Patients,
Residents, and Families: A Resource for
Leaders of Hospitals, Ambulatory Care
Settings, and Long-Term Care Communities”
(patients, families, partnership,
organizational): is designed to create and
sustain partnerships with patients, residents,
and families by providing senior leaders a
framework to assist with this organizational
change.
http://www.ipfcc.org/resources/ot
her/index.html
Purchase
price of
$65.00
Institute for
Patient- And
FamilyCentered Care
(IPFCC)
The video “Partnerships with Families in
http://www.ipfcc.org/resources/ot
Newborn Intensive Care…Enhancing Quality
her/index.html
and Safety” (safety, partnership, familycentered care): highlights how the integration
of family-centered concepts and family
participation in rounds can improve quality
and safety in health care settings.
Purchase
price of
$85.00
Institute for
Patient- and
FamilyCentered Care
(IPFCC)
The video “Partnerships with Patients,
Residents, and Families: Leading the Journey”
(partnership, patients, families,
organizational): focuses on capturing the
accomplishments, experiences, and ongoing
activities of key leaders in organizations
regarding the collaboration of patients,
residents, families, and staff in health care
facilities.
http://www.ipfcc.org/resources/ot
her/index.html
Purchase
price of
$95.00
Institute for
PatientFamilyCentered Care
(IPFCC)
The video “Patient- and Family-Centered
http://www.ipfcc.org/resources/ot
Care: Partnerships for Quality and Safety”
her/index.html
(partnership, patient-centered care,
patients, families): features compelling
stories from patients, families, caregivers, and
hospital leaders regarding patient- and
family-centered care. Core concepts of
patient- and family-centered care are also
described in this video.
Purchase
price of
$45.00
44
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
Safety Education for Nurses Competencies to
the Observer Role” (patient-centered care,
preferences, communication, assess,
cultural, sensitivity): describes the
transformation of a previously used highfidelity simulation observer record by
undergraduate baccalaureate nursing faculty,
into one that is focused in the prelicensure
Quality and Safety Education for Nurses
(QSEN) competencies
http://www.nursingsimulation.org/
article/S1876-1399(12)003015/fulltext
Free
Teamwork & Collaboration: Function effectively within nursing and inter-professional teams,
fostering open communication, mutual respect, and shared decision making to achieve quality patient care


Knowledge Keywords: barriers, communication, effective team functioning, family, health care team,
patient, safety and quality of care, strategies
Skills Keywords: achieve health goals, consistency, designing systems, effective teamwork, integrity, team
member functioning
Toolkits
Descriptions
Links
Costs
Springer
Publishing
Company
The book “Introduction to Quality and Safety
Education for Nurses” (safety, health care
team): is the first undergraduate textbook
that introduces the Quality and Safety
Education for Nurses (QSEN) providing a
comprehensive description of essential
knowledge, skill, and attitudes reflecting on
the six areas of nursing competencies. The six
QSEN competencies include: quality
improvement, patient safety, teamwork and
collaboration, evidence-based practice,
informatics, and patient-centered care.
Teaching strategies and tools included are
PowerPoint slides, critical thinking exercises,
case studies, and rationales for review
questions.
http://www.springerpub.com/prod
uct/9780826121837#.U0sPhV5Yw8
M
AHRQ
(Advancing
A pocket guide that provides
(communication; achieve health goals;
http://www.ahrq.gov/professionals Free
/education/curriculum-
Purchase
price of
$75.00
45
Excellence in
Health Care)
barriers) principles and concepts of
TeamSTEPPS. Implementing those concepts
and principles will help to improve patient
safety.
tools/teamstepps/instructor/essent
ials/pocketguide.html
AHRQ
(Advancing
Excellence in
Health Care)
Modules explaining (effective teamwork)
team structure, communication, leading
teams, situation monitoring, mutual support,
change management, measurement, and
implementation
http://www.ahrq.gov/professionals Free
/education/curriculumtools/teamstepps/instructor/funda
mentals/index.html
AHRQ
(Advancing
Excellence in
Health Care)
Additional resources (effective team
functioning)for supplementation of the
pocket guide and modules
http://www.ahrq.gov/professionals Free
/education/curriculumtools/teamstepps/instructor/index.
html
HPOE
(Hospitals in
Pursuit of
Excellence)
A pilot study that utilizes behavioral health
services (designing systems; team member
functioning; achieve health goals) in order to
improve patient outcomes
http://www.hpoe.org/resources/ca
se-studies/1593
Free
Quality and
Safety
Education for
Nurses (QSEN)
The five part video “The Lewis Blackman
Story” (patient, family, health care team): is
an interview and lecture presented by the
mother of Lewis Blackmon, to discuss her
view of his untimely death following routine
surgery in the hospital.
http://qsen.org/videos/the-lewisblackman-story/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The toolkit “Teaching Pre-Licensure Nursing
Students to Communicate In SBAR In the
Clinical Setting” (safety and quality of care,
communication, strategies, health care
team): includes a two part online video
vignette and SBAR rubric pdf. The vignettes
are designed for both faculty and students to
teach them how to communicate using SBAR
to improve quality and safety in the care of
http://qsen.org/teaching-prelicensure-nursing-students-tocommunicate-in-sbar-in-theclinical-setting/
Free
46
nursing.
Quality and
Safety
Education for
Nurses (QSEN)
The paper assignment “Nurse Leader
Interview Assignment” (communication): is
learning strategy to be completed by the
nursing student by interviewing nurse leaders
with questions that will help the student
describe the processes within the clinical
setting related to the utilization of all six of
the QSEN competencies.
http://qsen.org/nurse-leaderinterview-assignment/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “End-Of-Life
Simulation” (strategies, communication,
safety): is designed to teach by simulation
how to perform a physical assessment to
manage end-of life symptoms; practice
therapeutic support; assess spiritual needs;
provide cultural sensitivity; demonstrate an
approach to care that is patient and family
centered; advocate and advocate the
patient’s advanced directive; develop an
individualized plan of care by utilizing the
nursing process; evaluate personal beliefs
and values influencing the ability to provide
end-of-life care; perform nurse-to-nurse
death verification; utilize a standardized
expiration checklist for death documentation;
demonstrate safe handling precautions
during post mortem care; and as death
approaches, practice interdisciplinary
collaboration.
http://qsen.org/end-of-lifesimulation/
Free
47
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation”
http://qsen.org/simulation/
(communication, patient, safety and quality
of care): is designed to educate the nursing
student on describing the nurse’s role;
successfully triaging victims of mass casualty
events; successfully performing rapid trauma
assessments, recognizing the patient as full
partner In his/her care; functioning effectively
in teamwork and collaboration; integrating
the best current evidence into practice;
utilizing data and improvement methods to
monitor outcomes to improve quality and
safety within the health care systems; and the
utilization of information and technology in
the clinical setting.
Free
Quality and
Safety
Education for
Nurses (QSEN)
The case study “Providing Patient Centered
http://qsen.org/providing-patientCare Through Teamwork and Collaboration”
centered-care-through-teamwork(patient, family, integrity, consistency): is
and-collaboration/
designed to teach how to integrate and
understand the multiple dimensions of
patient-centered care; describe cultural
aspects related to patient-centered care;
recognize personal attitudes towards working
with patients from different ethnic cultures;
provide patient-centered care with
sensitivity, respect, integrity, and consistency.
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Promoting Safety in
an Unfolding Simulated Public Health
Disaster” (safety, health care team):
designed to educate nursing students on
recognizing signs and symptoms, identifying
essential assessment parameters,
participating effectively with interdisciplinary
teams, the application of appropriate
infectious control standards, and the
demonstration of correct nursing actions
during infectious disease outbreaks.
Free
http://qsen.org/promoting-safetyin-an-unfolding-simulated-publichealth-disaster/
48
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
Safety Education for Nurses Competencies to
the Observer Role” (communication):
describes the transformation of a previously
used high-fidelity simulation observer record
by undergraduate baccalaureate nursing
faculty, into one that is focused in the
prelicensure Quality and Safety Education for
Nurses (QSEN) competencies
http://www.nursingsimulation.org/
article/S1876-1399(12)003015/fulltext
Free
e-Patient
Dave: A voice
of patient
engagement
The video “One Patients Success Story: Our
http://www.epatientdave.com/forMultidisciplinary Approach” (communication, providers/
health care team, patient): is a five minute
infomercial where Dave deBronkart shares his
story of persistence and finding a successful
treatment for his kidney cancer which saved
his life.
Free
e-Patient
Dave: A voice
of patient
engagement
The four-part video “Gimme my Damn Data,
so I can help!” (communication, health care,
patient): is expanded over 40 minutes,
sharing the story of Dave deBronkart and a
broad review of what “e-patient” is all about.
There are other videos on this web-link that
may be viewed as well.
Free
http://www.epatientdave.com/vid
eos/
Informatics: Use information and technology to communicate, manage knowledge, mitigate error, and
support decision-making.


Knowledge Keywords: communicate, computers, data, databases, effort, information management tools,
patient care, patient safety, quality, safety, skills, technologies, technology, time, tools
Skills Keywords: alerts, clinical, decision-making, document, education, electronic health record, electronic
resources, healthcare, information, information, patient care, tools
Toolkits
Springer
Publishing
Company
Description
Links
The book “Introduction to Quality and Safety
Education for Nurses” (patient safety,
information, technology): is the first
undergraduate textbook that introduces the
Quality and Safety Education for Nurses
(QSEN) providing a comprehensive
description of essential knowledge, skill, and
http://www.springerpub.com/prod
uct/9780826121837#.U0sPhV5Yw8
M
Costs
Purchase
price of
$75.00
49
attitudes reflecting on the six areas of nursing
competencies. The six QSEN competencies
include: quality improvement, patient safety,
teamwork and collaboration, evidence-based
practice, informatics, and patient-centered
care. Teaching strategies and tools included
are PowerPoint slides, critical thinking
exercises, case studies, and rationales for
review questions.
Institute for
Healthcare
Improvement
(IHI)
Reduction in medication errors in hospitals
due to adoption of computerized provider
order entry systems (safety, quality,
healthcare, computer, electronic, tools,
decision making, alert) This article provides
information on medication errors in the
hospital and how computerized systems have
reduce this in hospital.
http://jamia.bmj.com/content/earl
y/2013/01/27/amiajnl-2012001241.full.pdf+html
Free
National
League for
nursing ( NLN)
Informatics Education Toolkit (information,
technology) This toolkit provides the
definition of informatics and learning/
teaching strategies to prepare faculty and
students on computer and information
literacy.
http://www.nln.org/facultyprogra
ms/facultyresources/index.htm
Free
American
Medical
Informatics
Association
(AMIA)
( information, technology) This site provides
a wide variety of webinars provides
information on informatics topics.
http://www.amia.org/education/w
ebinars
Free for
member
and a $50
fee for nonmembers
QSEN (Quality
and Safety
Education for
Nurses)
STUDENTS LEARN TO PRESENT DATA (patient
safety, communicate, technology,
information management tools,
technologies, data) This module gives a
stimulation exercise to give you experience
with information technology and explain why
data skills are essential for patient safety.
http://qsen.org/students-learn-topresent-data/
Free
50
QSEN (Quality
and Safety
Education for
Nurses)
Electronic Health Records: Teaching and
Assessment (information, electronic health
record, education) This Webinar provides
ways to integrate electronic health records
into nursing education to prepare students
for the healthcare setting. Also it review the
current expectation of nurses using
information and computers
http://nursetim.com/webinars/Ele
ctronic_Health_Records_Teaching_
and_Assessment
Coupon
Code:
ntiqsen for
free access.
QSEN (Quality
and Safety
Education for
Nurses)
Informatics Across the Curriculum (Safety,
healthcare, nursing education, electronic
health record, clinical, patient care) This
webinar help faculty understand informatics
and how to integrate in the curriculum. Also
providing strategies on how informatics is
essential in providing safe patient care.
http://nursetim.com/webinars/Inf
ormatics_Across_the_Curriculum
Coupon
Code:
ntiqsen for
free access.
Quality and
Safety
Education for
Nurses (QSEN)
The paper assignment “Nurse Leader
Interview Assignment” (quality, safety,
communicate, technology, decision-making):
is learning strategy to be completed by the
nursing student by interviewing nurse leaders
with questions that will help the student
describe the processes within the clinical
setting related to the utilization of all six of
the QSEN competencies.
http://qsen.org/nurse-leaderinterview-assignment/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation” (safety,
quality, communicate, technology,
information, decision-making,): is designed
to educate the nursing student on describing
the nurse’s role; successfully triaging victims
of mass casualty events; successfully
performing rapid trauma assessments,
recognizing the patient as full partner In
http://qsen.org/simulation/
Free
51
his/her care; functioning effectively in
teamwork and collaboration; integrating the
best current evidence into practice; utilizing
data and improvement methods to monitor
outcomes to improve quality and safety
within the health care systems; and the
utilization of information and technology in
the clinical setting.
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Promoting Safety in
an Unfolding Simulated Public Health
Disaster” (safety): designed to educate
nursing students on recognizing signs and
symptoms, identifying essential assessment
parameters, participating effectively with
interdisciplinary teams, the application of
appropriate infectious control standards, and
the demonstration of correct nursing actions
during infectious disease outbreaks.
http://qsen.org/promoting-safetyin-an-unfolding-simulated-publichealth-disaster/
Free
Health
information
technology
The Test Results Reporting and Follow-Up
SAFER Guide( electronic medical record,
communication, technology, documentation,
safety, date, time, clinicians, alerts)
identifies recommended safety practices to
use for processing electronic medical record
technology. This guide also offers practices
related to the content and communication of
test results to the clinician, as well as
documentation and follow-up of test results.
There are several phases on this site that will
allow you to read rationales and further
information about technology and
information management.
http://www.healthit.gov/policyresearchersimplementers/safer/guide/sg008
Free
The Patient Identification SAFER Guide(
patient, electronic medical record,
technology) identifies safety practices
associated with the reliable identification of
patients in the electronic medical record.
Ensuring that information in the electronic
http://www.healthit.gov/policyresearchersimplementers/safer/guide/sg006
Free
( HIT)
Health
information
technology
( HIT)
52
medical record is correct.
Health
information
technology
The Clinician Communication SAFER Guide
http://www.healthit.gov/policy(patient care, communication, clinicians,
researcherssafety) identifies recommended safety
implementers/safer/guide/sg009
practices associated with communication
between clinicians and the safe use of
electronic medical record. Having good
communication is a key aspect in patient care.
Free
The Computerized Provider Order Entry with
Decision Support SAFER Guide (decision
making, computer. Safety, technology)
identifies recommended safety practices
associated with Computerized Provider Order
Entry (CPOE) and Clinical Decision Support
(CDS). This assessment gives you general
understanding of using the computer safely.
http://www.healthit.gov/policyresearchersimplementers/safer/guide/sg007
Free
Technology
informatics
guiding
education
reform (
TIGER)
What Nurses Need to Know About Consumer
Empowerment and the Personal Health
Record (health, technology, information,
personal health record) this PDF provides
information on the definition of personal
health record, what information is store, and
how technology resources are essential tool
for patient care.
http://tigerphr.pbworks.com/f/TIG
ER+CE+and+PHR+Webinar+3-2508.pdf
FREE
Technology
informatics
guiding
education
reform (
TIGER)
The TIGER Initiative Foundation The
Leadership Imperative: TIGER’s
Recommendations for Integrating Technology
to Transform Practice and Education
(education, communication, technology) this
PDF provides information on integrate health
information into practice, education, and
consumer. This will allow one to be more
knowledgeable about technology and the
http://www.thetigerinitiative.org/d Free
ocs/TIGERInitiatiaveFoundationRep
ortTheLeadershipImperative.pdf
(HIT)
Health
information
technology
(HIT)
53
changes in healthcare.
American
Organization
of Nurse
Executives
(health, education, technology, information)
this website provides several pdf’s with
different topics on informatics.
(AONE)
American
Nursing
Informatics
Association
http://www.aone.org/search?q=inf Free
ormatics&site=AONE&client=AONE
_FRONTEND_1&proxystylesheet=A
ONE_FRONTEND_1&output=xml&fi
lter=0&oe=UTF-8
(health, education, technology, information) http://www.prolibraries.com/ania/
this website provides several pdf’s and
?select=sessionlist&conferenceID=
webinars with different topics on informatics. 1
$20 -30
dollars
(ANIA)
The National
Academies
Press (NAP)
The workshop summary “Informatics Needs
and Challenges in Cancer Research”
(information, technology, tools, healthcare):
purpose is to raise awareness of the
challenges, gaps and opportunities in
informatics related to developing an
integrated system of cancer informatics to
help accelerate research conduction.
http://www.nap.edu/catalog.php?r Purchase
ecord_id=13425
price of
$42.00
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
http://www.nursingsimulation.org/ Free
Safety Education for Nurses Competencies to article/S1876-1399(12)00301the Observer Role” (information, electronic
5/fulltext
medical record): describes the transformation
of a previously used high-fidelity simulation
observer record by undergraduate
baccalaureate nursing faculty, into one that is
focused in the prelicensure Quality and Safety
Education for Nurses (QSEN) competencies
Evidence- Based Practice (EBP): Integrate the best current evidence with clinical expertise and
patient/family preferences and values for delivery of optimal health care

Knowledge Keywords: best clinical practice, clinical expertise, clinical opinion, clinical practice guidelines,
EBP, evidence reports, reliable sources, research and evidence summaries, scientific methods
54
 Skills Keywords: clinical experts, data collection, evidence, IRB guidelines, research activities
 Attitudes: value
Toolkits
Description
Links
http://www.springerpub.com/prod
uct/9780826121837#.U0sPhV5Yw8
M
Costs
Springer
Publishing
Company
The book “Introduction to Quality and Safety
Education for Nurses” (best clinical practice,
EBP): is the first undergraduate textbook that
introduces the Quality and Safety Education
for Nurses (QSEN) providing a comprehensive
description of essential knowledge, skill, and
attitudes reflecting on the six areas of nursing
competencies. The six QSEN competencies
include: quality improvement, patient safety,
teamwork and collaboration, evidence-based
practice, informatics, and patient-centered
care. Teaching strategies and tools included
are PowerPoint slides, critical thinking
exercises, case studies, and rationales for
review questions.
Purchase
price of
$75.00
National
Guideline
Clearinghouse
(NGC)
Guidelines by Topic (EBP, clinical practice
http://www.guideline.gov/browse/
guidelines, evidence): Search evidence-based by-topic.aspx
clinical practice guidelines by topic using
terms from the U.S National Library of
Medicine’s Medical Subject Headings (MeSH).
These topics are arranged by
disease/condition, treatment/intervention,
and health services administration.
Free to all
users
National
Guideline
Clearinghouse
(NGC)
Guidelines by Organization (EBP, clinical
practice guidelines, evidence): Search
evidence-based clinical practice guidelines
developed by a specific developer or an
issuing organization.
http://www.guideline.gov/browse/
by-organization.aspx?alpha=A
Free to all
users
National
Guideline
Clearinghouse
(NGC)
Guideline Index (EBP, research and evidence
summaries): Complete list of evidencedbased practice summaries arranged in
alphabetically by the guideline developer.
http://www.guideline.gov/browse/
index.aspx?alpha=A
Free to all
users
55
National
Guideline
Clearinghouse
(NGC)
Guideline Syntheses (EBP, scientific methods,
clinical practice guidelines, research
activities, value): Similar guideline topics are
systematically compared. Each synthesis
includes discussion of areas of agreement and
differences, major recommendations,
corresponding strength of evidence,
recommendation rating schemes, and
guideline methodologies comparison. Source
of funding, guideline recommendations
implementation benefits/harms, and any
contraindications are also presented.
http://www.guideline.gov/synthes
es/index.aspx
Free to all
users
National
Guideline
Clearinghouse
(NGC)
AHRQ Evidence Reports (EBP, clinical practice
guidelines, evidence reports): List of
Evidence- Based Practice Center (EPC)
reports. These reports start with the most
recent and are used for developing coverage
decisions, quality measures, educational
materials and tools, guidelines, and research
agendas.
http://www.guideline.gov/resourc
es/ahrq-evidence-reports.aspx
Free to all
users
National
Guideline
Clearinghouse
(NGC)
Guidelines by Topic (EBP, clinical practice
http://www.guideline.gov/browse/
guidelines, evidence reports): Search
by-topic.aspx
evidence-based clinical practice guidelines by
topic using terms from the U.S National
Library of Medicine’s Medical Subject
Headings (MeSH). These topics are arranged
by disease/condition, treatment/intervention,
and health services administration.
Free to all
users
National
Guideline
Clearinghouse
(NGC)
Guidelines by Organization (EBP, clinical
practice guidelines, best clinical practice):
Search evidence-based clinical practice
guidelines developed by a specific developer
or an issuing organization.
Free to all
users
http://www.guideline.gov/browse/
by-organization.aspx?alpha=A
56
National
Guideline
Clearinghouse
(NGC)
Guideline Index (EBP, evidence summaries,
clinical practice guidelines): Complete list of
evidenced-based practice summaries
arranged in alphabetically by the guideline
developer.
http://www.guideline.gov/browse/
index.aspx?alpha=A
Free
National
Guideline
Clearinghouse
(NGC)
Guideline Syntheses (EBP, clinical practice
http://www.guideline.gov/synthes
guidelines, research activities): Similar
es/index.aspx
guideline topics are systematically compared.
Each synthesis includes discussion of areas of
agreement and differences, major
recommendations, corresponding strength of
evidence, recommendation rating schemes,
and guideline methodologies comparison.
Source of funding, guideline
recommendations implementation
benefits/harms, and any contraindications are
also presented.
Free
CASP (Critical
Appraisal
Skills
Programme)
CASP (EBP, reliable sources, research
activities, value): Website that helps to find
and check research for trustworthiness,
results, and relevance by offering critical
appraisal skills training, workshops and tools.
http://www.casp-uk.net/#!who-iscasp-for/cz5t
Free
EvidenceBased Nursing
This website evidence-Based Nursing (EBP,
reliable sources, research activities, clinical
expert, value): Provides quarterly published
health related articles, research studies and
reviews that are significant advances relevant
to best nursing practice. These studies are
assessed by their clinical relevance and rigor
to identify research that is relevant to
nursing.
http://ebn.bmj.com/
Paid
subscription
is required
57
Academic
Center for
EvidenceBased Nursing
(ACE)
The ACE Star Model of knowledge
transformation (EBP, evidence summaries,
clinical practice guidelines, research
activities) is composed of 5 stages of
knowledge transformation which includes
discovery research, evidence summary,
translation to guidelines, practice integration,
and process, outcome evaluation. This
provides a model for systemic integration of
evidence into practice and is used as an
intervention to improve EBP competencies. It
applies nursing’s previous work to EBP,
examines and applies EBP, and places nursing
into a network of EBP.
http://www.acestar.uthscsa.edu/a
cestar-model.asp
Free
Academic
Center for
EvidenceBased Nursing
(ACE)
Evidence-Based Practice (EBP) terminology
http://www.acestar.uthscsa.edu/te Free
(EBP, research summaries, clinical practice
rminology.asp
guidelines, research activities, value):
Provides terms that are key to understand,
critically appraising, apply EBP. Some of these
terms include best practice, bias, clinical
practice guidelines, evaluation, evidence
summary, EBP, Randomize Control Trial (RCT),
translation, etc…
Academic
Center for
EvidenceBased Nursing
(ACE)
Basic Modules Essential Elements of
Evidence- Based Practice- An introduction to
Evidence-Based Practice and the ACE Star
Model (EBP, research activities): Discusses
the introduction to Evidence- Based Practice
(EBP) by identifying the key elements of EBP.
This presentation provides a framework to
the basics of EBP by providing common
references and terminology that is needed for
evidence-based quality improvement. The
three objectives are to discuss factors that
created EBP as a new paradigm and
movement in health care quality. Examine
essential elements of evidence-based practice
including the ACE Star Model. Identify
resources and access appropriate evidence to
http://www.acestar.uthscsa.edu/m Free
odules/Basic.htm
58
move into clinical decision making. There is a
quiz in this module provided after the
presentation.
National
Institute for
Health and
Care
Excellence
(NICE)
Online learning resources (EBP, evidence
summaries, clinical expertise, value): This
online education provides a variety of health
related topics that will help you in keeping up
to date with recent evidence summaries,
challenge putting guidance into practice
misconceptions, apply knowledge into
practice and address potential barriers, and
reflect and compare your current practice
with NICE recommendations to improve EBP.
http://nice.org.uk/usingguidance/e
ducation/educational_tools.jsp
Free
registration is
required
The Joanna
Briggs
Institute
The Joanna Briggs Institute Library (EBP,
clinical expertise, evidence summaries, best
clinical practice): Source for publications and
information for anyone with an interest in
evidence based healthcare. It includes: The
JBI Database of Systematic Reviews and
Implementation reports, The JBI Database of
Best Practice Information Sheets and
Technical Reports: and The JBI Database of
Rapid Appraisals of Published Papers.
http://joannabriggslibrary.org/
Paid
subscription
is required
Lippincott’s
NursingCenter
.com
Understanding Evidence-Based Practice (EBP,
clinical experts, value): This link was
provided through The Joanna Briggs Institute
website. It contains articles that will help
with understanding the true meaning of
evidence-based practice and the importance
of incorporating external evidence, internal
evidence, and patient preferences and values.
http://www.nursingcenter.com/evi
dencebasedpracticenetwork/Home
/ToolsResources/Collections/Understandi
ngEvidenceBasedPractice.aspx
Purchase the
articles
59
The Cochrane
Collaboration
Cochrane Reviews (Scientific methods, EBP,
clinical expertise, reliable sources, data
collection, research activities, IRB
guidelines): Systematic reviews are primary
research that are internationally recognized
as the highest standard in evidence- based
health care. Effects of interventions for
prevention, treatment and rehabilitation are
investigated through systematic reviews.
Accuracy of a diagnostic test for a specific
patient group and setting for a given
condition is also assessed. The reviews are
published online in The Cochrane Library and
are updated regularly so that treatment
decisions can be made based on the most
recent and reliable evidence.
http://www.cochrane.org/cochran
e-reviews
Paid
registration is
required
The Cochrane
Library
How To Use The Cochrane Library: The
Cochrane Library Reference Guide (EBP,
research activities, clinical expertise, value):
PDF that provides guidance to using The
Cochrane Library and detailed overview of
available features and their functions through
a step-by-step process.
http://www.thecochranelibrary.co
m/view/0/HowtoUse.html
Free
The Cochrane
Library
How To Use The Cochrane Library: Virtual
Webinars (EBP, value): Provides free live
online workshops each month that help you
to become efficient with using in The
Cochrane Library. WebEx, an online
conferencing system that allows you to view
live presentations from your desktop are used
to conduct the sessions.
http://www.thecochranelibrary.co
m/view/0/HowtoUse.html
Free
Agency for
Healthcare
Research and
Quality
Clinical Evidence-based reports (EBP,
evidence reports, clinical experts, scientific
methods): Evidence reports and technology
assessments done by The Evidence Practice
Center’s that includes relevant scientific
literature on clinical, behavioral, organization,
and financing topic. These reports are used
to inform and develop coverage decisions,
http://www.ahrq.gov/research/fin
dings/evidence-basedreports/clinical/index.html
Free
60
quality measures, educational materials and
tools, guidelines, and research agendas.
Institute for
Healthcare
Improvement
(IHI)
The article “Using Evidence-Based
Environmental Design to Enhance Safety and
Quality” (EBP): focuses on showing health
care leaders how evidence-based
environmental design interventions improve
the care and perception of that care by
patient, their families, and health care team.
http://www.ihi.org/resources/Page Free
s/IHIWhitePapers/UsingEvidenceBa subscription
sedEnvironmentalDesignWhitePap if registered
er.aspx
Quality and
Safety
Education for
Nurses (QSEN)
The paper assignment “Nurse Leader
Interview Assignment” (evidence, clinical
expertise, value): is learning strategy to be
completed by the nursing student by
interviewing nurse leaders with questions
that will help the student describe the
processes within the clinical setting related to
the utilization of all six of the QSEN
competencies.
http://qsen.org/nurse-leaderinterview-assignment/
Free
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Simulation”
(evidence, clinical expertise, value): is
designed to educate the nursing student on
describing the nurse’s role; successfully
triaging victims of mass casualty events;
successfully performing rapid trauma
assessments, recognizing the patient as full
partner In his/her care; functioning effectively
in teamwork and collaboration; integrating
the best current evidence into practice;
utilizing data and improvement methods to
monitor outcomes to improve quality and
safety within the health care systems; and the
utilization of information and technology in
the clinical setting.
http://qsen.org/simulation/
Free
61
Quality and
Safety
Education for
Nurses (QSEN)
The simulation exercise “Promoting Safety in
an Unfolding Simulated Public Health
Disaster” (best clinical practice): designed to
educate nursing students on recognizing signs
and symptoms, identifying essential
assessment parameters, participating
effectively with interdisciplinary teams, the
application of appropriate infectious control
standards, and the demonstration of correct
nursing actions during infectious disease
outbreaks.
http://qsen.org/promoting-safetyin-an-unfolding-simulated-publichealth-disaster/
Free
Clinical
Simulation in
Nursing
The article “Simulation: Linking Quality and
Safety Education for Nurses Competencies to
the Observer Role” (best clinical practice,
clinical practice guidelines): describes the
transformation of a previously used highfidelity simulation observer record by
undergraduate baccalaureate nursing faculty,
into one that is focused in the prelicensure
Quality and Safety Education for Nurses
(QSEN) competencies
http://www.nursingsimulation.org/ Free
article/S1876-1399(12)003015/fulltext
62
References
Academic Center for Evidence-Based Practice (2012). Retrieved from
http://www.acestar.uthscsa.edu/index.asp
Agency for Healthcare Research and Quality (2014). Retrieved from
http://www.ahrq.gov/index.html#
Agency for Healthcare Research and Quality (2013). Retrieved from
http://teamstepps.ahrq.gov/
American Medical Informatics Association (2014) http://www.amia.org/
American Organization of Nursing Executives( 2014) http://www.aone.org/
Center for Disease Control (2013). Retrieved from www.cdc.gov
Clinical Stimulation in Nursing (2014) http://www.nursingsimulation.org/
Critical Appraisal Skills Programme (2013). Retrieved from http://www.casp-uk.net/#
E- patient Dave: A voice of patient engagement ( 2014) http://www.epatientdave.com/
Evidence-Based Nursing (2014). Retrieved from http://ebn.bmj.com/
Health Information Technology ( 2014) http://www.healthit.gov/
Health on Net Foundation (2014) https://www.hon.ch/
Health Research and Educational Trust (2013). Retrieved from http://www.hret.org/
Health Research and Educational Trust: Quality/Cost/Disparities (2013). Retrieved from
http://www.hret.org/quality/index.shtml
Institute for Healthcare (2013). Retrieved from http://www.ihi.org/Pages/default.aspx
63
Institute for Healthcare: Develop a Culture of Safety (2013). Retrieved from
http://www.ihi.org/knowledge/Pages/Changes/DevelopaCultureofSafety.aspx
Institute for Patient - and Family - centered care ( 2014) http://www.ipfcc.org/
Joint Commission ( 2014) http://www.jointcommission.org/
Journal of Nursing Care Quality( 2014) http://journals.lww.com/jncqjournal/pages/default.aspx
Kelly, P., McAuliffe, C., & Vottero, B. (2014) Introductions to Quality & Safety Education for
Nurses Core Competencies. Springer Publishing Company.
Lippincott’s Nursing Center.com (2014). Retrieved from http://www.nursingcenter.com/lnc/
National Guideline Clearinghouse (2014). Retrieved from http://www.guideline.gov/index.aspx
National Institute for Health and Care Excellence (2014). Retrieved from http://nice.org.uk/
QSEN Institute: Pre-licensure KSAS (2014). Retrieved from http://qsen.org/competencies/prelicensure-ksas/
Sigma Theta Tau International: Honor Society of Nursing (2013). Retrieved from
http://www.nursingsociety.org/Pages/default.aspxhttp://www.nursingsociety.org/Pages/def
ault.aspx
Technology Informatics Guiding Education Reform ( 2014) http://www.thetigerinitiative.org/
The Cochrane Collaboration (2014). Retrieved from http://www.cochrane.org/
The Cochrane Library (2013). Retrieved from
http://www.thecochranelibrary.com/view/0/index.html
The Joanna Briggs Institute (2013). Retrieved from http://joannabriggs.org/
The National Academies Press (2014). Retrieved from http://nap.edu/
64
UpToDate (2014). Retrieved from http://www.uptodate.com/home