Level 1: Entry-Level |
5.1a Recognize nursing’s essential role in improving healthcare quality and safety. |
Identify key concepts of quality and safety in healthcare.
Describe nurses' responsibility in maintaining healthcare quality and safety.
Explain the nurse's role in preventing patient harm.
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Identify nursing-specific quality indicators and safety initiatives to address clinical improvement needs.
Identify nursing-related system-level factors contributing to patient safety issues.
Articulate the importance of the nurse as the last line of defense.
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5.1b Identify sources and applications of national safety and quality standards to guide nursing practice. |
Identify key national safety and quality standards relevant to nursing practice.
Identify key organizations that set national safety and quality standards.
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Select national safety and quality standards to analyze clinical situations and guide nursing practice.
Recommend opportunities to improve patient safety based on national safety and quality standards and new evidence.
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5.1c Implement standardized, evidence-based processes for care delivery. |
Identify standardized processes used in nursing practice.
Follow standardized processes for patient care.
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Adapt standardized processes to meet the needs of individual patients.
Analyze patient situations/characteristics and act to mitigate patient risks.
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5.1d Interpret benchmark and unit outcome data to inform individual and microsystem practice. |
Identify key trends in unit-level data.
Recognize the relationship between unit-level data and national benchmarks.
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Analyze unit- and system-level data to identify areas for improvement in patient care.
Use data to support evidence-based practice decisions.
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5.1e Compare quality improvement methods in the delivery of patient care. |
Describe the basic principles of various quality improvement methods.
Compare the strengths and limitations of quality improvement methods.
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Select relevant quality improvement methods to support care improvement. |
5.1f Identify strategies to improve outcomes of patient care in practice. |
Explain the role of patient engagement in improving patient outcomes.
Use communication and collaboration strategies to improve patient outcomes.
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Select evidence-based practice strategies to improve patient outcomes.
Recommend protocols essential to improve the outcomes of patient care.
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5.1g Participate in the implementation of a practice change. |
Gather relevant data to support the need for a practice change initiative.
Identify potential barriers to implementing quality improvement initiatives.
Communicate the rationale for the proposed change to colleagues and patients.
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Develop quality improvement projects.
Model a practice change and serve as a resource for peers.
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5.1h Develop a plan for monitoring quality improvement change.
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Describe methods for collecting and analyzing data.
Analyze key data to monitor the effectiveness of a practice change.
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Develop a monitoring plan.
Justify the selection of a particular quality improvement method to address a clinical issue.
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Level 2: Advanced-Level |
5.1i Establish and incorporate data driven benchmarks to monitor system performance. |
Determine the specific aspects of system performance that need to be monitored. |
Choose methods and frequency of data collection and reporting.
Use data to inform the development and implementation of targeted interventions to improve system performance.
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5.1j Use national safety resources to lead team-based change initiatives. |
Use national safety resources to develop a framework for addressing a patient safety or system performance issue requiring improvement.
Consider relevant stakeholders for the proposed change.
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Lead team development, implementation, and evaluation of a comprehensive safety action plan. |
5.1k Integrate outcome metrics to inform change and policy recommendations. |
Choose outcome, process, and efficiency metrics to provide a comprehensive strategy to assess change.
Use outcome data to propose policy recommendations.
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Present findings to decision-makers to advocate for policy change.
Conduct a thorough evaluation of practice change to determine effectiveness.
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5.1l Integrate outcome metrics to inform change and policy recommendations. |
Analyze data for a process improvement initiative.
Identify patterns and trends in data relevant to improvement initiatives.
Contribute relevant information and insights based on knowledge, experience, and evidence.
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Collaborate in establishing a plan for monitoring and evaluating outcomes of process improvement initiatives. |
5.1m Lead the development of a business plan for quality improvement initiatives. |
Define the scope and objectives of the quality improvement plan.
Lead collection of relevant data to inform the improvement initiative.
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Lead prioritized intervention and evaluation strategies for the quality improvement initiative.
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5.1n Advocate for change related to financial policies that impact the relationship between economics and quality care delivery. |
Analyze the impact of financial decisions and policy on quality care delivery and patient outcomes.
Propose cost-effective initiatives to improve quality care delivery.
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Use data and evidence-based strategies to advocate for financial policy changes to improve quality care delivery. |
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5.1o Advance quality improvement practices through dissemination of outcomes. |
Construct relevant dissemination strategies for outcome dissemination. |
Disseminate quality improvement process outcomes. |