Patient-Centered Care:

1. Patient-Centered Care: A QSEN Competency

2. Projects to Date • Root cause analysis on near misses • Description of staff work-arounds • Critique of hand-off • Use of SBAR for gathering and reporting patient data • Use of QSEN competencies for careplanning • Interprofessional Experience • Simulation video for faculty and students

3. Edith – Safety-What’s Wrong with this Picture?

4. Discussion Questions • Describe the admission experience“through the patient’s eyes.” • What are the barriers to the patient’s involvement in this admission process? • Describe more effective communication skills that may have been employed to support patient-centered care. • Discuss the impact of the communication styles used on teamwork and collaboration.

5. Discussion Questions • Discuss factors that could contribute to errors. • Compare what you know about pain assessment to the pain assessment conducted by the admitting nurse. What are the differences and similarities? How would you conduct the assessment?

6. Edith – Teamwork and Collaboration – Time Out!

7. Discussion Questions • Describe the process of “time out” and how it effects patient safety. • Describe the authority gradients and how they influence teamwork, achievement of health goals, and patient safety. • Identify system barriers and facilitators you noticed that would effect team functioning. • What information was lacking that might have been found in a system database?

8. Edith – Teamwork and Collaboration – Hand Off!

9. Discussion Questions • Describe the process of “SBAR.” Compare the SBAR process to the hand-off process used. What were the similarities and differences? • Evaluate the terminology used during the hand-off. What is the impact of terminology on accurate communication? • What were the safety concerns you experienced during the hand-off? • Explain the factors you believe contributed to the safety concerns.

10. Edith – Safety: Errors Happen!

11. Discussion Questions • Describe how technology is used to prevent medication errors. • Describe the process you would use in determining the contributing factors for the errors that occurred. • What do you believe the contributing factors may have been? • What are the attitudes that need to be addressed to create a culture of safety? • How might a culture of safety contribute to quality improvement?

12. Edith – Patient-Centered Care: Let’s Get this Right!

13. Discussion Questions • What is the purpose of reading the orders back to the physician? What impact does this have on patient safety? • Who are the other members of the team that might support the process of accurate medication reconciliation? • What are the resources to support evidence-based management of atrial fibrillation and Type 2 diabetes?

14. Edith – Patient-Centered Care: What Does the Patient and Family Want?

15. Discussion Questions • Discuss the similarities and differences between what the health care providers believe is the best placement on dismissal and what the family believes is best? • Describe the values of each of the family members. • Describe the process for resolving the conflict within the family? • Examine the pros and cons of having the patient participate in the care conference.

16. QUESTIONS????