Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 46

Twenty years since publication of To Err Is Human provides a moment in history to review progress in patient care safety and quality. A historical review reveals many initiatives for how organizations, educators, practitioners and all workers, and consumers have invested in moving the needle on patient care quality and safety, although with mixed results. Many areas of progress are offset by many unrealized ambitions and recommendations. Controversy on the goal of zero harm illustrates the diverse viewpoints and strategies. Sifting through the multitude of organizations, professional and consumer groups, reports, analyses, and indicators shows myriad regulations, educational programs, and action plans nationally and internationally for leading change. Though slow, there is progress in the priority of safety culture among health care organizations, with increasing attention to care outside hospitals in communities and populations. The QSEN project remains a robust intervention deployed across all levels of nursing education and is more and more evident in practice. Nurses have growth responsibilities as they increasingly apply systems thinking to lead continuous QI that encourages inquiry to investigate outcomes and critical incidents from a system perspective. The determination of quality and safety champions is evident in the first national action plan, Safer Together, and the WHO Global Patient Safety Action Plan. In 20 years it will be interesting to look back to these days to see if we get it right going forward.