title: Integrating Quality and Safety Competencies to Improve Outcomes: Application in Infusion Therapy Practice.
abstract: Despite intense scrutiny and process improvement initiatives, patient harm continues to occur in health care with alarming frequency. The Quality and Safety Education for Nursing (QSEN) project provides a roadmap to transform nursing by integrating 6 competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As front-line caregivers, nurses encounter inherent risks in their daily work. Infusion therapy is high risk with multiple potential risks for patient harm. This study examines individual and system application of the QSEN competencies and the Infusion Nurses Society's 2016 Infusion Therapy Standards of Practice in the improvement of patient outcomes.
authors.affiliation: University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina (Dr Sherwood), CHI Health St. Francis, Grand Island, Nebraska (Ms Nickel). Gwen Sherwood, PhD, RN, FAAN, ANEF, professor and associate dean for practice and global initiatives at the University of North Carolina at Chapel Hill School of Nursing, was co-investigator for the Robert Wood Johnson funded Quality and Safety Education for Nurses (QSEN) project. She is a past keynote speaker for the Infusion Nurses Society. Barbara Nickel, APRN-CNS, NP-C, CCRN, CRNI®, is the critical care clinical nurse specialist for a community-based hospital in Grand Island, Nebraska. Her role includes incident investigation, including root cause analysis, and process improvement. She has used her CRNI® to enhance quality and safety in infusion-related care, and has been a member/chair of the Infusion Nurses Society's National Council on Education.
authors.forename: Gwen
authors.initials: G
authors.lastname: Sherwood
authors.forename: Barbara
authors.initials: B
authors.lastname: Nickel
mesh_terms: D002983:Clinical Competence; D003299:Cooperative Behavior; D006801:Humans; D007262:Infusions, Intravenous / Q000451:nursing / Q000592:standards*; D024802:Nurse's Role; D063868:Patient Outcome Assessment; D061214:Patient Safety / Q000592:standards; D018802:Patient-Centered Care / Q000592:standards; D058996:Quality Improvement / Q000592:standards*; D017751:Safety Management / Q000592:standards*