Kristin DeJonge QUALITY & SAFETY COURSE

Course Description  This two session course provides new graduate nurses with an overview of current quality and safety trends in healthcare. Discussion will utilize various instructional learning strategies intended to aid learner comprehension. Students will explore the shared governance structure and concepts at Holland Hospital at the unit, interdepartmental, and organizational levels. The student will explore case studies and participate in reflective activities to gain appreciation for how quality and safety affect their practice. Purpose Statement  Minimize risk if of harm to patients and providers, and use methods to continuously improve the quality and safety of healthcare. QUALITY & SAFETY COURSE

Instructional Delivery & Schedule  Every Friday  Two consecutive weeks  Sessions held on July 18 & 25  Sessions will include face to face lecture and discussion as well as in-session group work and reflection time.  All sessions will be held in the education room. Pre-course work  Complete the shared governance questionnaire and return to instructor by or interoffice mail 1 week prior to class  Read provided article: Shared governance models in nursing: What is shared, who governs, and who benefits? QUALITY & SAFETY COURSE

1.Participate as a team member to design, promote, and model effective use of strategies to reduce potential harm to either patient or self. 2.Promote a practice culture conducive to high reliability standards 3.Appreciate that continuous quality improvement is an essential part of the daily work of all health professionals. 4.Reflect on provided care to identify strengths and weaknesses as it relates to quality and safety practices. LEARNING OBJECTIVE

AssignmentOutcomeGradeDue Shared Governance Questionnaire 1,2,3Pass/Fail Minimum passing grade of 80% Pre-Course Work 1 week prior to Session 1 Role Play: Interdisciplinary Unit Practice Team Simulation 1,2Pass/FailCompleted in Class Session 1 Case Studies3Pass/FailCompleted in Class Session 2 Quality and Safety Personal Practice Reflection Essay 3,4Pass/FailAugust 1 COURSE LEARNING & ASSESSMENT METHODS

SessionDatePresenterContentTeaching Methods Session 1 Objectives: 1,2,3 July 18TBD 1.Review activities shown to improve patient satisfaction and safety a)Discharge phone calls b)Improved discharge teaching skills 2.Discuss areas available within the organization to participate in quality improvement activities a)Quality and safety department b)Unit Practice Teams Lecture, special Q&S Presenter Review pre- course questionnaire Assignment: Interdisciplinary Unit Practice Team Simulation COURSE SCHEDULE

SessionDatePresenterContentTeaching Methods Session 2 Objectives: 3,4 July 25TBD 1.Review strategies for improved patient care outcomes 2.Examine best practices that promote patient and provider safety 3.Describe methods of preventing & identifying abuse or harm to patients and staff 4.Discuss process of personal reflection 5.Explore process of ongoing learning in role transition from graduate nurse to RN Lecture Video Vignette: Quality & Safety Scenario, Group Discussion Assignment: Case Studies Quality & Safety Personal Practice Reflection Essay

Role Play: Interdisciplinary Unit Practice Team Simulation  Students will divide into 2 groups  Take on role of UPT Chair (nurse) as well as other interdisciplinary representatives that attend UPT.  Simulate ‘mock’ UPT session discussing agenda items  Students will rotate roles throughout simulation COURSE LEARNING RESOURCES

ComponentBelow ExpectationsNeeds ImprovementProficientExpert A. Unit Practice Team understanding and accurate participation The student participates minimally as a part of the unit practice team. The agenda item is poorly discussed. Conversation is not redirected and goes off course from the agenda item being discussed. The student contributes less than expected as part of the unit practice team. The student leads only a basic discussion of the agenda item. The student may or may not minimally redirect conversation. The student demonstrates an understanding of how the unit practice team functions. The student appropriately discusses agenda item. The student may attempt to redirect conversation. The student demonstrates an excellent understanding of how the unit practice team functions. The student provides excellent discussion regarding the agenda item being discussed. The student effectively directs conversation. B. Interdisciplinary, nursing, and leader role clearly defined The student does not take on an interdisciplinary role or a very poor representation of the actual role. The roles of UPT chair or nurse representative are not assumed or inaccurately assumed. The student takes on an interdisciplinary role, but it may be a poor representation or unclear. The roles of UPT chair and nurse representative are not effectively assumed. The student takes on an interdisciplinary role. The roles of UPT chair and nurse representative are assumed. The student effectively takes on an interdisciplinary role. The roles of UPT chair and nurse representative are portrayed appropriately. C. Discussion reflects knowledge of quality and safety issue The student did not address the agenda item or there was little to no demonstration of how the item affects the quality and safety goals of UPT. The students participated only at a minimal level throughout the simulation. The student demonstrates a poor understanding of how the agenda item affects current quality and safety concerns. There may or may not be aware of quality and safety goals. Participation was either inadequate or monopolized throughout the simulation. The student demonstrates an understanding of how the agenda item affects current quality and safety concerns. The student demonstrates some awareness of quality and safety goals of UPT. Appropriate participation throughout the simulation is demonstrated. The student demonstrates an excellent understanding of how the agenda item affects current quality and safety concerns. The student demonstrates a keen awareness of the quality and safety goals of UPT. Excellent participation throughout the simulation is demonstrated.

Case Studies  Following video vignette, students will break into groups to discuss the viewed scenario  Each group will be provided a case study  Group members work together to identify potential errors or safety concerns.  Group members will identify how a patient may be harmed in the case.  Putting it all together: Groups will present their case scenario to the entire class. COURSE LEARNING RESOURCES

ComponentBelow ExpectationsNeeds ImprovementProficientExpert A.Identify Potential Errors and/or Identify Safety Concerns The student does not provide contribution or minimally contributes to the group efforts to identify quality and safety issues. The student may or may not work well within the group to identify a relevant quality and safety issue or they work well within the group but issues identified are not closely related to quality and safety. The student works collaboratively within the group to identify a relevant quality and safety issue within the case study. The student works collaboratively within the group to identify numerous relevant quality and safety issues within the case. A.Class DiscussionThe student does not participate in class discussion or poorly participates throughout group discussions. The student contributes minimally to class discussion or may be adequate during their group discussion and absent during other group times. The student shows some leadership in class discussion. Participates well in all group discussions. The student is a leader in class discussion. Excellent participation in all group discussions. RUBRIC: CASE STUDIES

Quality and Safety Personal Practice Reflection Essay  Reflect on a personal quality & safety issue  If unable to identify a personal scenario, students will be provided another case scenario for this assignment  Discuss and identify quality or safety concerns and what may have been done differently to improve the patient’s outcome  Student will discuss how they personally see quality and safety effecting their practice  Student will Identify an area within Holland Hospital that they would be interested in participating at some level. COURSE LEARNING RESOURCES

ComponentBelow ExpectationsNeeds ImprovementProficientExpert A.Quality & Safety Item Identified The student provides a poor explanation of a quality or safety issue or discusses an issue unrelated to quality and safety The student requires a great deal of assistance in identifying a quality and/or safety issue or the student identifies an issue that is only minimally related to quality or safety. The student identifies a relevant safety concern or quality issue from personal practice or may need to be provided with an idea but explores this issue appropriately. The student clearly identifies a relevant safety concern or quality issue they have seen in their personal practice. A.Evaluation of Issues Effecting Patient Outcomes The student does not discuss how the identified issue effects patient outcomes or there is no relationship to the identified issue. The student minimally discusses the effect on patient outcomes. Minimally discusses practice ideas to improve patient outcomes or suggestions have poor relationship to the identified issue. The student explains how the quality or safety issue effects patient outcomes. Provides appropriate practice ideas to improve patient outcomes related to the identified issue. The student provides an excellent evaluation how the quality or safety issue effects patient outcomes. Student describes excellent practice ideas to improve patient outcomes related to the identified issue. A.Personal Practice Reflection The student does not reflect on their personal practice or provides a poor reflection. The student either does not identify a potential area of participation or the area identified is unrelated to quality and safety improvement. The student is able to reflect honestly on their personal practice but does so at a minimal level. The student may or may not identify a potential area of participation within Holland Hospital. The student is able to reflect honestly on their personal practice. The student identifies an area of participation but may or may not have a clear understanding of the area in Holland Hospital. The student is able to reflect honestly on their personal practice with excellent depth and breadth. The student describes an excellent potential proposed area of participation in Holland Hospital

 Attendees will be required to complete all assigned pre-work prior to attending each session. Students will be paid for up to one hour to complete pre-work assignments. Failure to complete prior to the session will result in immediate dismissal from the session. Students are required to participate in all class activities.  Student must be at Proficient or Expert level to Pass the course.  If student is at Needs Improvement level, student will follow up with the Nurse Educator on their home unit for remediation.  If student is at Below Expectations level, student will repeat the course and develop a plan for success with the Nurse Educator on their home unit. NURSE ACADEMY POLICIES

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