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Quality 2 (1)

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NUR 3805 Evidence-based Practice, Quality & Safety Definition of Quality Healthcare • “Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (IOM, 1990; 2013, para 3; retrieved from Stevens, 2013). • Three aspects of quality: • Services (interventions) • Targeted health outcomes • Consistency with current knowledge (research) (Stevens, 2013) “Crossing the Quality Chasm” (IOM, 2001) • • • • Health care in need of repair/change. Rapid changes in health care. Increase of people with chronic conditions has significantly impacted health care. Report identified 6 goals: Care should be: Safe Timely Effective Efficient Patient-centered Equitable Institute of Medicine (March 2001). EBP Movement • Started with identification of a problem/gap • EBP the possible solution to “cross the chasm.” (IOM, 2001) • Goal of EBP – standardize practices of science & best evidence & reduce variation in care, which can lead to unpredictable outcomes. (Stevens, 2013) • Integrates research & patient preferences (Sackett et al., 2000, retrieved from Stevens, 2013). Impact on Nursing • Barriers to applying EBP in practice • Challenges of change • EBP models developed (ACE Star Model of Knowledge Transformation) • • • • • Discovery (databases with research) Evidence summary (systematic reviews on clinical topics) Tra ...
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