Quality and Safety Education for

Nurses (QSEN) Electronic Resource

Matrix

PAMELA HUDSON, LATASHA LEWIS, SONIA STOKES

& SYLVIA YARBROUGH

Baccalaureate Capstone Students

PURDUE UNIVERSITY CALUMET

College of Nursing

NUR 498 CAPSTONE Course in Nursing

Evidence-Based Project

ii

© COPYRIGHT

PAMELA HUDSON, LATASHA LEWIS, SONIA STOKES & SYLVIA YARBROUGH

2014

ALL RIGHTS RESERVED

iii

ACKNOWLEDGMENTS

Our QSEN Team would like to extend our thanks to Betsy Lee RN, BSN, MSPH,

Director of the Indiana Patient Safety Center and the Indiana Hospital Association

(IHA), for their collaboration and faithful dedication to our QSEN capstone project, Ellen

Moore DNP, RN, FNP-BC, faculty mentor at Purdue University Calumet, and Beth

Vottero Ph.D., RN, CNE, College of Nursing assistant professor at Purdue University

Calumet for her suggestions of resources to include within our QSEN electronic

resource matrix.

iv

TABLE OF CONTENTS

Section Page

ACKNOWLEDMENTS iii

TABLE OF CONTENTS iv

PREFACE v

QSEN PRE-LICENSURE KSAS vi

QUALITY AND SAFETY EDUCATION FOR NURSES (QSEN) ELECTRONIC RESOURCE MATRIX

SAFETY 1

QUALITY 19

PATIENT-CENTERED CARE 29

TEAMWORK AND COLLABORATION 44

INFORMATICS 48

EVIDENCE-BASED PRACTICE 53

REFERENCES 62

v

PREFACE

Implication for this project is to integrate the knowledge and skills of each

competency into an online matrix in order to aid nurses in clinical practice. Providing this

electronic resource will allow nurses access to information that will help them uphold the

QSEN competencies and provide safe and quality care. We have also provided this

booklet, which is a print copy of our QSEN electronic matrix. We hope that the

consumers of this booklet find it easy to follow and that in turn, it becomes a personal

asset to your health care organization or clinical practice to assist in the improvement of

safety and quality care in the clinical setting.

vi

PRE-LICENSURE KSAS

OVERVIEW The overall goal for the Quality and Safety Education for Nurses (QSEN) project is

to meet the challenge of preparing future nurses who will have the knowledge,

skills and attitudes (KSAs) necessary to continuously improve the quality and

safety of the healthcare systems within which they work.

Using the Institute of Medicine1 competencies, QSEN faculty and a National

Advisory Board have defined quality and safety competencies for nursing and

proposed targets for the knowledge, skills, and attitudes to be developed in nursing

pre-licensure programs for each competency. These definitions are shared in the six

tables below as a resource to serve as guides to curricular development for formal

academic programs, transition to practice and continuing education programs 2.

vii

PATIENT-CENTERED CARE Definition: Recognize the patient or designee as the source of control and full partner in providing

compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Knowledge Skills Attitudes

Integrate understanding of multiple

dimensions of patient centered care:

• patient/family/community preferences,

values

• coordination and integration of care

• information, communication, and education

• physical comfort and emotional support

• involvement of family and friends

• transition and continuity

Describe how diverse cultural, ethnic and

social backgrounds function as sources of

patient, family, and community values.

Elicit patient values,

preferences and

expressed needs as part

of clinical interview,

implementation of care

plan and evaluation of

care.

Communicate patient

values, preferences

and expressed needs

to other members of

health care team.

Provide patient-

centered care with

sensitivity and

respect for the

diversity of human

experience.

Value seeing health care situations

“through patients’ eyes.”

Respect and encourage individual

expression of patient values,

preferences and expressed needs.

Value the patient’s expertise with

own health and symptoms.

Seek learning opportunities with

patients who represent all aspects

of human diversity.

Recognize personally held

attitudes about working with

patients from different ethnic,

cultural and social backgrounds.

Willingly support patient-

centered care for individuals and

groups whose values differ from

own.

Demonstrate comprehensive understanding

of the concepts of pain and suffering,

including physiologic models of pain and

comfort.

Assess presence and

extent of pain and

suffering

Assess levels of

physical and

emotional comfort

Elicit expectations of

patient & family for

relief of pain,

discomfort, or

Recognize personally held values

and beliefs about the management

of pain or suffering

Appreciate the role of the nurse

in relief of all types and sources

of pain or suffering.

Recognize that patient

expectations influence outcomes

in management of pain or

viii

suffering.

Initiate effective

treatments to relieve

pain and suffering in

light of patient

values, preferences

and expressed needs.

suffering.

Examine how the safety, quality and cost

effectiveness of health care can be improved

through the active involvement of patients

and families.

Examine common barriers to active

involvement of patients in their own

health care processes.

Describe strategies to empower patients or

families in all aspects of the health care

process.

Remove barriers to

presence of families

and other designated

surrogates based on

patient preferences.

Assess level of

patient’s decisional

conflict and provide

access to resources.

Engage patients or

designated surrogates

in active partnerships

that promote health,

safety and well-

being, and self-care

management.

Value active partnership with

patients or designated surrogates in

planning, implementation, and

evaluation of care.

Respect patient preferences for

degree of active engagement in

care process.

Respect patient’s right to access

to personal health records.

Explore ethical and legal implications of

patient-centered care.

Describe the limits and boundaries of

therapeutic patient-centered care.

Recognize the

boundaries of

therapeutic

relationships.

Facilitate informed

patient consent for

care.

Acknowledge the tension that may

exist between patient rights and the

organizational responsibility for

professional, ethical care.

Appreciate shared decision-

making with empowered patients

and families, even when conflicts

occur.

Discuss principles of effective

communication.

Assess own level of

communication skill in

encounters with

patients and families.

Value continuous improvement of

own communication and conflict

resolution skills.

ix

Describe basic principles of consensus

building and conflict resolution

Examine nursing roles in assuring

coordination, integration, and continuity

of care.

Participate in

building consensus

or resolving conflict

in the context of

patient care.

Communicate care

provided and needed

at each transition in

care.

TEAMWORK AND COLLABORATION Definition: Function effectively within nursing and inter-professional teams, fostering open

communication, mutual respect, and shared decision-making to achieve quality patient care.

Knowledge Skills Attitudes

Describe own strengths, limitations, and

values in functioning as a member of a team.

Demonstrate

awareness of own

strengths and

limitations as a team

member.

Initiate plan for self-

development as a

team member

Act with integrity,

consistency and

respect for differing

views.

Acknowledge own potential to

contribute to effective team

functioning.

Appreciate importance of intra-

and inter-professional

collaboration.

Describe scopes of practice and roles of

health care team members.

Describe strategies for identifying and

managing overlaps in team member roles

and accountabilities.

Recognize contributions of other

Function competently

within own scope of

practice as a member

of the health care team.

Assume role of team

member or leader.

based on the

situation.

Initiate requests for

Value the perspectives and expertise

of all health team members.

Respect the centrality of the

patient/family as core members

of any health care team.

Respect the unique attributes that

members bring to a team

including variations in

x

individuals and groups in helping

patient/family achieve health goals.

help when

appropriate to

situation.

Clarify roles and

accountabilities

under conditions of

potential overlap in

team member

functioning.

Integrate the

contributions of

others who play a

role in helping

patient/family

achieve health goals.

professional orientations and

accountabilities.

Analyze differences in communication style

preferences among patients and families,

nurses and other members of the health team.

Describe impact of own communication

style on others.

Discuss effective strategies for

communicating and resolving conflict.

Communicate with

team members,

adapting own style of

communicating to

needs of the team and

situation.

Demonstrate

commitment to team

goals.

Solicit input from

other team members

to improve

individual, as well as

team, performance.

Initiate actions to

resolve conflict.

Value teamwork and the

relationships upon which it is based.

Value different styles of

communication used by patients,

families and health care

providers.

Contribute to resolution of

conflict and disagreement.

Describe examples of the impact of team

functioning on safety and quality of care.

Follow communication

practices that minimize

risks associated with

handoffs among

Appreciate the risks associated with

handoffs among providers and

across transitions in care.

xi

Explain how authority gradients influence

teamwork and patient safety.

providers and across

transitions in care.

Assert own

position/perspective

in discussions about

patient care.

Choose

communication

styles that diminish

the risks associated

with authority

gradients among

team members.

Identify system barriers and facilitators of

effective team functioning.

Examine strategies for improving systems

to support team functioning.

Participate in

designing systems that

support effective

teamwork.

Value the influence of system

solutions in achieving effective team

functioning.

EVIDENCE-BASED PRACTICE (EBP) Definition: Integrate best current evidence with clinical expertise and patient/family preferences and values

for delivery of optimal health care.

Knowledge Skills Attitudes

Demonstrate knowledge of basic scientific

methods and processes.

Describe EBP to include the components

of research evidence, clinical expertise

and patient/family values.

Participate effectively

in appropriate data

collection and other

research activities.

Adhere to

Institutional Review

Board (IRB)

guidelines.

Base individualized

care plan on patient

values, clinical

Appreciate strengths and

weaknesses of scientific bases for

practice.

Value the need for ethical conduct

of research and quality

improvement.

Value the concept of EBP as

integral to determining best

clinical practice.

xii

expertise and

evidence.

Differentiate clinical opinion from research

and evidence summaries.

Describe reliable sources for locating

evidence reports and clinical practice

guidelines.

Read original research

and evidence reports

related to area of

practice.

Locate evidence

reports related to

clinical practice

topics and guidelines.

Appreciate the importance of

regularly reading relevant

professional journals.

Explain the role of evidence in determining

best clinical practice.

Describe how the strength and relevance

of available evidence influences the

choice of interventions in provision of

patient-centered care.

Participate in

structuring the work

environment to

facilitate integration of

new evidence into

standards of practice.

Question rationale

for routine

approaches to care

that result in less-

than-desired

outcomes or adverse

events.

Value the need for continuous

improvement in clinical practice

based on new knowledge.

Discriminate between valid and invalid

reasons for modifying evidence-based

clinical practice based on clinical expertise or

patient/family preferences.

Consult with clinical

experts before

deciding to deviate

from evidence-based

protocols.

Acknowledge own limitations in

knowledge and clinical expertise

before determining when to deviate

from evidence-based best practices.

QUALITY IMPROVEMENT (QI) Definition: Use data to monitor the outcomes of care processes and use improvement methods to design and

test changes to continuously improve the quality and safety of health care systems.

Knowledge Skills Attitudes

Describe strategies for learning about the

outcomes of care in the setting in which one

is engaged in clinical practice.

Seek information

about outcomes of care

for populations served

in care setting.

Appreciate that continuous quality

improvement is an essential part of

the daily work of all health

professionals.

xiii

Seek information

about quality

improvement

projects in the care

setting.

Recognize that nursing and other health

professions students are parts of systems of

care and care processes that affect outcomes

for patients and families.

Give examples of the tension between

professional autonomy and system

functioning.

Use tools (such as flow

charts, cause-effect

diagrams) to make

processes of care

explicit.

Participate in a root

cause analysis of a

sentinel event.

Value own and others’ contributions

to outcomes of care in local care

settings.

Explain the importance of variation and

measurement in assessing quality of care.

Use quality measures

to understand

performance.

Use tools (such as

control charts and

run charts) that are

helpful for

understanding

variation.

Identify gaps

between local and

best practice.

Appreciate how unwanted variation

affects care.

Value measurement and its role in

good patient care.

Describe approaches for changing processes

of care.

Design a small test of

change in daily work

(using an experiential

learning method such

as Plan-Do-Study-

Act).

Practice aligning the

aims, measures and

changes involved in

improving care.

Value local change (in individual

practice or team practice on a unit)

and its role in creating joy in work.

Appreciate the value of what

individuals and teams can to do

to improve care.

xiv

Use measures to

evaluate the effect of

change.

SAFETY Definition: Minimizes risk of harm to patients and providers through both system effectiveness and

individual performance.

Knowledge Skills Attitudes

Examine human factors and other basic

safety design principles as well as commonly

used unsafe practices (such as, work-arounds

and dangerous abbreviations).

Describe the benefits and limitations of

selected safety-enhancing technologies

(such as, barcodes, Computer Provider

Order Entry, medication pumps, and

automatic alerts/alarms).

Discuss effective strategies to reduce

reliance on memory.

Demonstrate effective

use of technology and

standardized practices

that support safety and

quality.

Demonstrate

effective use of

strategies to reduce

risk of harm to self or

others.

Use appropriate

strategies to reduce

reliance on memory

(such as, forcing

functions,

checklists).

Value the contributions of

standardization/reliability to safet.

Appreciate the cognitive and

physical limits of human

performance.

Delineate general categories of errors and

hazards in care.

Describe factors that create a culture of

safety (such as, open communication

strategies and organizational error

reporting systems).

Communicate

observations or

concerns related to

hazards and errors to

patients, families and

the health care team.

Use organizational

error reporting

systems for near miss

and error reporting.

Value own role in preventing errors.

xv

Describe processes used in understanding

causes of error and allocation of

responsibility and accountability (such as,

root cause analysis and failure mode effects

analysis).

Participate

appropriately in

analyzing errors and

designing system

improvements.

Engage in root cause

analysis rather than

blaming when errors

or near misses occur.

Value vigilance and monitoring

(even of own performance of care

activities) by patients, families, and

other members of the health care

team.

Discuss potential and actual impact of

national patient safety resources, initiatives

and regulations.

Use national patient

safety resources for

own professional

development and to

focus attention on

safety in care settings.

Value relationship between national

safety campaigns and

implementation in local practices

and practice settings.

INFORMATICS Definition: Use information and technology to communicate, manage knowledge, mitigate error, and support

decision making.

Knowledge Skills Attitudes

Explain why information and technology

skills are essential for safe patient care.

Seek education about

how information is

managed in care

settings before

providing care.

Apply technology

and information

management tools to

support safe

processes of care.

Appreciate the necessity for all

health professionals to seek lifelong,

continuous learning of information

technology skills.

Identify essential information that must be

available in a common database to support

patient care.

Contrast benefits and limitations of

different communication technologies and

their impact on safety and quality.

Navigate the electronic

health record.

Document and plan

patient care in an

electronic health

record.

Value technologies that support

clinical decision-making, error

prevention, and care coordination.

Protect confidentiality of

protected health information in

electronic health records.

xvi

REFERENCES 1 Institute of Medicine. Health professions education: A bridge to

quality. Washington DC: National Academies Press; 2003.

2 Cronenwett, L., Sherwood, G., Barnsteiner J., Disch, J., Johnson, J., Mitchell, P.,

Sullivan, D., Warren, J. (2007). Quality and safety education for nurses. Nursing

Outlook, 55(3)122-1

Copyright © 2005-2014 QSEN All Rights Reserved

Employ

communication

technologies to

coordinate care for

patients.

Describe examples of how technology and

information management are related to the

quality and safety of patient care.

Recognize the time, effort, and skill

required for computers, databases and

other technologies to become reliable and

effective tools for patient care.

Respond appropriately

to clinical decision-

making supports and

alerts.

Use information

management tools to

monitor outcomes of

care processes

Use high quality

electronic sources of

healthcare

information.

Value nurses’ involvement in

design, selection, implementation,

and evaluation of information

technologies to support patient care.

1

Quality and Safety Education for Nurses (QSEN)

Resource Matrix

Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual

performance

Knowledge Keywords: culture, hazards, national patient safety, reduce error, root cause analysis, safety

briefing, safety-enhancing technologies, strategies, unsafe practices, walk around

Skills Keywords: analyzing errors, checklists, communicate, error reporting, errors to patients, families and

the health care team, health care team, national patient safety, patient safety, reduce risk of harm, safety,

standardized, technology

Toolkits Description Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (patient safety, health

care team): is the first undergraduate

textbook that introduces the Quality and

Safety Education for Nurses (QSEN) providing

a comprehensive description of essential

knowledge, skill, and attitudes reflecting on

the six areas of nursing competencies. The six

QSEN competencies include: quality

improvement, patient safety, teamwork and

collaboration, evidence-based practice,

informatics, and patient-centered care.

Teaching strategies and tools included are

PowerPoint slides, critical thinking exercises,

case studies, and rationales for review

questions.

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

2

Institute for

Healthcare

Improvement

(IHI)

Online course (unsafe practices): focusing on

the introduction to patient safety. Course

objectives: Summarize, describe, and explain

the scope and impact of medical errors and

preventable harm to patients in health care.

Identifies ways for providers to improve

patient safety care.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=c67a038c-

b021-43c3-b7b8-

f74e4ec303f4&CatalogGUID=6cb1c

614-884b-43ef-9abd-

d90849f183d4&LessonGUID=0000

0000-0000-0000-0000-

000000000000

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

Online course (reduce error): Focuses on the

consumer learning different error types, why

they occur, and effective strategies for

responding to errors. Values and limitations

of voluntary reporting systems are also

discussed.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=e8c11f1d-

5332-4493-b798-

cb87d033ac8e&CatalogGUID=6cb1

c614-884b-43ef-9abd-

d90849f183d4&LessonGUID=0000

0000-0000-0000-0000-

000000000000

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

Online course (human factors, errors, safety-

enhancing technologies): Focuses on the

human factors and safety. The consumer will

explore case studies provided for the analysis

of human factor issues involved in health

care. Effective strategies to prevent error,

including the use of technology to reduce

error.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=0d1d53a1-

1ec4-4065-8250-

56247132fb9e&CatalogGUID=6cb1

c614-884b-43ef-9abd-

d90849f183d4

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

Online course-small group recommended

(root cause analysis, analyzing errors):

Focuses on the consumer learning root cause

analysis (RCA) in detail, in conjunction with

case studies and examples provided from

both industry and health care. A step-by-step

approach is learned to complete a RCA after

an error for improvement of the process that

led to the error.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=450435c3-

f015-4541-9432-

46eb235461bb&CatalogGUID=6cb1

c614-884b-43ef-9abd-

d90849f183d4

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

Online course-small group recommended

(communicate): Focuses on consumers

learning why patient communication after

adverse events, minor harm and near misses

is difficult for health care professionals.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=614af4d5-

09ed-4c08-b495-

59673b0a581a&CatalogGUID=6cb1

c614-884b-43ef-9abd-

Free

subscription

if registered

3

Teaches how to restore caregiver/patient

trust with effective apology after event

occurs. Description of what and how to say

during communication of adverse events.

d90849f183d4

Institute for

Healthcare

Improvement

(IHI)

Online course (culture): Focuses on how a

culture of safety can be created and fostered

by providers. The consumer learns what a

culture of safety encompass, the power of

speaking up about patient safety, and how to

contribute to a culture of safety by making it

safe to talk about mistakes and errors.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=789d9cbb-

7dd3-4fe9-8df2-

e0c63725b350&CatalogGUID=6cb1

c614-884b-43ef-9abd-

d90849f183d4

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

Online course (reduce risk of harm): This

course is based on the IHI: “How-to Guide:

Prevent Pressure Ulcers”, which describes the

basics of pressure ulcers; provide video tips

with strategies used for prevention and

treatment; sharing the latest research; and

highlight exemplary organizations.

http://app.ihi.org/lms/coursedetail

view.aspx?CourseGUID=c3f350f3-

3e27-47a9-a0fb-

8d780bd2b0bc&CatalogGUID=6cb1

c614-884b-43ef-9abd-

d90849f183d4

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “ISHAPED Patient-Centered

Approach to Nurse Shift Change Bedside

Report” (safety, communicate): focuses on

including patients in the ISHAPED

(I=Introduce, S=Story, H=History,

A=Assessment, P=Plan, E=Error) during nurse

shift change at the bedside to enable patients

to communicate any concerns related to

safety. This toolkit includes a handoff report

form, patient surveys, patient/parent

interview guide and FAQS documents.

http://www.ihi.org/resources/Page

s/Tools/ISHAPEDPatientCenteredN

urseShiftChangeBedsideReport.asp

x

Free

subscription

if registered

Department

of Health and

Human

Services (HHS)

Online course (culture): Video simulation

training program that highlights effective

communication, involving decision making

and prevention of health care associated

infections.

http://www.health.gov/hai/trainin

g.asp

Free

4

Institute for

Healthcare

Improvement

(IHI)

Journal accompanied by “Guidelines for

Responding to Adverse Events”

(communicate, error): Presents practical tips

and facts on the first steps essential to

learning from medical errors, such as

disclosure and apology.

http://www.ihi.org/resources/Page

s/Publications/WhenThingsGoWro

ngAmbulatory.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

(Safety Briefing) is a simple, easy-to-use tool

that front-line staff can use to share

information about potential safety problems

and concerns on a daily basis. This will make

staff aware of patient safety issues, create an

environment to share information, and

integrate the reporting of medication safety

issues into daily work. Over time safety

briefing will decrease medication errors and

improve patient outcome.

http://www.wsha.org/files/82/Safe

tyBriefings.pdf

Free

Institute for

Healthcare

Improvement

(IHI)

The article “IHI Global Trigger Tool for

Measuring Adverse Events (Second Edition)”

(reduce risk for harm, error reporting)

provides the consumer with comprehensive

information on the development and

principles of the IHI Global Trigger Tool. Step-

by-step instructions are provided for the use

of the tool to accurately identify and measure

the rate of adverse events over time.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/IHIGlobalTrigger

ToolWhitePaper.aspx

Free

subscription

access to

PDF if

registered

Institute for

Healthcare

Improvement

(IHI)

The article “Leaders Guide to Patient Safety”

(errors, reduce risk of harm, culture,

communicate) shares the experience of

senior leaders, addressing patient safety and

quality strategies used within their

organizations. The leaders present eight

recommended steps to achieve patient safety

and high reliability.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/LeadershipGuide

toPatientSafetyWhitePaper.aspx

Free

subscription

access to

PDF if

registered

5

Institute for

Healthcare

Improvement

(IHI)

The article “Respectful Management of

Serious Clinical Adverse Events” (reduce risk

of harm; errors to patients, families and the

health care team; patient safety; culture,

checklists) introduces an overall approach

supporting the processes of proactively

preparing a plan for managing serious clinical

adverse events and reactive emergency

response for an organization. Included in the

paper are three tools for leaders: a Checklist,

a Work Plan, and a Disclosure Culture

Assessment Tool.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/RespectfulMana

gementSeriousClinicalAEsWhitePap

er.aspx

Free

subscription

assess to

PDF if

registered

Institute for

Healthcare

Improvement

(IHI)

A safety webcast “The Second Victim” hosted

by GE Healthcare Partners (errors, hazards,

root cause analysis, culture): discuss topics

including: a successful second victim support

program; creation of a culture that supports

second victims; and how institutions should

proactively plan to respond to patients,

caregivers, media, and board members in the

case of an adverse event.

http://partners.gehealthcare.com/

videos/webcasts/the-second-

victim.php

Free

Institute for

Healthcare

Improvement

(IHI)

An audio broadcast “WIHI: Adverse Events

and Their Aftermath: SOS from Clinicians

(errors, health care team): discuss the design

of reliable “aftermath safety nets” created for

clinicians and staff in the case of an adverse

event. Installation of Microsoft Silverlight is

required.

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHIAdverseEve

ntsandTheirAftermathSOSfromClini

cians.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The article “Harm to Healing – Partnering with

Patients Who Have Been Harmed” (errors,

hazards, harm, human factors,

communications, culture, patients, families):

a study by the Canadian Patient Safety

Institute exploring the development of a

framework to collaborate patients and

families as advisors in patient safety

initiatives.

http://www.patientsafetyinstitute.

ca/English/research/commissioned

Research/HarmtoHealing/Docume

nts/Harm%20to%20Healing.pdf

Free

6

Institute for

Healthcare

Improvement

(IHI)

A DVD video link provided by the IHI

“Listening” (errors, harm, accountability,

communication): examines communication

failures in organizations and the critical issue

of listening through the stories of several

patients whose loved ones have been injured

due to medical error.

http://www.safetyleaders.org/pag

es/idPage.jsp?ID=4885

Donation

requested:

$10/DVD

Institute for

Healthcare

Improvement

(IHI)

Tools for Building a Clinician and Staff Support

Program (checklist, resources): a collection of

tools used after an adverse event to support

clinicians and their staff. Along with the

downloadable copy of the Tool Kit (request

form submission required for actual tool kit),

two additional tools were developed

(available for download without request):

MITSS Organizational Assessment Tool

for Clinician Support

Comprehensive Work Plan for

Organizations

http://www.mitsstools.org/tool-

kit-for-staff-support-for-

healthcare-organizations.html

http://www.mitsstools.org/upload

s/3/7/7/6/3776466/mitss_organiza

tional_assessment_tool_for_clinici

an_support_12-30-20102.pdf

http://www.mitsstools.org/upload

s/3/7/7/6/3776466/checklist_for_b

uilding_a_second_victim_support_

program_checklist_3.pdf

Free with

request

form

submission

only for

toolkit

Institute for

Healthcare

Improvement:

(IHI)

A case study “An Extended Stay” (error,

communicate): focuses on an adverse event

involving a 64-year-old man entering the

hospital with numerous health issues. The

care team forgets a standard treatment and a

medication error causes unnecessary harm to

the patient. Learning objectives:

Learn how system failures lead to the

harm of patients

Describe how the lack of

communication between providers

and interdisciplinary teams can lead to

patient harm

After an adverse event, discuss how to

debrief with colleagues

http://www.ihi.org/education/IHIO

penSchool/resources/Pages/CaseSt

udyAnExtendedStay.aspx

Free

7

Institute for

Healthcare

Improvement

(IHI)

LEAD Program Case Studies: Transforming

Safety and Quality Performance (patient

safety): an innovative program sponsored by

Blue Cross Blue Shield of Massachusetts to

transform safety and quality performance in

health care organizations. The case studies

were written to share the experiences of five

organizations that participated in the LEAD

program.

http://www.ihi.org/resources/Page

s/CaseStudies/LEADProgramCaseSt

udies.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

This audio broadcast WIHI: SBAR (Situation,

Background, Assessment, Recommendations):

Structured Communication and Psychological

Safety in Health Care (patient safety,

communicate): is a discussion with WIHI Host

Madge Kaplan and guests, focusing on the

critical role that SBAR plays in drawing

attention to any patient or staff situation that

requires immediate attention or decision

making to ensure safe care.

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHISBARStruct

uredCommunicationandPsychologi

calSafetyinHealthCare.aspx

Free

subscription

if registered.

Installation

of Microsoft

Silverlight is

required.

Institute for

Healthcare

Improvement

(IHI)

SBAR (Situation, Background, Assessment,

Recommendations) Toolkit (communicate,

standardized): offers a simple way to

effectively and efficiently communicate

important information between physicians

and nurses. The consumer is provided with

the SBAR communication tool, generic report

to physician, scenarios, lesson plans, report

competency check off, poster example, phone

sticker template, and tips for using SBAR.

http://www.ihi.org/resources/Page

s/Tools/SBARToolkit.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The article “Reducing cardiac arrests in the

acute admissions unit: a quality improvement

journey” (culture, checklists): focuses on a

quality improvement project that was

undertaken to reduce cardiac arrests to

<1/1000 admissions per month.

http://qualitysafety.bmj.com/cont

ent/early/2013/07/17/bmjqs-2012-

001404.full

Free

8

Institute for

Healthcare

Improvement

(IHI)

The audio “WIHI: The Patient Activist” (safety,

patients, families): presents a discussion on

health care organizations gaining a voice from

activated patients and family members,

utilizing their expertise to help solve some of

health care’s problems related to quality and

safety

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHIThePatientA

ctivist.aspx

Free

subscription

if registered.

Installation

of Microsoft

Silverlight is

required.

Institute for

Healthcare

Improvement

(IHI)

The article “Using Evidence-Based

Environmental Design to Enhance Safety and

Quality” (patient safety): focuses on showing

health care leaders how evidence-based

environmental design interventions improve

the care and perception of that care by

patient, their families, and health care team.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/UsingEvidenceBa

sedEnvironmentalDesignWhitePap

er.aspx

Free

subscription

if registered

Institute for

Safe

Medication

Practices

(ISMP)

ISMP publication (national patient safety):

2014-15 Targeted Medication Safety Best

Practices for Hospitals focuses on identifying,

inspiring, mobilizing widespread, the national

adoption of consensus based best practices

specific to medication safety issues that

contributes to errors that are fatal or cause

harm.

http://www.ismp.org/Tools/BestPr

actices/TMSBP-for-Hospitals.pdf

Free

Joint

Commission

Sentinel Events (root cause analysis, action

plan, surveys) this website provides the policy

on sentinel events and the proper

procedures.

http://www.jointcommission.org/a

ssets/1/6/CAMH_2012_Update2_2

4_SE.pdf

Free

Joint

Commission

National Patient Safety Goals (national

patient resources): The purpose of the

National Patient Safety Goals is to focus on

problems in the clinical setting and how to

solve them to improve patient safety.

http://www.jointcommission.org/a

ssets/1/6/2014_HAP_NPSG_E.pdf

Free

9

Joint

Commission

Facts about the Official “Do Not Use” List

(dangerous medical abbreviations) This

website provides you with the official Do Not

Use list of abbreviations to prevent sentinel

events.

http://www.jointcommission.org/a

ssets/1/18/Do_Not_Use_List.pdf

Free

Joint

Commission

Sentinel Event Alert Issue 50: Medical device

alarm safety in hospitals (safety) These alarm-

equipped devices provides a guide for

information needed to deliver safe care to

patients in the clinical setting. These devices

will also guide you with treatment decisions.

http://www.jointcommission.org/a

ssets/1/18/SEA_50_alarms_4_5_13

_FINAL1.PDF

Free

Health On Net

foundation

(HON)

A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative (initiative, safety, medical errors) The main focus of this Initiative was a series of six research

solicitations on patient safety that illustrates

the potential delivery of safe health care.

http://www.ncbi.nlm.nih.gov/book

s/NBK20611/pdf/ch2.pdf

Free

National

Patient Safety

Foundation

(NPSF)

“What You Can Do to Make Healthcare Safer

“ (national patient safety, errors): target

nurses on what to do to make healthcare

safer. Everyone has a role in safety and with

communication and learning everyone will

succeed in improving patient safety.

http://www.npsf.org/for-patients-

consumers/tools-and-resources-

for-patients-and-consumers/what-

you-can-do-to-make-healthcare-

safer/

Free

The National

Academies

Press

To Err is Human (medical errors) There is an

estimate that 98,000 people die from medical

errors in the hospital This book entitles on

how medical errors happen and their

consequences. There is an estimate that

98,000 people die from medical errors in the

hospital.

http://books.nap.edu/catalog.php?

record_id=9728

View book

for free

membership

is required

to download

free PDF

with an

10

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Patient Safety: Achieving a New

Standard for Care (National patient safety,

error, error reporting, analyzing errors):

Builds on the Institute of Medicine reports To

Err Is Human and Crossing the Quality Chasm.

This Book discusses safe healthcare by

providing a roadmap for developing and

adapting important health care data

standards that supports reporting and

analyzing patient safety data. This can be

achieved by a healthcare system that

prevents errors and learning from them when

they occur. Accesses to other topics on safety

are available.

http://www.nap.edu/catalog.php?r

ecord_id=10863

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Redesigning Continuing Education

in the Health Professions (national patient

safety): Focuses on the importance of

continuing education (CE) to improve high

quality healthcare and patient safety. It is

important for health professionals to

maintain up-to-date knowledge and skills to

safely care for their patients. It also suggest

the principles needed to create a national

continuing education institute in order to

promote continuous professional

development.

http://www.nap.edu/catalog.php?r

ecord_id=12704

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

11

The National

Academies

Press

Book titled Occupational Health Nurses and

Respiratory Protection: Improving Education

and Training: Letter Report (national patient

safety): Focuses on improving the current

respiratory protection education curriculum

by giving recommendations to improve

respiratory protection education and training

for Occupational health nurses (OHN).

Education and training in respiratory

protection is needed to ensure the safety of

both the OHN and American workers.

http://www.nap.edu/catalog.php?r

ecord_id=13183

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled National Research Council.

Keeping Patients Safe: Transforming the Work

Environment of Nurses (national patient

safety, reduce error, culture): Builds on the

Institute of Medicine reports To Err Is Human

and Crossing the Quality Chasm. This book

identifies important features of nurses work

environment that impacts patient safety.

Health care working conditions improvements

that may increase patient safety are also

identified.

http://www.nap.edu/catalog.php?r

ecord_id=10851

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled How Can Health Care

Organizations Become More Health Literate? :

Workshop Summary (national patient

safety): Focuses on developing strategies that

can improve healthcare organizations health

literacy. It identifies attributes that will help

to improve negative consequences of limited

health literacy in order to improve access to

safety health care services. It gives a vision of

how organizations should progress in order to

support the limited health literacy population

to improve overall care.

http://www.nap.edu/catalog.php?r

ecord_id=13402

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

12

The National

Academies

Press

Book titled Preventing Medication Errors:

Quality Chasm Series (errors, reduce risk of

harm): Focuses on providing an agenda for

improving both long term and short-term safe

medication use. It also presents data that will

help in reducing medication errors. The

patient along with health care providers and

health care organizations will benefit from

this reducing medication errors guide.

http://www.nap.edu/catalog.php?r

ecord_id=11623

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

Journal of

Nursing Care

Quality

“Influencing Leadership Perceptions of

Patient Safety Through Just Culture Training”

(safety, culture) There are differences in

perceptions of safety culture between

healthcare leaders and staff. Having resources

and strategies required true culture of safety

to close the gap.

http://journals.lww.com/jncqjourn

al/Abstract/2010/10000/Influencin

g_Leadership_Perceptions_of_Pati

ent.3.aspx

Purchase

the article

for a fee.

Hospitals in

Pursuit of

Excellence

(HPOE)

Checklists to Improve Patient Safety

(checklists): is designed to improve patient

care across 10 areas of patient harm through

carrying out the best practices to improve

quality. This guide includes checklists of

resources and webinars of Adverse drug

events, Catheter-associated urinary tract

infections, Central line-associated blood

stream infections, Early elective deliveries,

Injuries from falls and immobility, Hospital-

acquired pressure ulcers, Preventable

readmissions, Surgical site infections,

Ventilator-associated pneumonias, Venous

thromboembolisms.

http://www.hpoe.org/resources/h

poehretaha-guides/1398

Free

13

Health

research &

Educational

Trust (HRET)

“Implementing Patient Safety Leadership

Walk Rounds” (walk around) is a program to

Increase awareness of safety issues among

healthcare workers. It provides education to

staff about patient safety such as “just

culture” and barriers to safety.

http://www.hret.org/quality/proje

cts/walkrounds.shtml

Free

Health

research &

Educational

Trust (HRET)

The Pathways for Patient Safety modules

(Medication Safety) Creating Medication

Safety, presents materials to facilitate safe

medication management and includes specific

references for obtaining and sharing patient’s

medications, to prevent adverse drugs effects

and error.

http://www.hret.org/quality/proje

cts/resources/creating_medication

_safety.pdf

Free

AHRQ (Agency

for Healthcare

Research and

Quality)

The Comprehensive Unit-based Safety

Program (CUSP) (checklist, reduce risk of

harm) provides a checklist that gives ways to

decrease the incidence of infections from

central lines. The checklists put an emphasis

on documenting abnormal findings.

http://www.ahrq.gov/professionals

/quality-patient-safety/patient-

safety-resources/resources/cli-

checklist/index.html

Free

AHRQ (Agency

for Healthcare

Research and

Quality)

The “Understand the Science of Safety”

(analyzing errors & designing system

improvements) module of the CUSP Toolkit

offers a PowerPoint that addresses the

necessity of system design and principles of

safe design. The aim is to help nurses

understand patient safety as a science; as a

result, the hospital unit they practice on will

have a better quality of patient-centered care.

http://www.ahrq.gov/professionals

/education/curriculum-

tools/cusptoolkit/modules/underst

and/index.html

Free

AHRQ (Agency

for Healthcare

Research and

Quality)

This CUSP video (open communication

strategies, near miss, error reporting, root

cause analysis) provide strategies on how to

utilize effective communication among

physicians, nurses, and other clinical team

members of the health care in order to

provide safe care.

http://www.ahrq.gov/professionals

/education/curriculum-

tools/cusptoolkit/videos/04f_techt

mwork/index.html

Free

14

Sigma Theta

Tau

International:

Honor Society

for nursing

( nursing

knowledge

international)

Nurse Manager Certificate Program: Patient

Safety in the Health Care Workplace - ONLINE

COURSE (error) This online course for

continuing education is worth eight hours.

This course introduces new approaches on

how to improve patient safety and

understand the occurrence of errors.

http://www.nursingknowledge.org

/nurse-manager-certificate-

program-patient-safety-in-the-

health-care-workplace.html

Online

course for

continuing

education 8

hours.

Cost $59.95

UpToDate

Peer reviewed journal “Operating room

safety” focuses on safety principles and

efforts to improve safety in the Operating

Room. (Safety enhancing technology,

hazards, reduce risk of harm, supports safety

& quality, human factors, checklist, work

around, culture of safety, errors to patients).

The goal is to reduce adverse events and

improve patient safety by applying scientific

principles to healthcare.

http://www.uptodate.com/content

s/operating-room-

safety?source=search_result&searc

h=safety&selectedTitle=1%7E150

Paid

Subscription

is required

UpToDate UpToDate (support safety & quality, effective

use of technology) shares an article that

discusses the issues of screening individuals of

intimate partner violence and ways of

improvement. The article also talks about the

effectiveness of computer-based screening.

http://www.uptodate.com/content

s/intimate-partner-violence-

diagnosis-and-

screening?source=search_result&s

earch=intimate+partner+violence+

diagnosis+andscreening&selectedT

itle=1~19

Free

15

QSEN (Quality

and Safety

Education for

Nurses)

Committed to Safety: Ten Case Studies on

reducing harm to patients (error, culture,

reduce risk of harm, national patient safety):

This link was provided by QSEN.org and gives

report on 10 case studies that describe the

actions, results, and lessons learned by

patient safety leaders in addressing reducing

harm . It also gives suggestions on how to be

successful in reducing harm to patients.

http://www.commonwealthfund.o

rg/Publications/Fund-

Reports/2006/Apr/Committed-to-

Safety--Ten-Case-Studies-on-

Reducing-Harm-to-Patients.aspx

Free

QSEN (Quality

and Safety

Education for

Nurses)

QSEN (hazards to patients, reduce risk of

harm, support safety and quality, errors to

patients, analyzing errors) provided an article

that utilizes a SLE (simulating learning

experience) to identify the hazards of patient

safety and ways to eliminate those hazards.

http://ovidsp.tx.ovid.com/sp-

3.11.0a/ovidweb.cgi?WebLinkFram

eset=1&S=BGCCFPLMJMDDENDNN

CMKHBFBEDLMAA00&returnUrl=o

vidweb.cgi%3f%26Full%2bText%3d

L%257cS.sh.27.28%257c0%257c00

006223-201105000-

00011%26S%3dBGCCFPLMJMDDE

NDNNCMKHBFBEDLMAA00&directl

ink=http%3a%2f%2fgraphics.tx.ovi

d.com%2fovftpdfs%2fFPDDNCFBH

BDNJM00%2ffs046%2fovft%2flive

%2fgv023%2f00006223%2f000062

23-201105000-

00011.pdf&filename=Teaching+Pat

ient+Safety+in+Simulated+Learning

+Experiences.&pdf_key=FPDDNCFB

HBDNJM00&pdf_index=/fs046/ovft

/live/gv023/00006223/00006223-

201105000-00011

Requires

registration

to:

https://ww

w.ovid.com/

webapp/wc

s/stores/ser

vlet/UserRe

gistrationFo

rm?catalogI

d=13151&la

ngId=-

1&storeId=1

3051&krypt

o=JeuX%2B

VEXYJB2VpJ

qM5V0LA%

3D%3D&ddk

ey=http:Use

rRegistratio

nForm

QSEN (Quality

and Safety

Education for

Nurses)

QSEN (support safety) provides a

documentary that discusses how healthcare

professionals can enhance patient safety.

http://qsen.org/videos/chasing-

zero-winning-the-war-on-

healthcare-harm/

Free

16

QSEN (Quality

and Safety

Education for

Nurses)

QSEN (error to patient, open communication

strategies, near miss, designing system

improvements) provides a link to an article

that addresses the different kinds of errors

that occurred in a simulation of nursing

students; solutions are provided for the

errors.

http://www.sciencedirect.com/scie

nce/article/pii/S089718970800009

8?via=ihub

Free

Quality and

Safety

Education for

Nurses (QSEN)

The video “The Josie King Story clip for QSEN”

(errors to patients, communicate, patient

safety, health care team): shares the story of

Josie King who died in the hospital due to

medical errors, to bring awareness to the

decline in patient safety. The Josie King

Foundation was created to share the story

and promote patient safety practices in the

health care system. Video opens on

youtube.com web-link.

https://www.youtube.com/watch?

v=JeVcXhvPvbU&feature=youtu.be

Free

Quality and

Safety

Education for

Nurses (QSEN)

The video “Introducing the Partnership for

Patients with Sorrel King” (errors to patients,

communicate, patient safety, health care

team): shares the story of Josie King who died

in the hospital due to medical errors. The

Josie King Foundation pushed for the

partnership of families, patients, healthcare

team, along with the U.S. health care systems

to provide improved patient safety and

patient-centered care. Video opens on

youtube.com web-link.

https://www.youtube.com/watch?

v=ak_5X66V5Ms&feature=youtu.b

e

Free

Quality and

Safety

Education for

Nurses (QSEN)

The toolkit “Teaching Pre-Licensure Nursing

Students to Communicate In SBAR In the

Clinical Setting” (safety, communicate,

strategies): includes a two part online video

vignette and SBAR rubric pdf. The vignettes

are designed for both faculty and students to

teach them how to communicate using SBAR

to improve quality and safety in the care of

nursing.

http://qsen.org/teaching-pre-

licensure-nursing-students-to-

communicate-in-sbar-in-the-

clinical-setting/

Free

17

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (safety,

communicate): is learning strategy to be

completed by the nursing student by

interviewing nurse leaders with questions

that will help the student describe the

processes within the clinical setting related to

the utilization of all six of the QSEN

competencies.

http://qsen.org/nurse-leader-

interview-assignment/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “End-Of-Life

Simulation” (strategies, communicate,

safety): is designed to teach by simulation

how to perform a physical assessment to

manage end-of life symptoms; practice

therapeutic support; assess spiritual needs;

provide cultural sensitivity; demonstrate an

approach to care that is patient and family

centered; advocate and advocate the

patient’s advanced directive; develop an

individualized plan of care by utilizing the

nursing process; evaluate personal beliefs and

values influencing the ability to provide end-

of-life care; perform nurse-to-nurse death

verification; utilize a standardized expiration

checklist for death documentation;

demonstrate safe handling precautions during

post mortem care; and as death approaches,

practice interdisciplinary collaboration.

http://qsen.org/end-of-life-

simulation/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation” (safety,

communicate): is designed to educate the

nursing student on describing the nurse’s

role; successfully triaging victims of mass

casualty events; successfully performing rapid

trauma assessments, recognizing the patient

as full partner In his/her care; functioning

effectively in teamwork and collaboration;

integrating the best current evidence into

practice; utilizing data and improvement

methods to monitor outcomes to improve

http://qsen.org/simulation/

Free

18

quality and safety within the health care

systems; and the utilization of information

and technology in the clinical setting.

Quality and

Safety

Education for

Nurses (QSEN)

The case study “Exploring the Complexity of

Advocacy: Balancing Patient-Centered Care

and Safety” (patient safety): is designed to

promote focused a discussion, intended to

create the opportunity for students to

commit to both patient-centered care and

safety by exploring the complexities of

advocacy.

http://qsen.org/exploring-the-

complexity-of-advocacy-balancing-

patient-centered-care-and-safety/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Promoting Safety in

an Unfolding Simulated Public Health

Disaster” (safety): designed to educate

nursing students on recognizing signs and

symptoms, identifying essential assessment

parameters, participating effectively with

interdisciplinary teams, the application of

appropriate infectious control standards, and

the demonstration of correct nursing actions

during infectious disease outbreaks.

http://qsen.org/promoting-safety-

in-an-unfolding-simulated-public-

health-disaster/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The clinical assessment tool “Clinical

Assessment Tool: Teaching Strategy for Safety

and Patient Centered Care” (patient safety,

reduce risk of harm, strategies,

communicate, checklists): is developed as a

strategy to provide students with a simple

checklist to help focus their attention on

safety issues in the clinical setting; and

sample interview questions to provide

opportunities to express concerns related to

patient-centered care.

http://qsen.org/clinical-

assessment-tool-teaching-strategy-

for-safety-and-patient-centered-

care/

Free

19

Quality and

Safety

Education for

Nurses (QSEN)

The video “Chasing Zero: Winning the War on

Healthcare Harm” (patient safety, errors to

patients): is hosted by Dennis Quad sharing

the story of the near-death experience of his

infant twins due to medical error and the his

initiation of a call to action for healthcare

leaders to invest in patient safety. A series of

short stories are also included in this video,

each story opening with challenges with

practices that can be adopted by everyone.

http://qsen.org/videos/chasing-

zero-winning-the-war-on-

healthcare-harm/

Free

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (patient safety,

strategies, reduce error): describes the

transformation of a previously used high-

fidelity simulation observer record by

undergraduate baccalaureate nursing faculty,

into one that is focused in the prelicensure

Quality and Safety Education for Nurses

(QSEN) competencies.

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

Quality Improvement: Use data to monitor the outcome of care processes and use improvement

methods to design and test changes to continuously improve the quality and safety of health care systems.

Knowledge keywords: assessing, clinical practice, engaged, families, outcomes, patients, processes,

strategies

Skills keywords: aligning, changes, gaps, improvement, improvement projects, measures, outcomes,

populations, quality, root cause analysis, tools

Attitudes: value

Toolkits Description Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (quality,

improvement): is the first undergraduate

textbook that introduces the Quality and

Safety Education for Nurses (QSEN) providing

a comprehensive description of essential

knowledge, skill, and attitudes reflecting on

the six areas of nursing competencies. The six

QSEN competencies include: quality

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

20

improvement, patient safety, teamwork and

collaboration, evidence-based practice,

informatics, and patient-centered care.

Teaching strategies and tools included are

PowerPoint slides, critical thinking exercises,

case studies, and rationales for review

questions.

Institute for

Health

Improvement

(IHI)

The IHI Quality Metric Advisor Tool (tools,

improvement, measures): a simple algorithm

organizations use to help maintain and

improve clinical quality during cost-savings

improvement initiatives by identifying and

addressing crucial balancing measures. The

algorithm is closely connected to the quality

of direct patient services.

http://www.ihi.org/resources/Page

s/Tools/QualityMetricAdvisor.aspx

Free

subscription

if registered

Institute for

Health

Improvement

(IHI)

The article “To Reconcile Mission and Margin,

Deliver Better Outcomes at Lower Costs”

(outcomes, processes, improvement, value):

focuses on increasing the value and

improving patient outcomes, during the

process of reducing costs. The partnerships

among the Institute for Healthcare

Improvement, the Harvard Business School,

and various orthopedic surgical groups are

highlighted in this overview of value-based

health care delivery.

http://www.healio.com/orthopedic

s/business-of-

orthopedics/news/print/orthopedic

s-today/{48410cce-4bc5-4585-

bce2-5b19c8153c38}/to-reconcile-

mission-and-margin-deliver-better-

outcomes-at-lower-

costs?page=0&Filter=

Free

Institute for

Health

Improvement

(IHI)

The summary report and brief video message

“Ensuring a Healthier Tomorrow: Actions to

Strengthen Our Health Care System and Our

Nation’s Finances” (strategies, improvement,

outcomes, engaged, patients, families,

populations): Due to the Patient Protection

and Affordable Care Act (ACA) expanding

access to health care coverage, two

interconnected strategies are the focus in this

report used to improve the healthcare system

and ensure short and long-term financial

viability of the Medicare and Medicaid

http://www.aha.org/research/repo

rts/healthiertomorrow.shtml

Free

21

programs.

Institute for

Improvement

(IHI)

The book “What Works: Effective Tools and

Case Studies to Improve Clinical Office

Practice” (improvement, clinical practice):

includes tools, case studies, and other

resources used to help identify areas needed

for quality improvement in clinical office

practices.

http://www.ihi.org/resources/Page

s/Publications/WhatWorkseffective

toolsandcasestudiestoimproveclinic

alofficepractice.aspx

Free

subscription

if registered

Institute for

Improvement

(IHI)

LEAD Program Case Studies: Transforming

Safety and Quality Performance

(improvement, quality, changes): an

innovative program sponsored by Blue Cross

Blue Shield of Massachusetts to transform

safety and quality performance in health care

organizations. The case studies were written

to share the experiences of five organizations

that participated in the LEAD program.

http://www.ihi.org/resources/Page

s/CaseStudies/LEADProgramCaseSt

udies.aspx

Free

subscription

if registered

Institute for

Improvement

(IHI)

Pursuing the IHI Triple Aim: CareOregon Case

Study (aims, strategies, populations,

improvement): focuses on the CareOregon

site working with the IHI on the Triple Aim to

study effective strategies and exchange key

findings for possible further action.

http://www.ihi.org/resources/Page

s/CaseStudies/PursuingtheTripleAi

mCareOregonCaseStudy.aspx

Free

subscription

if registered

Institute for

Improvement

(IHI)

The article “Leaders Guide to Patient Safety”

(strategies, changes, improvement, aligning)

shares the experience of senior leaders,

addressing patient safety and quality

strategies used within their organizations.

The leaders present eight recommended

steps to achieve patient safety and high

reliability.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/LeadershipGuide

toPatientSafetyWhitePaper.aspx

Free

subscription

for PDF

access if

registered

Institute for

Improvement

(IHI)

The article “Respectful Management of

Serious Clinical Adverse Events” (tools,

processes, patients, families, improvement)

introduces an overall approach supporting

the processes of proactively preparing a plan

for managing serious clinical adverse events

and reactive emergency response for an

http://www.ihi.org/resources/Page

s/IHIWhitePapers/RespectfulMana

gementSeriousClinicalAEsWhitePap

er.aspx

Free

subscription

if registered

22

organization. Included in the paper are three

tools for leaders: a Checklist, a Work Plan,

and a Disclosure Culture Assessment Tool.

Institute for

Improvement

(IHI)

This audio broadcast WIHI: SBAR (Situation,

Background, Assessment,

Recommendations): Structured

Communication and Psychological Safety in

Health Care (improvement, tools): is a

discussion with WIHI Host Madge Kaplan and

guests, focusing on the critical role that SBAR

plays in drawing attention to any patient or

staff situation that requires immediate

attention or decision making to ensure safe

care.

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHISBARStructu

redCommunicationandPsychologica

lSafetyinHealthCare.aspx

Free

subscription

if registered.

Installation

of Microsoft

Silverlight is

required.

Institute for

Improvement

(IHI)

SBAR (Situation, Background, Assessment,

Recommendations) Toolkit (tools, assessing):

offers a simple way to effectively and

efficiently communicate important

information between physicians and nurses.

The consumer is provided with the SBAR

communication tool, generic report to

physician, scenarios, lesson plans, report

competency check off, poster example,

phone sticker template, and tips for using

SBAR.

http://www.ihi.org/resources/Page

s/Tools/SBARToolkit.aspx

Free

subscription

if registered.

Institute for

Improvement

(IHI)

The article “Reducing cardiac arrests in the

acute admissions unit: a quality improvement

journey” (improvement projects, outcomes,

measurements): focuses on a quality

improvement project that was undertaken to

reduce cardiac arrests to <1/1000 admissions

per month.

http://qualitysafety.bmj.com/conte

nt/early/2013/07/17/bmjqs-2012-

001404.full

Free

Institute for

Improvement

(IHI)

This How-to-Guide “Transforming Care at the

Bedside How-to-Guide: Developing Front-Line

Nursing Managers to Lead Innovation and

Improvement (changes, strategies, assessing,

improvement): describes innovative changes

that focus on improving strategies for

http://www.ihi.org/resources/Page

s/Tools/TCABHowToGuideDevelopi

ngFrontLineNursingManagers.aspx

Free

subscription

for

document

access if

registered

23

developing transformational leadership skills

in front-line nursing managers.

Institute for

Healthcare

Improvement

(IHI)

Adverse Events Prevented Calculator Toolkit

(tools, quality improvement): this tool is

used to track the change in rate of adverse

events over a period of time, unnecessary

deaths, potential cost savings, and

investment returns on quality improvement

work that targets adverse events. An audio

recording, adverse events prevented

calculator, and an instructions document can

be accessed as part of this toolkit.

http://www.ihi.org/resources/Page

s/Tools/AdverseEventsPreventedCa

lculator.aspx

Free

subscription

if registered

for

documents

Installation

of Microsoft

Silverlight is

required.

Institute for

Healthcare

Improvement

(IHI)

The article “Leaders Challenged to Reduce

Cost, Deliver More” (quality, improvement,

strategies): discusses leadership strategies for

the creation of a culture possible for quality

improvement and cost savings.

http://www.ihi.org/resources/Page

s/Publications/LeadersChallengedR

educeCostDeliverMore.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The audio “WIHI: The Patient Activist”

(quality, patients, families): presents a

discussion on health care organizations

gaining a voice from activated patients and

family members, utilizing their expertise to

help solve some of health care’s problems

related to quality and safety.

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHIThePatientA

ctivist.aspx

Free

subscription

if registered.

Installation

of Microsoft

Silverlight is

required.

Institute for

Healthcare

Improvement

(IHI)

The article “Using Evidence-Based

Environmental Design to Enhance Safety and

Quality” (quality, improvement, strategies,

measures, gaps, patients, families): focuses

on showing health care leaders how

evidence-based environmental design

interventions improve the care and

perception of that care by patient, their

families, and health care team.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/UsingEvidenceBa

sedEnvironmentalDesignWhitePap

er.aspx

Free

subscription

if registered

Teamstepps/

AHRQ

AHRQ handbook provides evidence-based

practices to utilize (quality measures) when

caring for hospitalized patients (care setting,

http://www.ncbi.nlm.nih.gov/book

s/NBK2632/

Free

24

clinical practice).

Teamstepps/

AHRQ

Commentary discussed a case of neonatal

jaundice. Discussion included common

mistakes made by healthcare providers (root

cause analysis) and the correct guidelines for

caring for a neonatal infant with jaundice

(Improving care).

http://www.webmm.ahrq.gov/case

.aspx?caseID=319

Free

Teamstepps/

AHRQ

AHRQ provided a case that discussed

medication errors and strategies to reduce

error (Root cause analysis).

http://www.webmm.ahrq.gov/case

.aspx?caseID=314

Free

Teamstepps/

AHRQ

A document from AHRQ discusses measures

to utilize (Quality measures) when providing

ambulatory care.

http://www.ahrq.gov/professionals

/quality-patient-safety/quality-

resources/tools/ambulatory-

care/starter-set.html

Free

Teamstepps/

AHRQ

Toolkit provides a list of resources that will

help hospitals enhance the quality of care

(Improving care) it provides.

http://www.ahrq.gov/professionals

/systems/hospital/qitoolkit/qiroad

map.html

Free

QSEN

(Quality and

Safety

Education for

Nurses)

QSEN provides a manual that explains quality

improvement (flow charts, quality

improvement projects); it also explains how

one can improve his/her competence as an

individual (professional autonomy)

https://docs.google.com/a/case.ed

u/file/d/0B5YGF5c2vqn5a3BGTElTd

mtwOEU/edit?pli=1

Free

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (quality,

improvement, clinical practice, value): is

learning strategy to be completed by the

nursing student by interviewing nurse leaders

with questions that will help the student

describe the processes within the clinical

setting related to the utilization of all six of

http://qsen.org/nurse-leader-

interview-assignment/

Free

25

the QSEN competencies.

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation” (quality

improvement, communicate, value,

outcomes): is designed to educate the

nursing student on describing the nurse’s

role; successfully triaging victims of mass

casualty events; successfully performing rapid

trauma assessments, recognizing the patient

as full partner In his/her care; functioning

effectively in teamwork and collaboration;

integrating the best current evidence into

practice; utilizing data and improvement

methods to monitor outcomes to improve

quality and safety within the health care

systems; and the utilization of information

and technology in the clinical setting.

http://qsen.org/simulation/

Free

Joint

Commission

Sentinel Events (root cause analysis, action

plan, surveys) this website provides the

policy on sentinel events and the proper

procedures.

http://www.jointcommission.org/a

ssets/1/6/CAMH_2012_Update2_2

4_SE.pdf

Free

Health

research &

Educational

Trust (HRET)

Using Workforce Practices to Drive Quality

Improvement: A Guide for Hospitals (quality

improvement) joins the idea that workforce

can certainly impact the quality of hospitals.

This guide posits 14 high performance work

practices (HPWPs) that fall into four

categories: organizational engagement, staff

acquisition and development, frontline

empowerment, and leadership alignment and

development.

www.hret.org/workforce/resources

/workforce-guide.pdf

Free

Hospitals in

Pursuit of

Excellence

(HPOE)

The State of Quality Improvement Science in

Health What Do We Know about how to

Provide Better Care? (quality improvement)

This PDF analyses the evolution of quality

improvement initiatives, the current evidence

and what interventions work that will help

enhance the health care.

http://www.rwjf.org/content/dam/

farm/reports/reports/2011/rwjf717

82

Free

26

Hospitals in

Pursuit of

Excellence

(HPOE)

(quality improvement) This link provides

several videos of webinars on how quality is

use in healthcare.

http://www.hpoe.org/resources?q

=quality

Free

The National

Academies

Press

Book titled Advancing Quality Improvement

Research (outcomes, assessing, strategies,

tools): Discusses the events at the Institute

of Medicine’s Forum on the Science of Health

Care Quality Improvement and

Implementation workshop. The purpose of

this workshop was to discuss what quality

improvement is, the barriers that exist in

quality improvement for the health care

industry, and to research quality

improvement.

http://www.nap.edu/catalog.php?r

ecord_id=11884

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Redesigning Continuing Education

in the Health Professions (strategies,

learning, improvement): Focuses on the

importance of continuing education (CE) to

improve high quality healthcare and patient

safety. It is important for health

professionals to maintain up-to-date

knowledge and skills to safely care for their

patients. It also suggest the principles needed

to create a national continuing education

institute in order to promote continuous

professional development.

http://www.nap.edu/catalog.php?r

ecord_id=12704

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Best Care at Lower Cost: The Path

to Continuously Learning Health Care in

America (learning, improvement, tools):

Focuses on the knowledge and tools that exist

to continuously improve the health care

system by achieve a better quality of care at a

lower cost.

http://www.nap.edu/catalog.php?r

ecord_id=13444

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

27

The National

Academies

Press

Book titled How Far Have We Come in

Reducing Health Disparities? (outcomes,

improvement, tools): Focuses on progression

to addressing health disparities by looking at

various federal initiatives success in reducing

health disparities

http://www.nap.edu/catalog.php?r

ecord_id=13383

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Delivering High-Quality Cancer

Care: Charting a New Course for a System in

Crisis (strategies, outcomes, quality, patients,

families, tools): Discusses a conceptual

framework for improving the quality of cancer

care by developing a higher care delivery

system. This will aid in the quality of life and

outcomes for cancer patients can be

improved.

http://www.nap.edu/catalog.php?r

ecord_id=18359

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled How Can Health Care

Organizations Become More Health Literate?:

Workshop Summary (strategies, learning,

improvement, quality): Focuses on

developing strategies that can improve

healthcare organizations health literacy. It

identifies attributes that will help to improve

negative consequences of limited health

literacy in order to improve access to safety

health care services. It gives a vision of how

organizations should progress in order to

support the limited health literacy population

to improve overall care.

http://www.nap.edu/catalog.php?r

ecord_id=13402

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

28

The National

Academies

Press

Book titled Preventing Medication Errors:

Quality Chasm Series (outcomes, strategies,

quality, improvement): Focuses on

improving the nation’s quality of healthcare

by providing an agenda for both long term

and short term safe medication use. It also

presents data that will help in reducing

medication errors. The patient along with

health care providers and health care

organizations will benefit from this reducing

medication errors guide.

http://www.nap.edu/catalog.php?r

ecord_id=11623

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

The National

Academies

Press

Book titled Future Directions for the National

Healthcare Quality and Disparities Reports

(outcomes, assessing, quality, improvement,

measures): Discusses how successful the U.S.

system has been in delivering high-quality

care. The Agency for Healthcare Research

and Quality (AHRQ) annual National

Healthcare Quality Reports (NHQR) and

National Healthcare Disparities Report

(NHDR) revealed that health care quality has

improved but there is still room for more

improvement. The NHQR and the NHDR are

considered sources of data on past trends of

improvement. The national healthcare

reports provides detailed information on

current performance, closes gaps in quality,

and gives timelines on bridging gaps while

considering improvements current pace.

http://www.nap.edu/catalog.php?r

ecord_id=12846

View book

for free

membership

is required

to download

free PDF

with an

option to

purchase

the

hardcopy.

29

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (quality, improvement,

outcomes, strategies): describes the

transformation of a previously used high-

fidelity simulation observer record by

undergraduate baccalaureate nursing faculty,

into one that is focused in the prelicensure

Quality and Safety Education for Nurses

(QSEN) competencies

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in

providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs

Knowledge: active, communication, community, cultural, empower, ethical, healthcare, patient-centered

care

Skills: assess, effectiveness, engage, families, health care team, implementation, needs, pain, partnerships,

patients, preferences, respect, safety, sensitivity, suffering, values

Attitudes: organizational

Toolkits Descriptions Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (patient-centered care,

safety, health care team): is the first

undergraduate textbook that introduces the

Quality and Safety Education for Nurses

(QSEN) providing a comprehensive

description of essential knowledge, skill, and

attitudes reflecting on the six areas of nursing

competencies. The six QSEN competencies

include: quality improvement, patient safety,

teamwork and collaboration, evidence-based

practice, informatics, and patient-centered

care. Teaching strategies and tools included

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

30

are PowerPoint slides, critical thinking

exercises, case studies, and rationales for

review questions.

Institute for

Healthcare

Improvement

(IHI)

The animated video “The Power of Empathy”

(pain, suffering, sensitivity): this video from

RSA Shorts is presented on youtube.com used

to remind us that genuine empathetic

connections can only be created if we are

brave enough to channel into our own

fragilities.

https://www.youtube.com/watch?f

eature=player_embedded&v=1Evw

gu369Jw

Free

Institute for

Healthcare

Improvement

(IHI)

Patient- and Family-Centered Care

Organizational Self-Assessment Tool (assess,

patients, families, patient-centered care,

organizational): This self-assessment tool

allows organizations to assess how it’s

performing in patient- and family –centered

care.

http://www.ihi.org/resources/Page

s/Tools/PatientFamilyCenteredCare

OrganizationalSelfAssessmentTool.

aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The article “Partnering with Patients and

Families to Design a Patient- and Family-

Centered Health Care System: A Roadmap for

the Future” (partnership, patients, families,

patient-centered care, health care team):

provides background information on the

development of an action plan to ensure

patient-centered care is in place in health

systems.

http://www.ihi.org/resources/Page

s/Publications/PartneringwithPatie

ntsandFamilies.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The article “Partnering with Patients and

Families to Design a Patient- and Family-

Centered Health Care System:

Recommendations and Promising Practices”

(partnership, patients, families, patient-

centered care, health care team): provides

examples highlighting partnering with

patients and families with best practices from

health care entities including hospitals,

ambulatory programs, medical and nursing

schools, and organizations that are patient-

and family led.

http://www.ihi.org/resources/Page

s/Publications/PartneringwithPatie

ntsandFamiliesRecommendationsP

romisingPractices.aspx

Free

subscription

if registered

31

Institute for

Healthcare

Improvement

(IHI)

The article “Achieving an Exceptional Patient

and Family Experience of Inpatient Hospital

Care” (patients, families, effectiveness,

safety, respect, partnership): provides a list

of primary and secondary drivers of

exceptional patient and family inpatient

hospital experiences, exemplars from various

hospitals, tips on how to use this framework,

and extensive references to use for further

guidance.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/AchievingExcepti

onalPatientFamilyExperienceInpati

entHospitalCareWhitePaper.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Always Events Getting Started

Kit” (patients, families, implementation,

partnership): helps health care providers at

the front line of care determine an Always

Event and select a set practices to implement

an Always Event initiative including:

leadership, staff engagement, patient and

family partnership, and measurement.

http://www.ihi.org/resources/Page

s/Tools/AlwaysEventsGettingStarte

dKit.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The video “The Art and Science of Person-

and Family-Centered Care” (patient-centered

care): presents questions for the IHI Vice

President Pat Rutherford to address related

to the art of science person- and family-

centered care.

http://www.ihi.org/resources/Page

s/AudioandVideo/ArtandScienceof

PFCC.aspx

Free

Institute for

Healthcare

Improvement

(IHI)

The audio “WIHI: Recognizing Person- and

Family-Centered Care: Always Events at IHI”

(patient-centered care): provides a discussion

featuring principles welcoming family and

friends into the decision process and more,

holding health care accountable for its

actions.

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHIAlwaysEven

tsatIHI.aspx

Free

subscription

if registered

for

document

and

installation

of Microsoft

Silverlight

required for

audio

Institute for

Healthcare

Improvement

The audio “WIHI: The Patient Activist”

(safety, active, patients, families): presents a

discussion on health care organizations

http://www.ihi.org/resources/Page

s/AudioandVideo/WIHIThePatientA

ctivist.aspx

Free

subscription

if registered

32

(IHI) gaining a voice from activated patients and

family members, utilizing their expertise to

help solve some of health care’s problems

related to quality and safety.

and

installation

of Microsoft

Silverlight

required for

audio

Institute for

Healthcare

Improvement

(IHI)

The book “Always Events Blueprint for Action

and Always Events Healthcare Solutions

Book” (patient-centered care,

implementation, healthcare): describes tools

used to guide organizations in creating a

more family- and patient-centered culture by

developing and implementing the Always

Events initiative.

http://www.ihi.org/resources/Page

s/Tools/AlwaysEventsBlueprintand

SolutionsBook.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “ISHAPED Patient-Centered

Approach to Nurse Shift Change Bedside

Report” (safety, communication, patients,

families, assess): focuses on including

patients in the ISHAPED (I=Introduce, S=Story,

H=History, A=Assessment, P=Plan, E=Error)

during nurse shift change at the bedside to

enable patients to communicate any

concerns related to safety. This toolkit

includes a handoff report form, patient

surveys, patient/parent interview guide and

FAQS documents.

http://www.ihi.org/resources/Page

s/Tools/ISHAPEDPatientCenteredN

urseShiftChangeBedsideReport.asp

x

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Always Use Teach Back!”

(patients, families, effectiveness): is utilized

to confirm patient understanding after given

instruction of care by having the patients to

teach back the instruction using their own

words.

http://www.ihi.org/resources/Page

s/Tools/AlwaysUseTeachBack!.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Same Page” Transitional Care

Resources for Patients and Care Partners

(patients, health care team): includes

resources and tools developed to support

patients, their care partners, and the health

care team to all be “on the same page” in

http://www.ihi.org/resources/Page

s/Tools/SamePageTransitionalCare

ResourcesforPatientsandCarePartn

ers.aspx

Free

subscription

if registered

33

understanding the patient’s care needs

during transitioning of settings in the hospital

or skilled nursing facility.

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Transplant Guardian Angel

Always Event” (patients, families,

effectiveness, communication): provides

patients and their families with accurate, real-

time updates and clinical information to

support them through the transplant surgical

process to reduce anxiety and increase the

effectiveness of communication between the

health care team.

http://www.ihi.org/resources/Page

s/Tools/TransplantGuardianAngelAl

waysEvent.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The article “Using Evidence-Based

Environmental Design to Enhance Safety and

Quality” (safety, patients, families): focuses

on showing health care leaders how

evidence-based environmental design

interventions improve the care and

perception of that care by patient, their

families, and health care team.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/UsingEvidenceBa

sedEnvironmentalDesignWhitePap

er.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The “Patient-Centered Care Improvement

Guide” (patient-centered care,

implementation, organizational, assess):

facilitates best practices and practical

implementation tools to help identify and

prioritize opportunities for health care

organizations to become more patient-

centered.

http://planetree.org/wp-

content/uploads/2012/01/Patient-

Centered-Care-Improvement-

Guide-10-28-09-Final.pdf

Free

Institute for

Healthcare

Improvement

(IHI)

The audio “Patient-Centered Care: Rebecca

Bryson’s Story”(patient-centered care): is

presented by Rebecca Bryson who

throughout her experience with a chronic

illness, found that system problems were

the culprit of challenges faced by patients.

http://www.ihi.org/resources/Page

s/AudioandVideo/PatientCentered

CareRebeccaBryson.aspx

Free

subscription

if registered.

Installation

of Microsoft

Silverlight is

required.

Institute for

Healthcare

The improvement story “Delivering Great

Care: Engaging Patients and Families as

http://www.ihi.org/resources/Page

s/ImprovementStories/DeliveringG

Free

34

Improvement

(IHI)

Partners” (patient-centered care, families,

respect, preferences, needs, values):

addresses the need for patient-centered care

which is defined by the IOM (Institute of

Medicine) as “Providing care that is respectful

of and responsive to individual patient

preferences, needs, and values and ensuring

that patient values guide all clinical decisions”

in the health system.

reatCareEngagingPatientsandFamili

esasPartners.aspx

Institute for

Healthcare

Improvement

(IHI)

The report “Promising Practices for Patient-

Centered Communication with Vulnerable

Populations: Examples from Eight Hospitals”

(patient-centered care, effectiveness,

communication, assess, organizational,

cultural, preferences, needs, values,

community, ethical): focuses on a study that

from across the country, identified eight

hospitals that demonstrated their

commitment to provide to the vulnerable

patient populations patient-centered

communication.

http://www.commonwealthfund.or

g/Publications/Fund-

Reports/2006/Aug/Promising-

Practices-for-Patient-Centered-

Communication-with-Vulnerable-

Populations--Examples-from-

Ei.aspx

Free

Institute for

Healthcare

Improvement

(IHI)

The article “The pursuit of genuine

partnerships with patients and family

members: The challenge and opportunity for

executive leaders” (patient-centered care):

utilizes the Kouzes and Posner’s leadership

framework to demonstrate how executive

leaders may accomplish embracing change

and examples of practice from the Institute

for Healthcare Improvement.

http://www.ihi.org/resources/Page

s/Publications/PursuitGenuinePart

nershipswithPatientsFamily.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The monograph “Advancing Effective

Communication, Cultural Competence, and

Patient- and Family-Centered Care”(patient-

centered care, organizational,

communication, cultural): focuses on

providing hospitals with the know-how to

integrate communication, cultural

competence, and patient-centered care

http://www.ihi.org/resources/Page

s/Publications/AdvancingEffectiveC

ommunicationCulturalCompetence

PFCC.aspx

Free

35

concepts into their organizations.

Institute for

Healthcare

Improvement

(IHI)

The article “Impact of patient-centered

decision support on quality of asthma care in

the emergency department” (patient-

centered care, communication): studies

barriers to communication between parents

of children suffering from asthma and the

clinical emergency department (ED) health

care providers, impeding improvements in

disease management.

http://pediatrics.aappublications.or

g/content/117/1/e33.long

Free

Institute for

Healthcare

Improvement

(IHI)

The book “Patient Advocacy for Health Care

Quality: Strategies for Achieving Patient-

Centered Care” (patient-centered care,

effectiveness, strategies): focuses on

identifying and synthesizing patient advocacy

from a multi-level approach.

http://www.amazon.com/exec/obi

dos/ASIN/0763749613/qualityhealt

h-20

Purchase

price of

$97.08 +tax

at

Amazon.co

m

Institute for

Healthcare

Improvement

(IHI)

The article “Advancing the Practice of Patient-

and Family Centered Care: How to Get

Started” (patient-centered care, safety,

assess): provides answers to commonly asked

questions by many hospitals, assessment

tools, and outlines steps to assist them in

bringing the perspectives of patients and

their families into the process of planning,

delivery, and evaluation of health care.

http://www.ihi.org/resources/Page

s/Publications/AdvancingthePractic

ePFCCHowtoGetStarted.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The book “Putting Patients First: Best

Practices in Patient-Centered Care (2nd

edition)” (patient-centered care, safety):

highlights the Planetree organization and

Planetree facilities learning of patient-

centered care to create a healing

environment and integrating with quality and

safety.

http://www.amazon.com/exec/obi

dos/ASIN/047037702X/qualityhealt

h-20

Purchase

price of

$41.16 +tax

at

Amazon.co

m

Institute for

Healthcare

Improvement

The toolkit “Strategies for Leadership:

Patient-and Family-Centered Care Toolkit”

(patient-centered care, strategies, assess):

contains a teaching video, resource and video

http://www.aha.org/advocacy-

issues/quality/strategies-

patientcentered.shtml

Free

36

(IHI) discussion guide, and hospital self-

assessment tool to help hospital become

more patient- and family-focused in their

clinical practices.

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Get to Know Me Patient

Information Form” (patient-centered care): is

used by critical care unit staff to provide

more patient-centered care by gathering

specific personal information from patients

focused to their likes and dislikes.

http://www.ihi.org/resources/Page

s/Tools/GetToKnowMePatientInfoF

orm.aspx

Free

subscription

if registered

Institute for

Healthcare

Improvement

(IHI)

The toolkit “Patient and Family Contact

Information and Orientation Checklist”

(patients, families): is a form to be used in

conjunction with the “Get to Know Me

Patient Information Form” tool to provide a

checklist for family orientation to the clinical

setting and obtain key contact information

family and friends of patients on a critical

care unit.

http://www.ihi.org/resources/Page

s/Tools/PatientFamilyContactInfoa

ndOrientationChecklist.aspx

Free

subscription

if registered

National

Patient Safety

Foundation

(NPSF)

The report “Safety is Personal: Partnering

with Patients and Families for the Safest

Care” (partnerships, safety, engage): discuss

necessary steps for health leaders, clinicians,

and policy makers to take to ensure patient

and family engagement in health care. This

report includes specific action items used in

the pursuit to making patient and family

engagement a core value in health care.

http://www.npsf.org/wp-

content/uploads/2014/03/Safety_I

s_Personal.pdf

Free

Agency for

Healthcare

Research and

Quality

(AHRQ)

The report “Expanding Patient-Centered Care

To Empower Patients and Assist Providers”

(patient-centered care, preferences,

empower, assess, strategies): describes tools

developed by AHRQ designed to improve the

quality of care from the perspectives of

patients, providers, and health plans.

http://www.ahrq.gov/research/finding

s/factsheets/patient-centered/ria-

issue5/index.html#Questionnaires

Free

Agency for

Healthcare

Research and

The report “Patient-Centered Care: What

Does It Take?” (patient-centered care,

effectiveness, implementation,

http://www.commonwealthfund.org/

Publications/Fund-

Reports/2007/Oct/Patient-Centered-

Free

37

Quality

(AHRQ)

organizational, strategies, needs,

preferences): describes the experience and

expertise of opinion leaders in the

implementation or designing of strategies for

achieving excellent patient-centered care.

Care--What-Does-It-Take.aspx

Agency for

Healthcare

Research and

Quality

(AHRQ)

The brief “The Patient-Centered Medical

Home: Strategies to Put Patients at the

Center of Primary Care” (patient-centered

care, strategies, patients, families, needs,

preferences, and priorities): describes how a

model of care can be encouraged by

decisionmakers that reflects patients and

families needs, preferences, and goals.

http://pcmh.ahrq.gov/page/patient-

centered-medical-home-strategies-

put-patients-center-primary-care

Free

Agency for

Healthcare

Research and

Quality

(AHRQ)

The brief “Ensuring that Patient Centered

Medical Homes Effectively Serve Patients

with Complex Needs” (patient-centered care,

effectiveness, needs): describes how better

delivery of services to all patients, including

those with complex needs can be helped in

practices with the implementation of

programmatic and policy changes.

http://pcmh.ahrq.gov/page/ensuring-

patient-centered-medical-homes-

effectively-serve-patients-complex-

health-needs

Free

Agency for

Healthcare

Research and

Quality

(AHRQ)

The article “Engaging Patients and Families in

the Medical Home” (patients, families,

engage): offers a framework for

conceptualizing opportunities for

policymakers and researchers to utilize for

the engagement of patients and families in

the medical home.

http://pcmh.ahrq.gov/page/engaging-

patients-and-families-medical-home

Free

Agency for

Healthcare

Research and

Quality

(AHRQ)

The guide “Guide to Patient and Family

Engagement in Hospital Quality and Safety”

(patient, families, engage, safety, strategies):

is a evidence-based resource which includes

four tested strategies to help form a

partnership between the hospital, patients,

and families to improve quality and safety.

http://www.ahrq.gov/professionals/sy

stems/hospital/engagingfamilies/guide

.html

Free

Hospitals in

Pursuit of

Excellence

The article “A Leadership Resource for Patient

and Family Engagement Strategies” (patients,

families, engage, strategies, organizational):

http://www.hpoe.org/resources/hpoe

hretaha-guides/1407 Free

38

(HPOE) to improve patient and family engagement,

this article gives hospital and health system

leaders concrete and practical steps that is

grounded on evidence-based research.

Hospitals in

Pursuit of

Excellence

(HPOE)

The case study “Patient- and Family-Centered

Rounds at Cincinnati Children’s Hospital”

(patients, families, preferences, patient-

centered care): focus was to provide a

solution to the problem in relation to families

not being included in rounding and the

decision making process to support the

providers in the care of the patient.

http://www.hpoe.org/resources/case-

studies/1267

Free

Hospitals in

Pursuit of

Excellence

(HPOE)

The case study “Patient- and Family-Centered

Rounds at Helen DeVos Children’s Hospital”

(patients, families, engage, patient-centered

care): focus was to provide a solution to the

problem in relation to the need for the family

and patient to be involved in the decision-

making process and participation in clinical

readiness for discharge.

http://www.hpoe.org/resources/case-

studies/1268

Free

The National

Academies

Press (NAP)

The workshop summary “Patient-Centered

Cancer Treatment Planning: Improving the

Quality of Oncology Care: Workshop

Summary (2011)” (patient-centered care,

communication): includes an overview of

best practices, models of treatment planning,

and tools to utilize for their facilitation in

providing patient-centered care, cancer

treatment planning, shared decision making,

and communication in the health care setting.

http://www.nap.edu/catalog.php?reco

rd_id=13155

Purchase

price of

$24.00

The National

Academies

Press (NAP)

The workshop summary “Patients Charting

the Course: Citizen Engagement in the

Learning Health System: Workshop Summary

(2011)” (engage, needs, preferences,

patients): focuses on advancing patient

involvement by assessing the prospects for

the improvement of health and cost

reduction in a learning health system.

http://www.nap.edu/catalog.php?reco

rd_id=12848

Purchase

price of

$68.00

39

The National

Academies

Press (NAP)

The workshop summary “Partnering with

Patients to Drive Shared Decisions, Better

Value, and Care Improvement” (patients,

value, engage, communication, values): this

workshop purpose was to build awareness

and create a health care system that will

provide better care by increasing patient

engagement in shared decision making and

communication with providers related to

testing and treatment.

http://www.nap.edu/catalog.php?reco

rd_id=18397

Purchase

price of

$58.00

Sigma Theta

Tau

International:

Honor Society

for Nursing

(STTI)

The book “Transforming Interprofessional

Partnerships: A New Framework for Nursing

and Partnership-Based Healthcare”

(partnerships, effectiveness, patient-

centered care, empower, patients,

healthcare, communication): serves as a

template to empower patients to become

active in the decision-making process of their

health care and an illustration of the full

partnership model in practice, education, and

research to improve interprofessional

communication and collaboration.

http://www.nursingknowledge.org/tra

nsforming-interprofessional-

partnerships-a-new-framework-for-

nursing-and-partnership-based-health-

care.html

Purchase

price of

$54.95

Quality and

Safety

Education for

Nurses (QSEN)

The five part video “The Lewis Blackman

Story” (patients, families, healthcare): is an

interview and lecture presented by the

mother of Lewis Blackmon, to discuss her

view of his untimely death following routine

surgery in the hospital.

http://qsen.org/videos/the-lewis-

blackman-story/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The video “The Josie King Story clip for QSEN”

(partnership, patients, communication,

safety): shares the story of Josie King who

died in the hospital due to medical errors, to

bring awareness to the decline in patient

safety. The Josie King Foundation was created

to share the story and promote patient safety

practices in the health care system. Video

opens on youtube.com web-link.

https://www.youtube.com/watch?v=J

eVcXhvPvbU&feature=youtu.be

Free

40

Quality and

Safety

Education for

Nurses (QSEN)

The video “Introducing the Partnership for

Patients with Sorrel King” (partnership,

patients, communication, safety): shares the

story of Josie King who died in the hospital

due to medical errors. The Josie King

Foundation pushed for the partnership of

families, patients, healthcare team, along

with the U.S. health care systems to provide

improved patient safety and patient-centered

care. Video opens on youtube.com web-link.

https://www.youtube.com/watch?v=a

k_5X66V5Ms&feature=youtu.be

Free

Quality and

Safety

Education for

Nurses (QSEN)

The toolkit “Teaching Pre-Licensure Nursing

Students to Communicate In SBAR In the

Clinical Setting” (safety, communication,

strategies, healthcare team): includes a two

part online video vignette and SBAR rubric

pdf. The vignettes are designed for both

faculty and students to teach them how to

communicate using SBAR to improve quality

and safety in the care of nursing.

http://qsen.org/teaching-pre-

licensure-nursing-students-to-

communicate-in-sbar-in-the-clinical-

setting/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (patient-centered

care, communication, safety, values): is

learning strategy to be completed by the

nursing student by interviewing nurse leaders

with questions that will help the student

describe the processes within the clinical

setting related to the utilization of all six of

the QSEN competencies.

http://qsen.org/nurse-leader-

interview-assignment/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “End-Of-Life

Simulation” (strategies, communication,

safety, patient-centered care, assess): is

designed to teach by simulation how to

perform a physical assessment to manage

end-of life symptoms; practice therapeutic

support; assess spiritual needs; provide

cultural sensitivity; demonstrate an approach

to care that is patient and family centered;

advocate and advocate the patient’s

advanced directive; develop an individualized

http://qsen.org/end-of-life-

simulation/

Free

41

plan of care by utilizing the nursing process;

evaluate personal beliefs and values

influencing the ability to provide end-of-life

care; perform nurse-to-nurse death

verification; utilize a standardized expiration

checklist for death documentation;

demonstrate safe handling precautions

during post mortem care; and as death

approaches, practice interdisciplinary

collaboration.

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation” (safety,

communication, patients, assess, values,

needs, preferences, partnerships): is

designed to educate the nursing student on

describing the nurse’s role; successfully

triaging victims of mass casualty events;

successfully performing rapid trauma

assessments, recognizing the patient as full

partner In his/her care; functioning effectively

in teamwork and collaboration; integrating

the best current evidence into practice;

utilizing data and improvement methods to

monitor outcomes to improve quality and

safety within the health care systems; and the

utilization of information and technology in

the clinical setting.

http://qsen.org/simulation/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The case study “Exploring the Complexity of

Advocacy: Balancing Patient-Centered Care

and Safety” (patient-centered care, safety,

preferences, values, families, patients): is

designed to promote focused a discussion,

intended to create the opportunity for

students to commit to both patient-centered

care and safety by exploring the complexities

of advocacy.

http://qsen.org/exploring-the-

complexity-of-advocacy-balancing-

patient-centered-care-and-safety/

Free

Quality and

Safety

Education for

The case study “Providing Patient Centered

Care Through Teamwork and Collaboration”

(patient-centered-care, preferences, values,

families, patients, respect, cultural,

http://qsen.org/providing-patient-

centered-care-through-teamwork-

and-collaboration/

Free

42

Nurses (QSEN) community): is designed to teach how to

integrate and understand the multiple

dimensions of patient-centered care; describe

cultural aspects related to patient-centered

care; recognize personal attitudes towards

working with patients from different ethnic

cultures; provide patient-centered care with

sensitivity, respect, integrity, and consistency.

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Promoting Safety in

an Unfolding Simulated Public Health

Disaster” (safety, assess): designed to

educate nursing students on recognizing signs

and symptoms, identifying essential

assessment parameters, participating

effectively with interdisciplinary teams, the

application of appropriate infectious control

standards, and the demonstration of correct

nursing actions during infectious disease

outbreaks.

http://qsen.org/promoting-safety-

in-an-unfolding-simulated-public-

health-disaster/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The clinical assessment tool “Clinical

Assessment Tool: Teaching Strategy for Safety

and Patient Centered Care” (patient-centered

care, safety, strategies, communication): is

developed as a strategy to provide students

with a simple checklist to help focus their

attention on safety issues in the clinical

setting; and sample interview questions to

provide opportunities to express concerns

related to patient-centered care.

http://qsen.org/clinical-

assessment-tool-teaching-strategy-

for-safety-and-patient-centered-

care/

Free

Institute for

Patient- And

Family-

Centered Care

(IPFCC)

The guide “Advancing the Practice of Patient-

and Family-Centered Geriatric Care” (patient-

centered care, assess): contains self-

assessment, design planning, and medical

education for geriatric care in hospitals and

long-term care settings.

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$44.00

Institute for

Patient- And

Family-

The guide “Collaborative Design Planning”

(patients, families, organizational): focuses

on creating a more supportive environment

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$30.00

43

Centered Care

(IPFCC)

in health care facilities, by guiding

organizations through the process of

collaborative design planning.

Institute for

Patient- And

Family-

Centered Care

(IPFCC)

The guide “Partnering with Patients,

Residents, and Families: A Resource for

Leaders of Hospitals, Ambulatory Care

Settings, and Long-Term Care Communities”

(patients, families, partnership,

organizational): is designed to create and

sustain partnerships with patients, residents,

and families by providing senior leaders a

framework to assist with this organizational

change.

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$65.00

Institute for

Patient- And

Family-

Centered Care

(IPFCC)

The video “Partnerships with Families in

Newborn Intensive Care…Enhancing Quality

and Safety” (safety, partnership, family-

centered care): highlights how the integration

of family-centered concepts and family

participation in rounds can improve quality

and safety in health care settings.

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$85.00

Institute for

Patient- and

Family-

Centered Care

(IPFCC)

The video “Partnerships with Patients,

Residents, and Families: Leading the Journey”

(partnership, patients, families,

organizational): focuses on capturing the

accomplishments, experiences, and ongoing

activities of key leaders in organizations

regarding the collaboration of patients,

residents, families, and staff in health care

facilities.

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$95.00

Institute for

Patient-

Family-

Centered Care

(IPFCC)

The video “Patient- and Family-Centered

Care: Partnerships for Quality and Safety”

(partnership, patient-centered care,

patients, families): features compelling

stories from patients, families, caregivers, and

hospital leaders regarding patient- and

family-centered care. Core concepts of

patient- and family-centered care are also

described in this video.

http://www.ipfcc.org/resources/ot

her/index.html

Purchase

price of

$45.00

44

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (patient-centered care,

preferences, communication, assess,

cultural, sensitivity): describes the

transformation of a previously used high-

fidelity simulation observer record by

undergraduate baccalaureate nursing faculty,

into one that is focused in the prelicensure

Quality and Safety Education for Nurses

(QSEN) competencies

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

Teamwork & Collaboration: Function effectively within nursing and inter-professional teams,

fostering open communication, mutual respect, and shared decision making to achieve quality patient care

Knowledge Keywords: barriers, communication, effective team functioning, family, health care team,

patient, safety and quality of care, strategies

Skills Keywords: achieve health goals, consistency, designing systems, effective teamwork, integrity, team

member functioning

Toolkits Descriptions Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (safety, health care

team): is the first undergraduate textbook

that introduces the Quality and Safety

Education for Nurses (QSEN) providing a

comprehensive description of essential

knowledge, skill, and attitudes reflecting on

the six areas of nursing competencies. The six

QSEN competencies include: quality

improvement, patient safety, teamwork and

collaboration, evidence-based practice,

informatics, and patient-centered care.

Teaching strategies and tools included are

PowerPoint slides, critical thinking exercises,

case studies, and rationales for review

questions.

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

AHRQ

(Advancing

A pocket guide that provides

(communication; achieve health goals;

http://www.ahrq.gov/professionals

/education/curriculum-

Free

45

Excellence in

Health Care)

barriers) principles and concepts of

TeamSTEPPS. Implementing those concepts

and principles will help to improve patient

safety.

tools/teamstepps/instructor/essent

ials/pocketguide.html

AHRQ

(Advancing

Excellence in

Health Care)

Modules explaining (effective teamwork)

team structure, communication, leading

teams, situation monitoring, mutual support,

change management, measurement, and

implementation

http://www.ahrq.gov/professionals

/education/curriculum-

tools/teamstepps/instructor/funda

mentals/index.html

Free

AHRQ

(Advancing

Excellence in

Health Care)

Additional resources (effective team

functioning)for supplementation of the

pocket guide and modules

http://www.ahrq.gov/professionals

/education/curriculum-

tools/teamstepps/instructor/index.

html

Free

HPOE

(Hospitals in

Pursuit of

Excellence)

A pilot study that utilizes behavioral health

services (designing systems; team member

functioning; achieve health goals) in order to

improve patient outcomes

http://www.hpoe.org/resources/ca

se-studies/1593

Free

Quality and

Safety

Education for

Nurses (QSEN)

The five part video “The Lewis Blackman

Story” (patient, family, health care team): is

an interview and lecture presented by the

mother of Lewis Blackmon, to discuss her

view of his untimely death following routine

surgery in the hospital.

http://qsen.org/videos/the-lewis-

blackman-story/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The toolkit “Teaching Pre-Licensure Nursing

Students to Communicate In SBAR In the

Clinical Setting” (safety and quality of care,

communication, strategies, health care

team): includes a two part online video

vignette and SBAR rubric pdf. The vignettes

are designed for both faculty and students to

teach them how to communicate using SBAR

to improve quality and safety in the care of

http://qsen.org/teaching-pre-

licensure-nursing-students-to-

communicate-in-sbar-in-the-

clinical-setting/

Free

46

nursing.

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (communication): is

learning strategy to be completed by the

nursing student by interviewing nurse leaders

with questions that will help the student

describe the processes within the clinical

setting related to the utilization of all six of

the QSEN competencies.

http://qsen.org/nurse-leader-

interview-assignment/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “End-Of-Life

Simulation” (strategies, communication,

safety): is designed to teach by simulation

how to perform a physical assessment to

manage end-of life symptoms; practice

therapeutic support; assess spiritual needs;

provide cultural sensitivity; demonstrate an

approach to care that is patient and family

centered; advocate and advocate the

patient’s advanced directive; develop an

individualized plan of care by utilizing the

nursing process; evaluate personal beliefs

and values influencing the ability to provide

end-of-life care; perform nurse-to-nurse

death verification; utilize a standardized

expiration checklist for death documentation;

demonstrate safe handling precautions

during post mortem care; and as death

approaches, practice interdisciplinary

collaboration.

http://qsen.org/end-of-life-

simulation/

Free

47

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation”

(communication, patient, safety and quality

of care): is designed to educate the nursing

student on describing the nurse’s role;

successfully triaging victims of mass casualty

events; successfully performing rapid trauma

assessments, recognizing the patient as full

partner In his/her care; functioning effectively

in teamwork and collaboration; integrating

the best current evidence into practice;

utilizing data and improvement methods to

monitor outcomes to improve quality and

safety within the health care systems; and the

utilization of information and technology in

the clinical setting.

http://qsen.org/simulation/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The case study “Providing Patient Centered

Care Through Teamwork and Collaboration”

(patient, family, integrity, consistency): is

designed to teach how to integrate and

understand the multiple dimensions of

patient-centered care; describe cultural

aspects related to patient-centered care;

recognize personal attitudes towards working

with patients from different ethnic cultures;

provide patient-centered care with

sensitivity, respect, integrity, and consistency.

http://qsen.org/providing-patient-

centered-care-through-teamwork-

and-collaboration/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Promoting Safety in

an Unfolding Simulated Public Health

Disaster” (safety, health care team):

designed to educate nursing students on

recognizing signs and symptoms, identifying

essential assessment parameters,

participating effectively with interdisciplinary

teams, the application of appropriate

infectious control standards, and the

demonstration of correct nursing actions

during infectious disease outbreaks.

http://qsen.org/promoting-safety-

in-an-unfolding-simulated-public-

health-disaster/

Free

48

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (communication):

describes the transformation of a previously

used high-fidelity simulation observer record

by undergraduate baccalaureate nursing

faculty, into one that is focused in the

prelicensure Quality and Safety Education for

Nurses (QSEN) competencies

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

e-Patient

Dave: A voice

of patient

engagement

The video “One Patients Success Story: Our

Multidisciplinary Approach” (communication,

health care team, patient): is a five minute

infomercial where Dave deBronkart shares his

story of persistence and finding a successful

treatment for his kidney cancer which saved

his life.

http://www.epatientdave.com/for-

providers/

Free

e-Patient

Dave: A voice

of patient

engagement

The four-part video “Gimme my Damn Data,

so I can help!” (communication, health care,

patient): is expanded over 40 minutes,

sharing the story of Dave deBronkart and a

broad review of what “e-patient” is all about.

There are other videos on this web-link that

may be viewed as well.

http://www.epatientdave.com/vid

eos/

Free

Informatics: Use information and technology to communicate, manage knowledge, mitigate error, and

support decision-making.

Knowledge Keywords: communicate, computers, data, databases, effort, information management tools,

patient care, patient safety, quality, safety, skills, technologies, technology, time, tools

Skills Keywords: alerts, clinical, decision-making, document, education, electronic health record, electronic

resources, healthcare, information, information, patient care, tools

Toolkits Description Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (patient safety,

information, technology): is the first

undergraduate textbook that introduces the

Quality and Safety Education for Nurses

(QSEN) providing a comprehensive

description of essential knowledge, skill, and

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

49

attitudes reflecting on the six areas of nursing

competencies. The six QSEN competencies

include: quality improvement, patient safety,

teamwork and collaboration, evidence-based

practice, informatics, and patient-centered

care. Teaching strategies and tools included

are PowerPoint slides, critical thinking

exercises, case studies, and rationales for

review questions.

Institute for

Healthcare

Improvement

(IHI)

Reduction in medication errors in hospitals

due to adoption of computerized provider

order entry systems (safety, quality,

healthcare, computer, electronic, tools,

decision making, alert) This article provides

information on medication errors in the

hospital and how computerized systems have

reduce this in hospital.

http://jamia.bmj.com/content/earl

y/2013/01/27/amiajnl-2012-

001241.full.pdf+html

Free

National

League for

nursing ( NLN)

Informatics Education Toolkit (information,

technology) This toolkit provides the

definition of informatics and learning/

teaching strategies to prepare faculty and

students on computer and information

literacy.

http://www.nln.org/facultyprogra

ms/facultyresources/index.htm

Free

American

Medical

Informatics

Association

(AMIA)

( information, technology) This site provides

a wide variety of webinars provides

information on informatics topics.

http://www.amia.org/education/w

ebinars

Free for

member

and a $50

fee for non-

members

QSEN (Quality

and Safety

Education for

Nurses)

STUDENTS LEARN TO PRESENT DATA (patient

safety, communicate, technology,

information management tools,

technologies, data) This module gives a

stimulation exercise to give you experience

with information technology and explain why

data skills are essential for patient safety.

http://qsen.org/students-learn-to-

present-data/

Free

50

QSEN (Quality

and Safety

Education for

Nurses)

Electronic Health Records: Teaching and

Assessment (information, electronic health

record, education) This Webinar provides

ways to integrate electronic health records

into nursing education to prepare students

for the healthcare setting. Also it review the

current expectation of nurses using

information and computers

http://nursetim.com/webinars/Ele

ctronic_Health_Records_Teaching_

and_Assessment

Coupon

Code:

ntiqsen for

free access.

QSEN (Quality

and Safety

Education for

Nurses)

Informatics Across the Curriculum (Safety,

healthcare, nursing education, electronic

health record, clinical, patient care) This

webinar help faculty understand informatics

and how to integrate in the curriculum. Also

providing strategies on how informatics is

essential in providing safe patient care.

http://nursetim.com/webinars/Inf

ormatics_Across_the_Curriculum

Coupon

Code:

ntiqsen for

free access.

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (quality, safety,

communicate, technology, decision-making):

is learning strategy to be completed by the

nursing student by interviewing nurse leaders

with questions that will help the student

describe the processes within the clinical

setting related to the utilization of all six of

the QSEN competencies.

http://qsen.org/nurse-leader-

interview-assignment/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation” (safety,

quality, communicate, technology,

information, decision-making,): is designed

to educate the nursing student on describing

the nurse’s role; successfully triaging victims

of mass casualty events; successfully

performing rapid trauma assessments,

recognizing the patient as full partner In

http://qsen.org/simulation/

Free

51

his/her care; functioning effectively in

teamwork and collaboration; integrating the

best current evidence into practice; utilizing

data and improvement methods to monitor

outcomes to improve quality and safety

within the health care systems; and the

utilization of information and technology in

the clinical setting.

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Promoting Safety in

an Unfolding Simulated Public Health

Disaster” (safety): designed to educate

nursing students on recognizing signs and

symptoms, identifying essential assessment

parameters, participating effectively with

interdisciplinary teams, the application of

appropriate infectious control standards, and

the demonstration of correct nursing actions

during infectious disease outbreaks.

http://qsen.org/promoting-safety-

in-an-unfolding-simulated-public-

health-disaster/

Free

Health

information

technology

( HIT)

The Test Results Reporting and Follow-Up

SAFER Guide( electronic medical record,

communication, technology, documentation,

safety, date, time, clinicians, alerts)

identifies recommended safety practices to

use for processing electronic medical record

technology. This guide also offers practices

related to the content and communication of

test results to the clinician, as well as

documentation and follow-up of test results.

There are several phases on this site that will

allow you to read rationales and further

information about technology and

information management.

http://www.healthit.gov/policy-

researchers-

implementers/safer/guide/sg008

Free

Health

information

technology

( HIT)

The Patient Identification SAFER Guide(

patient, electronic medical record,

technology) identifies safety practices

associated with the reliable identification of

patients in the electronic medical record.

Ensuring that information in the electronic

http://www.healthit.gov/policy-

researchers-

implementers/safer/guide/sg006

Free

52

medical record is correct.

Health

information

technology

(HIT)

The Clinician Communication SAFER Guide

(patient care, communication, clinicians,

safety) identifies recommended safety

practices associated with communication

between clinicians and the safe use of

electronic medical record. Having good

communication is a key aspect in patient care.

http://www.healthit.gov/policy-

researchers-

implementers/safer/guide/sg009

Free

Health

information

technology

(HIT)

The Computerized Provider Order Entry with

Decision Support SAFER Guide (decision

making, computer. Safety, technology)

identifies recommended safety practices

associated with Computerized Provider Order

Entry (CPOE) and Clinical Decision Support

(CDS). This assessment gives you general

understanding of using the computer safely.

http://www.healthit.gov/policy-

researchers-

implementers/safer/guide/sg007

Free

Technology

informatics

guiding

education

reform (

TIGER)

What Nurses Need to Know About Consumer

Empowerment and the Personal Health

Record (health, technology, information,

personal health record) this PDF provides

information on the definition of personal

health record, what information is store, and

how technology resources are essential tool

for patient care.

http://tigerphr.pbworks.com/f/TIG

ER+CE+and+PHR+Webinar+3-25-

08.pdf

FREE

Technology

informatics

guiding

education

reform (

TIGER)

The TIGER Initiative Foundation The

Leadership Imperative: TIGER’s

Recommendations for Integrating Technology

to Transform Practice and Education

(education, communication, technology) this

PDF provides information on integrate health

information into practice, education, and

consumer. This will allow one to be more

knowledgeable about technology and the

http://www.thetigerinitiative.org/d

ocs/TIGERInitiatiaveFoundationRep

ortTheLeadershipImperative.pdf

Free

53

changes in healthcare.

American

Organization

of Nurse

Executives

(AONE)

(health, education, technology, information)

this website provides several pdf’s with

different topics on informatics.

http://www.aone.org/search?q=inf

ormatics&site=AONE&client=AONE

_FRONTEND_1&proxystylesheet=A

ONE_FRONTEND_1&output=xml&fi

lter=0&oe=UTF-8

Free

American

Nursing

Informatics

Association

(ANIA)

(health, education, technology, information)

this website provides several pdf’s and

webinars with different topics on informatics.

http://www.prolibraries.com/ania/

?select=sessionlist&conferenceID=

1

$20 -30

dollars

The National

Academies

Press (NAP)

The workshop summary “Informatics Needs

and Challenges in Cancer Research”

(information, technology, tools, healthcare):

purpose is to raise awareness of the

challenges, gaps and opportunities in

informatics related to developing an

integrated system of cancer informatics to

help accelerate research conduction.

http://www.nap.edu/catalog.php?r

ecord_id=13425

Purchase

price of

$42.00

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (information, electronic

medical record): describes the transformation

of a previously used high-fidelity simulation

observer record by undergraduate

baccalaureate nursing faculty, into one that is

focused in the prelicensure Quality and Safety

Education for Nurses (QSEN) competencies

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

Evidence- Based Practice (EBP): Integrate the best current evidence with clinical expertise and

patient/family preferences and values for delivery of optimal health care

Knowledge Keywords: best clinical practice, clinical expertise, clinical opinion, clinical practice guidelines,

EBP, evidence reports, reliable sources, research and evidence summaries, scientific methods

54

Skills Keywords: clinical experts, data collection, evidence, IRB guidelines, research activities

Attitudes: value

Toolkits Description Links Costs

Springer

Publishing

Company

The book “Introduction to Quality and Safety

Education for Nurses” (best clinical practice,

EBP): is the first undergraduate textbook that

introduces the Quality and Safety Education

for Nurses (QSEN) providing a comprehensive

description of essential knowledge, skill, and

attitudes reflecting on the six areas of nursing

competencies. The six QSEN competencies

include: quality improvement, patient safety,

teamwork and collaboration, evidence-based

practice, informatics, and patient-centered

care. Teaching strategies and tools included

are PowerPoint slides, critical thinking

exercises, case studies, and rationales for

review questions.

http://www.springerpub.com/prod

uct/9780826121837#.U0sPhV5Yw8

M

Purchase

price of

$75.00

National

Guideline

Clearinghouse

(NGC)

Guidelines by Topic (EBP, clinical practice

guidelines, evidence): Search evidence-based

clinical practice guidelines by topic using

terms from the U.S National Library of

Medicine’s Medical Subject Headings (MeSH).

These topics are arranged by

disease/condition, treatment/intervention,

and health services administration.

http://www.guideline.gov/browse/

by-topic.aspx

Free to all

users

National

Guideline

Clearinghouse

(NGC)

Guidelines by Organization (EBP, clinical

practice guidelines, evidence): Search

evidence-based clinical practice guidelines

developed by a specific developer or an

issuing organization.

http://www.guideline.gov/browse/

by-organization.aspx?alpha=A

Free to all

users

National

Guideline

Clearinghouse

(NGC)

Guideline Index (EBP, research and evidence

summaries): Complete list of evidenced-

based practice summaries arranged in

alphabetically by the guideline developer.

http://www.guideline.gov/browse/

index.aspx?alpha=A

Free to all

users

55

National

Guideline

Clearinghouse

(NGC)

Guideline Syntheses (EBP, scientific methods,

clinical practice guidelines, research

activities, value): Similar guideline topics are

systematically compared. Each synthesis

includes discussion of areas of agreement and

differences, major recommendations,

corresponding strength of evidence,

recommendation rating schemes, and

guideline methodologies comparison. Source

of funding, guideline recommendations

implementation benefits/harms, and any

contraindications are also presented.

http://www.guideline.gov/synthes

es/index.aspx

Free to all

users

National

Guideline

Clearinghouse

(NGC)

AHRQ Evidence Reports (EBP, clinical practice

guidelines, evidence reports): List of

Evidence- Based Practice Center (EPC)

reports. These reports start with the most

recent and are used for developing coverage

decisions, quality measures, educational

materials and tools, guidelines, and research

agendas.

http://www.guideline.gov/resourc

es/ahrq-evidence-reports.aspx

Free to all

users

National

Guideline

Clearinghouse

(NGC)

Guidelines by Topic (EBP, clinical practice

guidelines, evidence reports): Search

evidence-based clinical practice guidelines by

topic using terms from the U.S National

Library of Medicine’s Medical Subject

Headings (MeSH). These topics are arranged

by disease/condition, treatment/intervention,

and health services administration.

http://www.guideline.gov/browse/

by-topic.aspx

Free to all

users

National

Guideline

Clearinghouse

(NGC)

Guidelines by Organization (EBP, clinical

practice guidelines, best clinical practice):

Search evidence-based clinical practice

guidelines developed by a specific developer

or an issuing organization.

http://www.guideline.gov/browse/

by-organization.aspx?alpha=A

Free to all

users

56

National

Guideline

Clearinghouse

(NGC)

Guideline Index (EBP, evidence summaries,

clinical practice guidelines): Complete list of

evidenced-based practice summaries

arranged in alphabetically by the guideline

developer.

http://www.guideline.gov/browse/

index.aspx?alpha=A

Free

National

Guideline

Clearinghouse

(NGC)

Guideline Syntheses (EBP, clinical practice

guidelines, research activities): Similar

guideline topics are systematically compared.

Each synthesis includes discussion of areas of

agreement and differences, major

recommendations, corresponding strength of

evidence, recommendation rating schemes,

and guideline methodologies comparison.

Source of funding, guideline

recommendations implementation

benefits/harms, and any contraindications are

also presented.

http://www.guideline.gov/synthes

es/index.aspx

Free

CASP (Critical

Appraisal

Skills

Programme)

CASP (EBP, reliable sources, research

activities, value): Website that helps to find

and check research for trustworthiness,

results, and relevance by offering critical

appraisal skills training, workshops and tools.

http://www.casp-uk.net/#!who-is-

casp-for/cz5t

Free

Evidence-

Based Nursing

This website evidence-Based Nursing (EBP,

reliable sources, research activities, clinical

expert, value): Provides quarterly published

health related articles, research studies and

reviews that are significant advances relevant

to best nursing practice. These studies are

assessed by their clinical relevance and rigor

to identify research that is relevant to

nursing.

http://ebn.bmj.com/

Paid

subscription

is required

57

Academic

Center for

Evidence-

Based Nursing

(ACE)

The ACE Star Model of knowledge

transformation (EBP, evidence summaries,

clinical practice guidelines, research

activities) is composed of 5 stages of

knowledge transformation which includes

discovery research, evidence summary,

translation to guidelines, practice integration,

and process, outcome evaluation. This

provides a model for systemic integration of

evidence into practice and is used as an

intervention to improve EBP competencies. It

applies nursing’s previous work to EBP,

examines and applies EBP, and places nursing

into a network of EBP.

http://www.acestar.uthscsa.edu/a

cestar-model.asp

Free

Academic

Center for

Evidence-

Based Nursing

(ACE)

Evidence-Based Practice (EBP) terminology

(EBP, research summaries, clinical practice

guidelines, research activities, value):

Provides terms that are key to understand,

critically appraising, apply EBP. Some of these

terms include best practice, bias, clinical

practice guidelines, evaluation, evidence

summary, EBP, Randomize Control Trial (RCT),

translation, etc…

http://www.acestar.uthscsa.edu/te

rminology.asp

Free

Academic

Center for

Evidence-

Based Nursing

(ACE)

Basic Modules Essential Elements of

Evidence- Based Practice- An introduction to

Evidence-Based Practice and the ACE Star

Model (EBP, research activities): Discusses

the introduction to Evidence- Based Practice

(EBP) by identifying the key elements of EBP.

This presentation provides a framework to

the basics of EBP by providing common

references and terminology that is needed for

evidence-based quality improvement. The

three objectives are to discuss factors that

created EBP as a new paradigm and

movement in health care quality. Examine

essential elements of evidence-based practice

including the ACE Star Model. Identify

resources and access appropriate evidence to

http://www.acestar.uthscsa.edu/m

odules/Basic.htm

Free

58

move into clinical decision making. There is a

quiz in this module provided after the

presentation.

National

Institute for

Health and

Care

Excellence

(NICE)

Online learning resources (EBP, evidence

summaries, clinical expertise, value): This

online education provides a variety of health

related topics that will help you in keeping up

to date with recent evidence summaries,

challenge putting guidance into practice

misconceptions, apply knowledge into

practice and address potential barriers, and

reflect and compare your current practice

with NICE recommendations to improve EBP.

http://nice.org.uk/usingguidance/e

ducation/educational_tools.jsp

Free

registration is

required

The Joanna

Briggs

Institute

The Joanna Briggs Institute Library (EBP,

clinical expertise, evidence summaries, best

clinical practice): Source for publications and

information for anyone with an interest in

evidence based healthcare. It includes: The

JBI Database of Systematic Reviews and

Implementation reports, The JBI Database of

Best Practice Information Sheets and

Technical Reports: and The JBI Database of

Rapid Appraisals of Published Papers.

http://joannabriggslibrary.org/

Paid

subscription

is required

Lippincott’s

NursingCenter

.com

Understanding Evidence-Based Practice (EBP,

clinical experts, value): This link was

provided through The Joanna Briggs Institute

website. It contains articles that will help

with understanding the true meaning of

evidence-based practice and the importance

of incorporating external evidence, internal

evidence, and patient preferences and values.

http://www.nursingcenter.com/evi

dencebasedpracticenetwork/Home

/Tools-

Resources/Collections/Understandi

ngEvidenceBasedPractice.aspx

Purchase the

articles

59

The Cochrane

Collaboration

Cochrane Reviews (Scientific methods, EBP,

clinical expertise, reliable sources, data

collection, research activities, IRB

guidelines): Systematic reviews are primary

research that are internationally recognized

as the highest standard in evidence- based

health care. Effects of interventions for

prevention, treatment and rehabilitation are

investigated through systematic reviews.

Accuracy of a diagnostic test for a specific

patient group and setting for a given

condition is also assessed. The reviews are

published online in The Cochrane Library and

are updated regularly so that treatment

decisions can be made based on the most

recent and reliable evidence.

http://www.cochrane.org/cochran

e-reviews

Paid

registration is

required

The Cochrane

Library

How To Use The Cochrane Library: The

Cochrane Library Reference Guide (EBP,

research activities, clinical expertise, value):

PDF that provides guidance to using The

Cochrane Library and detailed overview of

available features and their functions through

a step-by-step process.

http://www.thecochranelibrary.co

m/view/0/HowtoUse.html

Free

The Cochrane

Library

How To Use The Cochrane Library: Virtual

Webinars (EBP, value): Provides free live

online workshops each month that help you

to become efficient with using in The

Cochrane Library. WebEx, an online

conferencing system that allows you to view

live presentations from your desktop are used

to conduct the sessions.

http://www.thecochranelibrary.co

m/view/0/HowtoUse.html

Free

Agency for

Healthcare

Research and

Quality

Clinical Evidence-based reports (EBP,

evidence reports, clinical experts, scientific

methods): Evidence reports and technology

assessments done by The Evidence Practice

Center’s that includes relevant scientific

literature on clinical, behavioral, organization,

and financing topic. These reports are used

to inform and develop coverage decisions,

http://www.ahrq.gov/research/fin

dings/evidence-based-

reports/clinical/index.html

Free

60

quality measures, educational materials and

tools, guidelines, and research agendas.

Institute for

Healthcare

Improvement

(IHI)

The article “Using Evidence-Based

Environmental Design to Enhance Safety and

Quality” (EBP): focuses on showing health

care leaders how evidence-based

environmental design interventions improve

the care and perception of that care by

patient, their families, and health care team.

http://www.ihi.org/resources/Page

s/IHIWhitePapers/UsingEvidenceBa

sedEnvironmentalDesignWhitePap

er.aspx

Free

subscription

if registered

Quality and

Safety

Education for

Nurses (QSEN)

The paper assignment “Nurse Leader

Interview Assignment” (evidence, clinical

expertise, value): is learning strategy to be

completed by the nursing student by

interviewing nurse leaders with questions

that will help the student describe the

processes within the clinical setting related to

the utilization of all six of the QSEN

competencies.

http://qsen.org/nurse-leader-

interview-assignment/

Free

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Simulation”

(evidence, clinical expertise, value): is

designed to educate the nursing student on

describing the nurse’s role; successfully

triaging victims of mass casualty events;

successfully performing rapid trauma

assessments, recognizing the patient as full

partner In his/her care; functioning effectively

in teamwork and collaboration; integrating

the best current evidence into practice;

utilizing data and improvement methods to

monitor outcomes to improve quality and

safety within the health care systems; and the

utilization of information and technology in

the clinical setting.

http://qsen.org/simulation/

Free

61

Quality and

Safety

Education for

Nurses (QSEN)

The simulation exercise “Promoting Safety in

an Unfolding Simulated Public Health

Disaster” (best clinical practice): designed to

educate nursing students on recognizing signs

and symptoms, identifying essential

assessment parameters, participating

effectively with interdisciplinary teams, the

application of appropriate infectious control

standards, and the demonstration of correct

nursing actions during infectious disease

outbreaks.

http://qsen.org/promoting-safety-

in-an-unfolding-simulated-public-

health-disaster/

Free

Clinical

Simulation in

Nursing

The article “Simulation: Linking Quality and

Safety Education for Nurses Competencies to

the Observer Role” (best clinical practice,

clinical practice guidelines): describes the

transformation of a previously used high-

fidelity simulation observer record by

undergraduate baccalaureate nursing faculty,

into one that is focused in the prelicensure

Quality and Safety Education for Nurses

(QSEN) competencies

http://www.nursingsimulation.org/

article/S1876-1399(12)00301-

5/fulltext

Free

62

References

Academic Center for Evidence-Based Practice (2012). Retrieved from

http://www.acestar.uthscsa.edu/index.asp

Agency for Healthcare Research and Quality (2014). Retrieved from

http://www.ahrq.gov/index.html#

Agency for Healthcare Research and Quality (2013). Retrieved from

http://teamstepps.ahrq.gov/

American Medical Informatics Association (2014) http://www.amia.org/

American Organization of Nursing Executives( 2014) http://www.aone.org/

Center for Disease Control (2013). Retrieved from www.cdc.gov

Clinical Stimulation in Nursing (2014) http://www.nursingsimulation.org/

Critical Appraisal Skills Programme (2013). Retrieved from http://www.casp-uk.net/#

E- patient Dave: A voice of patient engagement ( 2014) http://www.epatientdave.com/

Evidence-Based Nursing (2014). Retrieved from http://ebn.bmj.com/

Health Information Technology ( 2014) http://www.healthit.gov/

Health on Net Foundation (2014) https://www.hon.ch/

Health Research and Educational Trust (2013). Retrieved from http://www.hret.org/

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