QSEN is a national movement that guides nurses to redesign the ‘what and how’ they deliver nursing care so that they can ensure high-quality, safe care. In 2005, nursing leaders responded to the IOM call to improve the quality of healthcare by forming the Quality and Safety Education for Nurses (QSEN) initiative funded by the Robert Wood Johnson Foundation. For example, although we know that zero central line infections should be a reality in hospitals, thousands of infections are still reported each year ( Clark, 2013). Yet national healthcare quality organizations, such as the Leapfrog Group, report that the majority of hospitals have demonstrated little progress in improving quality and safety. To accelerate change, regulatory agencies have implemented National Patient Safety Goals, Core Measures, ( Joint Commission, 2013a 2013b 2013c), and Hospital Acquired Conditions (HAC) Never Events ( Kuhn, 2008). During the last decade, national initiatives to improve quality and safety have been implemented, such as the Institute for Healthcare Improvement’s (IHI) Transforming Care at the Bedside, 5 Million Lives Campaign, and the Triple Aim ( IHI, 2013a IHI, 2013b IHI, 2013c). These reports highlighted the need to redesign systems of care to better serve patients in the complex healthcare environment.
national healthcare quality organizations, such as the Leapfrog Group, report that the majority of hospitals have demonstrated little progress in improving quality and safety. Over a decade has passed since the Institute of Medicine (IOM) report, To Err Is Human: Building a Safer Health System, and the follow-up report, Crossing the Quality Chasm, which turned healthcare professionals’ attention to the importance of improving healthcare outcomes ( IOM, 2000 Committee on the Quality, 2001).
Key words: QSEN, quality, safety, systems, QSEN competencies, education, measurement The conclusion calls for movement from personal effort and individual care to a focus on care of the system that will accelerate improvement of healthcare quality and safety.Ĭitation: Dolansky, M.A., Moore, S.M., (September 30, 2013) "Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking" OJIN: The Online Journal of Issues in Nursing Vol. We provide examples of how using this framework expands nursing focus from individual care to care of the system and propose ways to teach and measure systems thinking. This article provides a history of QSEN and proposes a framework in which systems thinking is a critical aspect in the application of the QSEN competencies. The current challenge is for nurses to move beyond the application of QSEN competencies to individual patients and families and incorporate systems thinking in quality and safety education and healthcare delivery.
The Quality and Safety Education for Nurses (QSEN) initiative was developed to integrate quality and safety competencies into nursing education. Over a decade has passed since the Institute of Medicine’s reports on the need to improve the American healthcare system, and yet only slight improvement in quality and safety has been reported.
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