Safety is a fundamental system property Without safety there can be no quality of care A safe organization is a cost-effective quality organization

4. Why Safety: Medicare itself is RISKY.

5. Quality is doing the right thing;
Safety is doing it in the right way

8. The seven pillars of quality
1. Efficacy: the ability to produce a desired or intended result.
2. Effectiveness: the degree to which something is successful in producing a
desired result; success
3. Efficiency: is the quality or degree of being efficient with minimum cost.
4. Optimality: the point where the difference between benefits and costs
for a behavior is maximized
5. Accessibility: can be viewed as the "ability to access" and benefit from
some system or entity.
6. Legitimacy: conformity to the law or to rules.
7. Equity: justice according to natural law or right specifically freedom from
bias or favoritism.

9. ELEVEN Buttresses
• Interdependency
• Organizational dependency
• Consensuality
• Congruence
• Credibility
• Relevancy
• Ownership
• Mutuality of Interest
• Felicitation
• Virtue-Personal & Public

12. QUALITY NURSING TEAM
• Teams in health care share these 4
common features:
• Highly organized
• Communicates effectively
• Manages conflict well
• Works well under stress
• Maintains credibility and respect of
staff
• Qualities of the Effective Charge
Nurse
• A common sense of purpose shared
by team members
• Deep respect among team members
with unique roles and responsibilities
• A system of mutually-known, value-
added processes to deliver specific,
measurable results
• A culture of team success with
mutual accountability through coach-
ing and mentoring for improvement