The document discusses the importance of safety and quality in healthcare, particularly within the context of Medicare. It outlines the seven pillars of quality, including efficacy, effectiveness, efficiency, optimality, accessibility, legitimacy, and equity, as well as key characteristics of effective nursing teams. Additionally, it emphasizes the significance of mutual accountability, communication, and conflict management within healthcare teams.

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