Amy J.

Herrington
Ferris State University

Thread concept of safety into NUR 102 and

NUR 103
Focus on Medication Safety
Develop standardized teaching materials and
activities

School of Nursing
Redesigning curriculum
Quality and Safety in Healthcare
RCA/FMEA Results

Evidence-Based Support
Medication-related errors cause > 7,000/year
Healthcare professionals are inadequately prepared

Armstrong, Spencer, & Lenburg, 2009; Disch, Barnsteiner, & McGuinn, 2013; Chenot & Daniel, 2010; Giddens, Wright, & Gray, 2012;
Hughes & Blegen, 2008; Jones, 2013

NUR 102: Psychosocial Nursing Foundations

Didactic

NUR 103: Medical-Surgical Nursing II

Didactic
Lab
Clinical (Metro Health Hospital)

Cora Beute Preceptor

GRCC School of Nursing Faculty Members

Quality

Safety
EvidenceBased

Skill

Lead improvement
efforts, taking into
account context and
best practices based
on evidence.

Knowledge

Identify best practices

that promote patient,
community, and
provider safety in the
practice setting.

Skill

Implement care
practices based on
strength of available
evidence.

QSEN, 2014

Facilitate
Learning

Use Assessment
and Evaluation
Strategies

Participate in
Curriculum
Design and
Evaluation of
Program
Outcomes

Engage in
Scholarship

NLN, 2012

Transformational Leadership
Identifies need for change
Achieves success by inspiring others

Promote a Culture of Safety

Reduce Medication Errors
Improve Quality & Safety

Marshall, 2011; Sherwood & Barnsteiner, 2012

Unfreezing

Problem is recognized

Need for change is identified

Moving

Develop a plan

Set realistic goals

Refreezing

Maintenance

New Status Quo

Kearney-Nunnery, 2009

Student self evaluation

Pre- and Post-instruction

Instructor evaluation
Monitor medication errors & near misses

Increased student awareness of safety

Decrease in medication near misses
Decrease in medication errors

Evaluate how safety is currently integrated

into NUR 102 & NUR 103.
Assess how safety will be threaded
throughout remaining courses.
Recognize areas of needed growth in
students.
Develop course objectives and activities.
Evaluate redesigned curriculum ensuring
alignment of objectives throughout
curriculum.

Armstrong, G. E., Spencer, T. S., & Lenburg, C. B. (2009). Using quality and safety education
for nurses to enhance competency outcome performance assessment: A synergistic
approach that promotes patient safety and quality outcomes. Journal of Nursing
Education, 48(12), p. 686-693.
Chenot, T. M. & Daniel, L. G. (2010). Frameworks for patient safety in the nursing curriculum.
Journal of Nursing Education, 49(10), p. 559-568.
Disch, J., Barnsteiner, J., & McGuinn, K. (2013). Taking a deep dive on integrating QSEN
content in San Francisco Bay area schools of nursing. Journal of Professional Nursing,
29(2), p. 75-81.
Giddens, J. F., Wright, M., & Gray, I. (2012). Selecting concepts for a concept-based
curriculum: Application of a benchmark approach. Journal of Education, 51(9), p. 511515.
Hughes, R. G. & Blegen, M. A. (2008). Patient Safety and Quality: An Evidence-Based
Handbook for Nurses. Retrieved from http://www.ahrq.gov/professionals/cliniciansproviders/resources/nursing/resources/nurseshdbk/nurseshdbk.pdf

Jones, A. D. (2013). The impact of integrating Quality and Safety Education for Nurses safety
competency in first-year associate degree nursing students. Teaching and Learning in
Nursing, 8(4), p. 140-146.
Kearney-Nunnery, R. (2009). Advancing your career: Concepts of professional nursing (4th ed).
Philadelphia, PA: F.A. Davis.
Marshall, E. S. (2011). Transformational leadership in nursing: From expert clinician to
influential leader. New York, NY: Springer Publishing Company.
National League for Nursing. (2012). The Scope of Practice for Academic Nurse Educators.
New York, NY: National League for Nursing.
QSEN Institute. (2014). Graduate KSAS. Retrieved from http://qsen.org/competencies/graduateksas/
Sherwood, G. & Barnsteiner, J. (2012). Quality and Safety in Nursing: A Competency Approach
to Improving Outcomes. Ames, IO: Wiley-Blackwell.