Domain 5: Quality and Safety

Employment of established and emerging principles of safety and improvement science. Quality and safety, as core values of nursing practice, enhance quality and minimize risk of harm to patients and providers through both system effectiveness and individual performance.

5.1 Apply quality improvement principles in care delivery.

i. Establish and incorporate data driven benchmarks to monitor system performance.

j. Use national safety resources to lead team-based change initiatives.

k. Integrate outcome metrics to inform change and policy recommendations.

l. Collaborate in analyzing organizational process improvement initiatives.

m. Lead the development of a business plan for quality improvement initiatives.

n. Advocate for change related to financial policies that impact the relationship between economics and quality care delivery.

o. Advance quality improvement practices through dissemination of outcomes.

5.2 Contribute to a culture of patient safety.

g. Evaluate the alignment of system data and comparative patient safety benchmarks.

h. Lead analysis of actual errors, near misses, and potential situations that would impact safety.

i. Design evidence-based interventions to mitigate risk.

j. Evaluate emergency preparedness system-level plans to protect safety.

5.3 Contribute to a culture of provider and work environment safety.

e. Advocate for structures, policies, and processes that promote a culture of safety and prevent workplace risks and injury.

f. Foster a just culture reflecting civility and respect.

g. Create a safe and transparent culture for reporting incidents.

h. Role model and lead well-being and resiliency for self and team.