COURSE SYLLABUS Course title: QUALITY AND SAFETY IN HEALTH AND NURSING CARE Study <strong>programm</strong>e and level Study field Academic year Semester Nursing Care 2 nd <strong>degree</strong> Bologna Study Programme Nursing Care 2 3 Course type Optional subject University course code: Lectures Seminar Tutorial Laboratory work Fieldwork Individ. work ECTS 30 30 30 285 15 Lecturer: Branko Lobnikar, PhD, professor Languages: Lectures: slovene Tutorial: slovene Prerequisits: Content (Syllabus outline):
Quality and safety in health Subject treats the basic elements and principles of quality and safety in health. The objectives of the subject are to introduce the student into the concept of improving the quality and safety and to help him to recognize its role at improving of quality. The emphasise is in centralizing to patients and other users. Beside that the subject will treat the question of deviations in the <strong>nursing</strong> treatment including the <strong>nursing</strong> <strong>care</strong>. It will describe the system for quality improvement. It will emphasise the introduction of changes for continually improvement of quality and safety of <strong>nursing</strong> treatment with the aim of permanent improvement. The objective is to help the student to recognize the way of introduction of changes and to understand that changes are a part of everyday practise in health and <strong>nursing</strong> <strong>care</strong>. The subject consists of two units: Principles of quality improvement and Introduction of changes, Quality and safety improvement. The first unit will introduce the student into the language of quality, questions concerning the quality in <strong>nursing</strong> <strong>care</strong> and <strong>nursing</strong> safety including the clinical internal and external judgement, organisational, management and personnel questions, connected with quality improvement, experiences and the satisfaction of the patient. Besides that the module will examine different methods and tools, which are possible to use for quality measuring. The goal of this module is also to help the student to recognise the principles and priorities, which are the base of successful and effective approach. The second unit will treat the question of changes including the theory of changes and the response on changes and will examine the questions and problems connected with the change. The aim of this second unit is to enable the student to plan, realise and evaluate small changes of his own work, at the work of the <strong>nursing</strong> team and the work of the health <strong>care</strong> institution as a whole. This has an important impact to quality of services in health and <strong>nursing</strong> <strong>care</strong>. Quality and safety improvement The content of this part of the subject includes the initiatives for obtaining and saving of the quality, this is the complete management of quality, infrastructure for quality and safety, strategy of quality and safety, methods of operation in multi-professional <strong>nursing</strong> team, methods for defining the criteria, measuring and evaluation of quality, critical facts of success in the process of realisation the so called circle of improvement of quality and defining of clinical efficiency within the <strong>nursing</strong> <strong>care</strong>. The subject includes also the analyses in relation to practise established on evidences, methods and tools for the development of standards, directives, clinical paths, processes, protocols, algorithms, indicators of outcomes and other quality indicators. The subject will treat also the method of internal and external quality judgement. It emphasise the methodology of learning from safety complications at patients and their prevention. The subject examines the development, restraining, assuring and permanent improving of quality in environments of <strong>nursing</strong> <strong>care</strong>. The aim of subject is to qualify the nurse for development and performing of permanent improving of quality and safety at treatment of patients with emphasise on <strong>nursing</strong>. This module will prepare the students to perform and support quality improvement and assuring at their work by using the quality tools. With the help of read material and discussions about <strong>study</strong> cases the students will develop the skills of judgement, confirming of validity and verifying of choices and judgement of improvement and quality assuring. In discussions and conversations the elements will be captured, which represent the culture of qualitative environment, working in multi-professional teams and introduction of changes, etc. Readings: • Robida A. Pot do odlične zdravstvene prakse. Vodnik <strong>za</strong> izboljševanje kakovosti in presojo lastne zdravstvene prakse. Ljubljana: Planet GV; 2009 • Robida A. Nacionalne usmeritve <strong>za</strong> razvoj kakovosti v zdravstvu. Ljubljana: Ministrstvo <strong>za</strong> zdravje; 2006. Dostopno na: http://www.mz.gov.si • Fras Z, Robida A, Brubnjak JV. et al. Priročnik <strong>za</strong> smernice. Ministrstvo <strong>za</strong> zdravje, Ljubljana, 2003. http://www.mz.gov.si • Robida A, ed. Uvajanje izboljševanja kakovosti v bolnišnice. Ljubljana: Ministrstvo <strong>za</strong> zdravje; 2006. Dostopno na: http://www.mz.gov.si • Yazbeck AM, Robida A, eds. Metodološka priporočila <strong>za</strong> oblikovanje in uvajanje kliničnih poti. Ljubljana: Ministrstvo <strong>za</strong> zdravje; 2006. Dostopno na: http://www.mz.gov.si • Kersnik, Janko, Kakovost v zdravstvu, drugi natis, Združenje zdravnikov družinske medicine, zbirka PIP, 2010
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