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Synergistic Opportunity To Connect Quality Improvement and Emergency Preparedness.


In: Hughes RG, editor.


Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 9.
Advances in Patient Safety.


Nursing leadership has the opportunity to use new emergency preparedness evidence- and experienced-based measures that are or can be developed and disseminated. To realize this integrated approach locally, it is essential to embed interventions into the fabric of work and make these efforts visibly present so that staff are perpetually readied for the day-to-day issues of improving quality and safety, and the extraordinary issues of an unanticipated catastrophic event. With strong mission leadership to merge the two areas structurally and functionally, acceptance of valid measures and cross-integration can be achieved. In conclusion, hospital leadership should: 1. Recognize the synergies between quality improvement and emergency preparedness, providing support, visibility, and performance feedback for these shared functions; 2. Empower clinical leaders to formally bridge the gap and share knowledge across these functional areas; and 3. Support the evidence base by providing resources to contribute to the literature on implementation science that can foster modeling in other facilities and communities. Building the evidence base and recognizing the synergies between quality improvement and emergency preparedness is vital for the safety of patients in the resource-constrained environment in which we provide hospital care. Executive management is challenged to think prospectively to connect the dots and take advantage of these synergies to efficiently provide the highest quality health care possible to their patients.

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