Mr. Lowell is especially concerned about a costly high infection rate in surgical patients at St. Louis Medical Center, along with a lack of concern about patient’s psychological needs. He has read about the efforts of the QSEN Institute (.org/”>http://qsen.org) to promote quality and safety. He was surprised to see that patient concerns are inherent in the quality improvement conversation. Place yourself in the role of nurse educator to help the new staff education director and the clinical practice council study both problems. How would you explain the relationships among quality, safety, and costs to the director and staff? How would you demonstrate the importance of nursing care in addressing this issue? What outcome variables would you recommend?

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