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Patient Safety

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Photo: Lori Wilson, Children’s Medical Center Dallas

Understanding Patient Safety

Preventable harm occurs even in the best hospitals, and children’s hospitals are focused on improving patient safety practices for the best outcomes. The association sponsors collaboratives and initiatives around top patient safety issues, including the Child Health Patient Safety Organization (Child Health PSO), and partners with other organizations. 


Featured Resource

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Report
Building Resiliency: Child Health Patient Safety Organization 2019 Annual Report November 26, 2019

Learning from multi-center reported serious safety events, children’s hospitals celebrate 10 years of opportunity to learn together to improve safety under Child Health Patient Safety Organization’s (PSO) privilege and confidentiality protections.

Resources

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Article
Does White Bagging Pose a Risk to Patient Safety?
March 13, 2020

The practice is increasing as a way of managing costs, it can create potential patient safety concerns.

Article
Leader's Perspective: Preventing the Spread of Coronavirus in the U.S.
March 11, 2020

As the death toll climbs internationally, children’s hospital leaders are stressing the importance of screening everyone and taking prompt action for those exhibiting symptoms.

Article
Focus on Staff Education and New Practices Reduce ED Escalations in Behavioral Health Patients
March 4, 2020

Children's National Hospital in Washington, D.C., created a task force specifically focused on creating safer environments for encounters with patients in the ED.

Article
Study: 1 in 4 Hospitalized Kids Receives Antibiotics They Don't Need
February 14, 2020

A study reviewed medical records of more than 11,000 pediatric patients to identify suboptimal antibiotic prescriptions.

Article
How One Children's Hospital is Reducing Patient Harm
February 4, 2020

The implementation of a new safety principle focuses less on what goes wrong and more on what goes right.

Article
Explore Quality and Safety Improvements with Pediatric Health Care Professionals
February 4, 2020

At the Quality and Safety in Children’s Health Conference, a variety of speakers share best practices and attendees collaborate to uncover answers to pediatric-specific challenges in health care.

Article
High-touch Cleaning Bundle Reduces Bloodstream Infections
January 21, 2020

Implementing new cleaning practices in patient rooms can reduce some hospital-acquired infections.

Article
Clinical Surveillance Helps Prevent Hospital-Acquired Infections
December 31, 2019

Clinical surveillance isn’t new for some children’s hospitals, but the practice is evolving thanks to better technology and being implemented more broadly.

Analysis or Summary
Cures 2.0: CHA Letter Responding to RFI
December 18, 2019

CHA submitted comments to the request for information on a Cures 2.0 package.

Article
Controlling Pediatric IV Acetaminophen Use Reduces Safety Risks and Medication Waste
December 11, 2019

Here’s how children’s hospitals improved their drug use policies.

Article
How Provider Stress Can Lead to Cognitive Bias and Diagnostic Errors
December 3, 2019

Burnout rates are on the rise and can have patient repercussions. Use these seven strategies to reduce the risk of diagnostic errors to avoid cognitive biases in patient care.

Report
Building Resiliency: Child Health Patient Safety Organization 2019 Annual Report
November 26, 2019

Learning from multi-center reported serious safety events, children’s hospitals celebrate 10 years of opportunity to learn together to improve safety under Child Health Patient Safety Organization’s (PSO) privilege and confidentiality protections.

Report
Improving Rates of Counseling Parents/Caregivers of Patients with Suicidality on Restricting Access to Lethal Means
November 21, 2019

Best practices for improving counseling on restricting access to lethal means developed based on the Pediatric Hospital Care Improvement Project (P-HIP) 12-month learning collaborative.

Report
Promoting Safe Hospital-to-Home Transitions
November 21, 2019

Best practices for improving hospital-to-home family/caregiver written discharge instructions to reduce potential medical complications.

Article
Track Cognitive Bias to Improve Patient Safety
November 6, 2019

This children’s hospital traced 50% of serious safety events to cognitive bias and created targeted interventions to mitigate the most common cognitive biases found in health care.

Article
Preventing Thermal Injuries and Pediatric Harm
October 24, 2019

Here’s how a children’s hospital leveraged its infrastructure to put a thermal injury risk assessment into action and improve patient outcomes.

Article
Hand Hygiene Program Helps Hospital go 5 Years CLABSI Free
October 16, 2019

Accountability for proper hand hygiene led Children’s Hospital University of Illinois to go more than five years without a central line-associated bloodstream infection (CLABSI) in the general pediatrics ward.

Article
The 7 Things Families Care About Most
September 9, 2019

One hospital was surprised to learn that parents don’t cite patient safety as being important, and there’s a theory why.

Article
Using Family-Centered Rounds to Improve Care and Communication
July 29, 2019

Communication failures between providers and families can lead to patient harm. Patient- and family-centered rounds can help, but is your hospital using them effectively?

Article
Drug-Resistant Superbug: What Hospitals Should Know
July 8, 2019

Candida auris can be resistant to all major classes of antifungal medications, and it can be deadly.

Article
New Safety Alert Shows Children at Risk During Invasive Procedures
June 19, 2019

Difficult-to-mark surgical sites pose a significant risk to pediatric patients, lead to additional treatments, longer hospital stays and higher medical costs.

Article
6 Patient Safety Risks Every Children's Hospital Should Assess
April 26, 2019

Children's hospitals don't have to experience a serious safety event to learn from it. Here are six patient safety risks every hospital can assess now to find vulnerabilities.

Article
Patient Safety Project Aims to Reduce Alarm Fatigue in the NICU
April 26, 2019

This team used human factors to increase the saliency of actionable alarms in the NICU.

Alert
Wrong-site Surgeries/Procedures are Still Occurring When Site is Difficult to Mark
April 17, 2019

Patients experience wrong-site surgeries/procedures when surgical/procedural sites are difficult, or impossible, to mark (e.g., perineum, mucosal surfaces such as with frenectomy procedures, internal organs, casted limbs, lateralized organs), or when patients/families refuse site marking.

Article
3 Interventions to Reduce Variation in Opioid Prescribing for Pediatric Patients
March 20, 2019

Children’s Hospital Colorado outlines its approach to determining pediatric-specific recommendations for opioid prescribing.

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Patient Safety Alerts

Child Health PSO Patient Safety Action Alerts provide immediate notification of patient safety concerns for most  pediatric health care providers. 

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