• Report
  • November 26, 2019

Building Resiliency: Child Health Patient Safety Organization 2019 Annual Report

Celebrating 10 years together

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. In this time, over 1,200 cases have been analyzed and over 1,300 early warnings have been shared so your hospital can improve patient care without another child having to experience serious harm.

At the 2019 PSO annual meeting, organizational resilience discussions focused on how children’s hospitals can broaden methods to eliminate preventable serious harm using Safety I and Safety II principles. A system is resilient if it can adjust its functioning prior to, during, or following events (changes, disturbances and opportunities) and thereby sustain required operations under both expected and unexpected conditions.1 Safety leaders analyzed what worked well using a systematic non-linear approach.

New analytic methods offer children’s hospitals an opportunity to recognize how organizational resilience promotes patient safety. Ideally, an organization achieves a balance in both system standardization and resiliency.

Resiliency analysis allows for reflection on performance variability, which leads to understanding how the system functions and how front-line staff make decisions to produce safer care. Organizational resilience is assessed for improvement opportunities in four areas: learning, responding, anticipating and monitoring. Participation and engagement with peer hospitals in the PSO supports children’s hospitals’ resiliency to eliminate preventable patient harm, which is the global aim.