Identifying the Source of Serious Pediatric Patient Harm

Identifying the Source of Serious Pediatric Patient Harm

This report highlights 10 patient safety concerns that have high potential for repeat harm.
Download
pso_preoccupation_with_detection_report

Tackling delivery system causes of patient harm is no easy feat. A focus on detection ensures that harm is identified, investigated, reported and analyzed. Then action can be taken to address vulnerabilities that will mitigate these risks to patients. The quest to perfect detection has resulted in over 1,000 serious safety event cases reported by children’s hospitals participating in Child Health PSO®.

This report highlights 10 patient safety concerns that have high potential for repeat harm, beginning with the PSO’s inaugural safety alert on NG tube misplacement. Other topics include medication safety, communication failures, behavioral health and diagnostic errors. Use the report to review safety issues, assess organizational risks and take action.

Hand

Contact Us

For more information, connect with us.

(913) 981-4130

About the PSO

The Child Health Patient Safety Organization enables children’s hospitals to share safety event information and experiences to accelerate the elimination of preventable harm.

Related Content

Meet the All-Female Hospital Team of Pediatric Neurosurgeons

Less than 10% of all neurosurgeons are female. This hospital is working to change that.

Sep. 28, 2022

Novel Low-Dose Syringe: Enhancing Pediatric Medication Safety

Children's hospitals identified a need for low-dose syringes and their collaboration led to the development of a safer option for medication administration in pediatric health care.

Sep. 14, 2022

How to Improve Portal Messaging Workflow

A new process for answering patient portal messages improved staff response times, resiliency and well-being.

July 27, 2022