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.
Identifying the Source of Serious Pediatric Patient Harm
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
How Serious Safety Event Reviews Inform Health Equity Efforts
How Children's Hospitals Can Mitigate Child Trafficking and Exploitation
Improving Identification of Patients at Risk for Human Trafficking
How Serious Safety Event Reviews Inform Health Equity Efforts
Children’s hospitals are leveraging safety event reviews to identify areas for improvement in how care is delivered.
How Children's Hospitals Can Mitigate Child Trafficking and Exploitation
Children’s hospitals are positioned to identify children at risk of or experiencing trafficking and exploitation.
Improving Identification of Patients at Risk for Human Trafficking
A Child Health Patient Safety Alert outlines health care professionals' roles in recognizing victims of labor and sex trafficking or exploitation.
