Sleath, B; Carpenter, DM; Walsh, KE; Davis, SA; Watson, CH; Lee, C; Loughlin, CE; Garcia, N; Reuland, DS; Tudor, G. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019; 143(2).
Researchers and collaborators from the Children's Hospitals' Solutions for Patient Safety network outlined 24 research priorities for improving pediatric patient care safety. Topics identified as most important included how hospitals use high reliability principles, create and improve their safety culture, communicate about patient care, and use early-warning systems to proactively detect and prevent patient decline.
Stille, CJ; Raphael, JL; Carle, AC; Keller, DM; Turchi, RM; Kraft, CA; Mann, MY; Bright, D. Accuracy of the medication list in the electronic health record-implications for care, research, and improvement. Journal of the American Medical Informatics Association. 2018; 25(7):909-912.
To evaluate the accuracy of medication order data, researchers compared electronic medication lists to clinical narratives for patients at six gastroenterology centers and found that list accuracy varied from 90% to 50% by center. These findings may be used to help sites improve their documentation practices and indicate that medication order data should not be used for analytic or care decisions without additional validation.
Sitzman, TJ; Carle, AC; Heaton, PC; Helmrath, MA; Britto, MT. Shared Decision Making About Starting Anti-TNFs A Pediatric Perspective. Journal of Pediatric Gastroenterology and Nutrition. 2019; 68(3):339-342.
Researchers surveyed specialists choosing a treatment for inflammatory bowel disease in pediatric patients about their use of shared decision making (SDM), which is central to patient-centered medicine and has the potential to improve outcomes. Of 209 specialists, 75% reported using SDM; analyses suggested physicians using SDM were more accepting of adolescent involvement in the decision-making process than those who did not use SDM.
Hildenbrand, AK; Quinn, CT; Mara, CA; Peugh, JL; McTate, EA; Britto, MT; Crosby, LE. We Will Not Compete on Safety How Childrens Hospitals Have Come Together to Hasten Harm Reduction. Joint Commission Journal on Quality and Patient Safety. 2018; 44(7):377-388.
The Children's Hospitals' Solutions for Patient Safety (SPS) network is a collaborative of more than 135 children's hospitals in the United States and Canada that work together to eliminate patient and employee/staff harm across all children's hospitals. SPS estimates that more than 9000 children have been spared harm due to its efforts since 2012 with $148.5 million in healthcare spending avoided, demonstrating that similar collaborations have the potential to dramatically decrease harm to patients, employees and staff.
Macaluso, M; Summerville, LA; Tabangin, ME; Daraiseh, NM. Enhancing the detection of injuries and near-misses among patient care staff in a large pediatric hospital. Scandinavian journal of work, environment & health. 2018; 44(4):377-384.
Researchers asked patient care staff in a large pediatric hospital to record occupational injuries and near-misses using digital voice recorders (DVRs) and compared results to passive data collection in an institutional surveillance system (ISS). Results showed that enhanced surveillance is feasible and that injuries reported using DVRs were 40.7 time more frequent than what would be expected based on ISS reports, providing richer information that can guide the development of effective injury prevention strategies.