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Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm

PIPSQC is pleased to share the new publication in Pediatrics, entitled "Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm," which highlights the work and results of the Children's Hospitals' Solutions for Patient Safety (SPS).

The publication is available online at:
http://pediatrics.aappublications.org/content/early/2017/08/14/peds.2016-3494

ABSTRACT:

Objectives:

To determine if an improvement collaborative of 33 children's hospitals focused on reliable best practice implementation and culture of safety improvements can reduce hospital-acquired conditions (HACs) and serious safety events (SSEs).

Methods:

A 3-year prospective cohort study design with a 12-month historical control population was completed by the Children's Hospitals' Solutions for Patient Safety collaborative. Identification and dissemination of best practices related to 9 HACs and SSE reduction focused on key process and culture of safety improvements. Individual hospital improvement teams leveraged the resources of a large, structured children's hospital collaborative using electronic, virtual, and in-person interactions.

Results:

Thirty-three children's hospitals from across the United States volunteered to be part of the Children's Hospitals' Solutions for Patient Safety collaborative. Thirty-two met all the data submission eligibility requirements for the HAC improvement objective of this study, and 21 participated in the high-reliability culture work aimed at reducing SSEs. Significant harm reduction occurred in 8 of 9 common HACs (range 9%71%; P < .005 for all). The mean monthly SSE rate decreased 32% (from 0.77 to 0.52; P < .001). The 12-month rolling average SSE rate decreased 50% (from 0.82 to 0.41; P < .001).

Conclusions:

Participation in a structured collaborative dedicated to implementing HAC-related best-practice prevention bundles and culture of safety interventions designed to increase the use of high-reliability organization practices resulted in significant HAC and SSE reductions. Structured collaboration and rapid sharing of evidence-based practices and tools are effective approaches to decreasing hospital-acquired harm.

FOR MORE INFORMATION:

To access SPS Hospital Resources, please visit:
http://www.solutionsforpatientsafety.org/for-hospitals/hospital-resources/

To view the SPS Results for Readmissions and Hospital-Acquired Conditions (HACs), please visit:
http://www.solutionsforpatientsafety.org/our-results/

For more information about how to become a member of the SPS network, please email:
ochsps@cchmc.org