THINGS THAT WORK: HOT TOPICS IN PEDIATRIC PATIENT SAFETY

 

In 2004, the American Academy of Pediatrics brought together a Patient Safety Advisory Group to consider how the Academy could provide leadership and support to make care safer for children and families.

One of the suggestions was a listserv to enable those involved in patient safety to learn from one another. Another idea was a series of conference calls, "Things That Work," to share best practices with colleagues. The Advisory Group chose implementation of a safety bundle, safety walkrounds, and medication reconciliation as the first three topics for these calls. Participants were able to access the presenter's PowerPoint presentations, ask questions during the call, and continue the discussion with colleagues following each call via the moderated listserv. To sign up for the listserv, contact Pat Wajda at pwajda@aap.org.

This is the beginning of a series of activities that the AAP hopes will involve all the systems in which we care for children including inpatient, intensive care unit, emergency department, ambulatory setting, home health, schools, and daycare.

A summary of the informational calls follow.

Implementation of a Safety Bundle - June 2, 2005,  12 PM - 1 PM ET
Marlene Miller, MD, MSc, Director of Quality and Safety Initiatives & Associate Professor,
Department of Pediatrics, Johns Hopkins Children's Center
Carole M. Lannon, MD, MPH, Director of the AAP Steering Committee on Quality
Improvement and Management (Moderator)

PowerPoint Presentation

Audiotape (Real Media format)

Resources
Institute for Health Improvement - Getting Started Kit: Prevent Central Line Infections
PICU Catheter-related Blood Stream Infection - Care Team Checklist
Venkataraman ST et al. Clinical Pediatrics 1997 Jun;36(6):311-9
Sheridan RL et al Burns. 1995;21(2):127-9
Still JM et al. American Surgery 1998;64(2):165-70
Goldstein AM et a. Journal of Pediatrics 1997;130(3):442-6

 


Safety Walk Rounds: Finding Problems and Fixing Them - June 28, 2005, 12PM - 1 PM ET
Karen Frush, MD, Member, AAP Committee on Pediatric Emergency Medicine &
Chief Medical Director of Children's Services, Duke University
Marlene Miller, MD, MSc, Director of Quality and Safety Initiatives & Associate Professor,
Department of Pediatrics, Johns Hopkins Children's Center
Tina Willis, MD, Assistant Professor of Pediatrics, Division of Critical Care Medicine & Medical Director, ECLS Program, The University of North Carolina at Chapel Hill (Moderator)

PowerPoint Presentation

Audiotape (Real Media format)

Resources
Patient safety leadership walkrounds.
In the WalkRounds concept, a core group, which includes the senior executives and/or vice presidents, conducts weekly visits to different areas of the hospital. The group, joined by one or two nurses in the area and other available staff, asks specific questions about adverse events or near misses and about the factors or systems issues that led to these events.
BMC Health Services Research. 2005 April 11;5(1):28.
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.  A randomized control trial was conducted by a group of experts in the subject of Executive Walkrounds and measurement of safety climate attitudes.The study looked specifically at how walkrounds affected nurses, as measured with safety climate surveys.

 


Medication Reconciliation - July 12, 2005  12 PM - 1 PM ET

Glenn Billman, MD, Director of Patient Safety, Children's Hospitals and Clinics in Minneapolis/St. Paul
Marlene Miller, MD, MSc, Director of Quality and Safety Initiatives & Associate Professor,
Department of Pediatrics, Johns Hopkins Children's Center
Carole M. Lannon, MD, MPH, Director of the AAP Steering Committee on Quality
Improvement and Management (Moderator)

PowerPoint Presentation

Audiotape (Real Media format)

Resources
Medication Reconciliation Flowsheet

Need more information on improving pediatric patient safety? Visit http://www.aap.org/visit/patientsfty.htm

 

 

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