PIPSQC is pleased to share the Children's Hospitals' Solutions for Patient Safety (SPS) have created videos that can be used by frontline teams and their leaders across all children's hospitals to understand and apply the specific details of the SPS Prevention Bundles. The SPS Prevention Bundle Videos can be found at the link below: http://www.solutionsforpatientsafety.org/for-hospitals/hospital-resources/ SPS OPERATIONAL DEFINITIONS & BUNDLES: - SPS Operational Definitions: (all HACs) - SPS Recommended Bundles: (Adverse Drug Events) - SPS Prevention Bundles: (CAUTI; Falls; Pressure Injuries; Readmissions; SSI; VAP; CLABSI; VTE) SPS PREVENTION BUNDLE VIDEOS: - SSI Prevention Bundle Video Watch - Pressure Injury Skin Assessment Video Watch - Pressure Injury Patient Positioning and Appropriate Bed Surface Video Watch - Pressure Injury Moisture Management Video Watch - Falls Prevention Bundle Video Watch - CAUTI Maintenance Bundle Video Watch - CAUTI Insertion Bundle Video Watch - CLABSI Dressing Change Video Watch - CLABSI Insertion Bundle Video Watch - CLABSI Line Entry and Needless Entry Scrub Video Watch - CLABSI Needleless Cap Change Video Watch

(Via PIPSQC Spotlight) PIPSQC is pleased to share NHS Improvement and the Royal Colleges have launched the Safe System Framework - the first ever guidance to take a whole-system approach to identifying deteriorating health in children. Children in hospital are known to suffer harm if deterioration in their condition is not recognised and treated quickly. In the worst cases, failure to recognise deterioration can lead to severe harm or death. According to a Patient Safety Alert issued by NHS Improvement, research has shown that "26% of preventable deaths were related to failures in clinical monitoring," and "7% of patient safety incidents reported to the National Reporting and Learning System (NRLS) as death or severe harm were related to a failure to recognise or act on deterioration." While many hospitals have developed programmes to improve the recognition and response to deterioration - including Early Warning Scores (EWS) - it is those organisations that have placed the EWS within a whole safe system of care that are producing better outcomes for patients. The Safe System Framework aims to improve recognising and responding to children at risk of deterioration and focuses on six core elements: 1: Patient safety culture 2: Partnerships with patients and their families 3: Recognising deterioration 4: Responding to deterioration 5: Open and consistent learning 6: Education and training Click here to download the resource in full (PDF, 886 KB). For more information about the Safe System Framework, please visit: http://www.rcpch.ac.uk/safer-system-children-risk-deterioration Trackback Print Tags: PIPSQC , paediatric patient safety , patient safety , pediatric safety , pews , safe system framework Categories: Location: Blogs Parent Separator PIPSQC SPOTLIGHT

PIPSQC is pleased to share highlights from the National Pediatric Readiness Project (Peds Ready) - a multi-phase quality improvement initiative to ensure that all U.S. emergency departments (ED) have the essential guidelines and resources in place to provide effective emergency care to children. READINESS TOOLKIT: The Pediatric Readiness Resource Toolkit is designed to help your emergency department (ED) understand the Pediatric Readiness assessment score and support your use of the assessment to successfully improve the care of children in your ED. ASSESSMENT: The National Pediatric Readiness assessment includes questions that address the following areas of the Joint Policy Statement - Guidelines for the Care of Children in the Emergency Department: Administration and Coordination; Physicians, Nurses, and Other ED Staff; QI/PI in the Emergency Department (ED); Pediatric Patient Safety; Policies, Procedures, and Protocols; and Equipment, Supplies, and Medications To access a print copy of the assessment, download Pediatric Readiness Assessment and Scoring. This document not only includes a copy of the assessment, but also the scoring matrix that was used to generate an overall pediatric readiness score for each participating hospital. This information can be helpful for hospitals as they launch quality improvement efforts and want to track changes in their score over time. KEY ASSESSMENT FINDINGS: On April 13, 2015, the first manuscript addressing key findings from the 2013-14 Peds Ready assessment was published online in JAMA Pediatrics. A few important data points highlighted in the article, include: The national overall hospital Pediatric Readiness score is 69%. Though this score is a marked improvement from an earlier assessment of pediatric readiness conducted in 2003, when the score was found to be 55%, there is still much work to be done. Only 47% of responding facilities had included pediatric specific considerations into their hospital disaster plans. Even those facilities where children are frequently cared for had opportunities to improve their disaster preparedness. Only 45% of hospital EDs reported having a pediatric care review process and only 58% of respondents had defined pediatric quality indicators. The presence of a physician and nurse pediatric emergency care coordinator (PECC) was associated with a higher adjusted median Pediatric Readiness score compare with no PECC. For more information on the National Pediatric Readiness Project, please visit: http://www.pediatricreadiness.org/ Sincerely, The PIPSQC Executive Team E: [email protected] W: http://www.pipsqc.org/

SPS Webinar: Addressing the "Special Cause" Increase in Pediatric CLABSIs: A Quality Improvement Approach PIPSQC is pleased to share the Children's Hospitals' Solutions for Patient Safety (SPS) latest webinar, "Addressing the 'Special Cause' Increase in Pediatric CLABSIs: A Quality Improvement Approach," is available online at: https://youtu.be/t2pw4zn9vGE The webinar slides are also available for download at the following link: "Addressing the 'Special Cause' Increase in Pediatric CLABSIs: A Quality Improvement Approach" For more information or to access SPS Hospital Resources and past webinars, please visit: http://www.solutionsforpatientsafety.org/for-hospitals/hospital-resources/

OVERVIEW: This webinar will be Part 1 of a three part series on patient safety. This episode will reflect on the past 15 years of the patient safety movement, where we started, and where we've landed. Dr. Kaveh Shojania will set the context by providing an overview from the launch of the patient safety movement with the publication of 'To Err is Human' to the current day, highlighting what has proved more difficult than initially hoped, some promising bright spots, and what we have learned along the way. Dr. Trey Coffey will discuss the pediatric patient safety journey, with an emphasis on recent successes in collaborative patient safety efforts (e.g. Handoff, Healthcare Acquired Infection) and future opportunities (e.g. Solutions for Patient Safety).

New PIPSQC Blog