Ohio Childrens Hospital Solutions For Patient Safety

TO WORK TOGETHER TO ELIMINATE SERIOUS HARM ACROSS ALL CHILDREN'S HOSPITALS AS PART OF A NETWORK OF 145+ CHILDREN'S HOSPITALS IN NORTH AMERICA.

SOLUTIONS FOR PATIENT SAFETY (SPS) IS A UNIQUE LEARNING NETWORK CONSISTING OF 148 CHILDREN'S HOSPITALS ACROSS NORTH AMERICA, WORKING TOGETHER TO HELP EACH INDIVIDUAL HOSPITAL MAKE PROGRESS ON A JOURNEY TO ZERO HARM IN PARTICIPATING INSTITUTIONS. EMPLOYING HIGH-RELIABILITY CONCEPTS AND QUALITY IMPROVEMENT SCIENCE METHODS, THE NETWORK IS FOCUSED ON REDUCING HARM BY PREVENTING SERIOUS SAFETY EVENTS, READMISSIONS (WITHIN 7 DAYS FROM DISCHARGE), AND 12 HOSPITAL ACQUIRED CONDITIONS (HACS): ADVERSE DRUG EVENTS, ANIT-MICROBIAL STEWARDSHIP; CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS, EMPLOYEE AND STAFF SAFETY, INJURIES FROM FALLS, NEPHROTOXIC ACUTE KIDNEY INJURY, PRESSURE INJURIES,PERIPHERAL INTRAVENOUS INFILTRATES/EXTRAVASATIONS, SURGICAL SITE INFECTIONS, UNPLANNED EXTUBATIONS, VENTILATOR-ASSOCIATED EVENTS, AND VENOUS THROMBOEMBOLISM. THE SPS NETWORK HAS LAUNCHED THE CENTRAL-LINE ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI) HEM-ONC PIONEER COHORT WITH 51 HOSPITALS TO FOCUS ON TESTING NEW, BEYOND-THE-BUNDLE FACTORS RELATED TO CLABSI AND LAUNCH IMPROVED WORKGROUPS FOR PERIPHERAL INFILTRATION AND EXTRAVASATIONS (PIVIE), PRESSURE INJURIES (PI), AND CLABSI TO INCREASE HOSPITAL RELIABILITY TO THE BUNDLES. THIRTY-FOUR NETWORK HOSPITALS WERE ENGAGED IN THE CLABSI WORKGROUP RESULTING IN MEETING THE 2021 PERFORMANCE TARGET. THE PATIENT HARM RELATION TO EQUITY (PHARE) PIONEER COHORT WAS ESTABLISHED TO FOCUS ON SAFETY DISPARITIES WITH THE HELP OF THIRTY-EIGHT PARTICIPATING HOSPITALS THAT WORKED TO COLLECT AND SUBMIT PATIENT HARM DATA AND STRATIFIED BY RACE AND ETHNICITY WITH THE OBJECTIVE OF IDENTIFYING AND UNDERSTANDING POTENTIAL DISPARATIES. SPS ALSO DEVELOPED SPECIFIC OPERATIONAL DEFINITIONS FOR HACS AND SPS PEDIATRIC PREVENTION BUNDLES AND PEDIATRIC RECOMMENDED BUNDLES THAT ARE AVAILABLE ON ITS PUBLIC WEBSITE, DEVELOPED NEW AREAS WITHIN HEALTH EQUITY, TELEMEDICINE SAFETY, NEXT GENERATION CULTURE, AND AMBULATORY SAFETY, BUILT A ROBUST DATA COLLECTION AND ANALYSIS INFRASTRUCTURE, LED AND EXECUTED HUNDREDS OF VIRTUAL EDUCATIONAL OPPORTUNITIES FOR HOSPITALS WITHIN AND OUTSIDE OF ITS NETWORK, ENGAGED PATIENTS AND FAMILIES IN SAFETY EFFORTS IN NEW AND UNIQUE WAYS. THROUGH IMPLEMENTATION OF THE NETWORK'S BEST PRACTICES, CHILDREN ARE BEING PROTECTED FROM HARM AND COSTS ARE BEING REMOVED FROM THE HEALTH CARE SYSTEM. SINCE 2012, THIS NATIONAL EFFORT HAS LED TO AN ESTIMATED SAVINGS OF MORE THAN 383 MILLION AND SAVED 20,803 CHILDREN FROM SERIOUS HARM, WITH A CONSISTENT UPWARD TREND IN HARM PREVENTED EVERY MONTH. IN 2021, SPS HOSTED MANY VIRTUAL LEARNING EVENTS, ENGAGING OVER 1300 PARTICIPANTS.