Little evidence exists for pediatric prevention standards for the pediatric hospital acquired conditions (HACs) that are the focus of the network. Over the past two years, SPS has developed standard definitions for pediatric HACs based on those used for adult HACs by using a participatory approach led by pediatric safety experts. SPS network hospitals rapidly adopted these standard definitions and have come together to develop evidence-based bundles in care delivery for each pediatric HAC. The SPS network is working with hospitals to spread and implement these bundles in care delivery in order to accelerate the pace of harm reduction.
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Tips for Use
Over the past years, we have realized the importance of creating and sharing tools that make it easy for hospitals to drive our SPS Prevention Bundles to the frontline. Therefore, we 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.
We (SPS) recommend the use of these videos as an adjunct to other training methods. Possibilities include:
- As a training tool for your staff to review prior to completing job instruction (the videos follow the SPS job instruction tools step by step!), return demonstration or hands‐on, competency‐based training.
- As a template for your hospital to use as guidance for creating hospital‐specific videos (if resources allow).
- As an ongoing expert resource or reference for your staff if they require review prior to performing a procedure ‐ Qualify, validate and verify (QVV) with an expert source!
SPS Disclosure Process Watch
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 Needleless Entry Scrub Video Watch
CLABSI Needleless Cap Change Video Watch
Kamishibai Card Rounding: 100% Bundle Compliance Watch
May 2019: SPS Talk: The Safety Journey: Leaders Building and Sustaining Momentum Listen (8:25)
March 2019: SPS Talk: SPS Call for Innovations: An Inspiring Patient Safety Story Listen (7:05)
January 2019: SPS Talk: Children’s Hospitals Overcoming System-Level Barriers by Leading the Way and Aligning: Physicians Play an Important Role Listen (11:02)
October 2018: SPS Talk: Storytelling: A Leadership Competency for Safety Listen (12:55)
August 2018: SPS Talk: Reducing Unplanned Extubations: Physicians Driving Change Listen (10:17)
June 2018: SPS Talk: The Important Role Physicians Play in Error Prevention Training Listen (8:20)
April 2018: SPS Talk: Physicians Learning from Events: A Key Development Opportunity Listen (7:03)
September 2017: SPS HIIN Partner Webinar: Strategy and Tactics: The Imperative of Patient & Family Engagement in Safety Watch (1:01:18)
November 2017: SPS Talk: The Opportunities Are Endless: Engaging Residents in Quality and Safety Watch (8:29)
September 2017: WIHI Live Chat: Tuning Up Health System Boards for Patient Safety Listen
September 2017: SPS Talk: Collaboration is Key Physicians Joining Forces to Prevent Harm Watch (5:04)
July 2017: SPS Talk: The Physician’s Role in Rapid Response Teams Watch (8:48)
May 2017: SPS Talk: The Physician’s Role in Driving Engagement on a Safety Survey Watch (6:12)
March 2017: SPS Talk: The Physicians’ Role in Reporting Near Miss and Adverse Events Watch (5:42)
January 2017: SPS Talk: The Physicians’ Role in Promoting a Safe Culture Listen (4:00)
July 2016: Health Equity: When Community Benefit, REAL Data and Quality Improvement Collide Download PDF (352 KB)
March 2016: Forging Together Without Competition: Embedding Culture Principles using Cause Analysis. Download PDF (3 MB)
Patient Safety After 15 Years from the Canadian Association of Paediatric Health Centres
Dr. Trey Coffey (Medical Officer for Patient Safety, SickKids) share SPS Network-wide data during her Webinar presentation hosted by CAPHC. (Please see 59:00 minute mark to 1:00:00)
SPS network hospitals across the country are joining forces to affirm that critical role patient families play in making hospital stays as safe as possible for them children. To raise awareness of the importance of patient safety within our hospitals’ patient populations as well as their surrounding communities, SPS has developed sample social media posts, a flyer and poster with safety tips for patient families when they visit the hospital.
Fifteen years after the Institute of Medicine brought public attention to the issue of medical errors and adverse events, patient safety concerns remain a serious public health issue that must be tackled with a more pervasive response. With a grant from AIG, the National Patient Safety Foundation (NPSF) convened an expert panel in February 2015 to assess the state of the patient safety field and set the stage for the next 15 years of work. The resulting report (endorsed by SPS) calls for the establishment of a total systems approach and a culture of safety, and calls for action by government, regulators, health professionals, and others to place higher priority on patient safety science and implementation. You can access the report by clicking here: https://www.npsf.org/?freefromharm#form