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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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