Monday, October 23, 2017

PIPSQC Spotlight

The PIPSQC Spotlight features pediatric patient safety updates from PIPSQC


The PIPSQC Blog features the latest from the front lines in pediatric patient safety


The PIPSQC Events page features upcoming conferences in pediatric patient safety

Author: pipsqcblog Created: Friday, December 03, 2010 RssIcon
By pipsqcblog on Tuesday, March 07, 2017
Author: Renu Roy

Returning from a Saturday morning outing to her favorite bakery with my husband, my daughter said, "Mom, I think there's nuts in this." She placed a square on the counter (with one small bite out of it) and as if on cue, a walnut came tumbling out of the bar. My daughter is anaphylactic to walnuts. [...] 
By pipsqcblog on Tuesday, March 01, 2016
Authors: Dr. Madan Roy and Dr. Samara Chitayat 

It will be helpful to watch the video clip below, prior to reading the blog post. The video illustrates the case of Jessica Barnett, a 17 year old with a missed diagnosis of Long QT syndrome. Reviewing some key points of her story can helps us learn and understand some valuable points on diagnostic errors. [...]
By pipsqcblog on Friday, September 04, 2015
Author: Abhishek Bhartia  

"Would you feel comfortable raising an issue if you noticed something wasn't quite right? How do we, as doctors, learn to see things from the patient's perspective? How do you develop a culture where you feel responsible for what happens in the whole hospital, not just your unit?" [...]
By pipsqcblog on Tuesday, August 18, 2015
Author: Kasia Muszynska

Jonny is 6 years old and he is about to go to a hospital for a second time in his life. He may not remember the first time, as he was only a baby, but it left him with a powerful reminder that hospitals are not a safe place to be - due to the wrong dosage of a medication he was given, he had partly lost his hearing. [...]
By pipsqcblog on Thursday, July 02, 2015

Author: Dr. Damian Roland

Children get ill. It is a predictable and universal event. The snotty nose, the frustrating cough, the clinginess of a high fever are all part and parcel of the challenge of parenthood. [...]

By pipsqcblog on Tuesday, June 30, 2015
Author: Dr. Alan Card

The pandemic of avoidable patient harm may be the leading cause of death in many countries. But, rather than treating this as a public health crisis, policy makers around the world have largely treated it as a performance management issue.  [...]
By pipsqcblog on Tuesday, March 03, 2015

Author: Dr. Simon Craig

Your 3 year-old child has an allergy to peanuts. At a friend's birthday party, she is accidentally given a home-baked cookie. Within minutes, she is struggling for breath. You administer an EpiPen with minimal effect. [...]

By pipsqcblog on Friday, December 26, 2014
Author: Darren Cooper

Looking at comparable healthcare systems in Europe, the United Kingdom has the worst five-year average mortality and excess deaths in childhood. [...]
By pipsqcblog on Tuesday, December 16, 2014

Authors: Dr. Medha Chillal, *Dr. Richard Neal, Dr. Adrian Plunkett

We were interested to read the recent article, "
Changes in Medical Errors after Implementation of a Handoff Program," by Starmer et al. (N Engl J Med 2014; 371:1803-1812) about the benefits of I-PASS. [...] 

By pipsqcblog on Sunday, November 30, 2014

Author: Peter Hibbert 

What percentage of children receive healthcare in line with clinical practice guideline recommendations? As a society, we do not know the answer to this question. However, with ever-increasing possibilities and rising costs, healthcare is facing an affordability crisis. [...]

By pipsqcblog on Tuesday, September 30, 2014

Author: Lena Zhu

I am not a doctor or a nurse or a parent like the rest of the contributors. I don’t know the difference between a tibula and a fibula - I haven’t even graduated high school yet. But I am a 16-year-old teenager who knows what people my age and younger think about hospitals and healthcare professionals. [...]
By pipsqcblog on Wednesday, September 24, 2014
Authors: Dr. Anne Lyren and Joyce Deptola, RN


At our hospital, we take very seriously the principle of high reliability organizations that emphasizes a focus on failures and shortcomings. These efforts are ongoing as we have yet to create a perfectly safe experience for every child who enters into our care. [...]
By pipsqcblog on Friday, July 04, 2014

Author: Johannah Back

I am just a mom. I, like many of you, have been thrust into the world of patient safety due to the occurrence of an unfortunate medical error. Our entrance to this world began because our daughter's G-tube feeding was connected to her IV line, causing fortified breast milk to be sent through her bloodstream and internal organs. [...]

By pipsqcblog on Monday, June 09, 2014

Author: Thomas Dahlborg

While vacationing recently, I was enjoying a quiet morning in the sun reading USA TODAY when a particular headline in the Sports Section grabbed my attention:


NASCAR needs its own team of traveling doctors


I read on [...]

By pipsqcblog on Monday, March 17, 2014

Author: Dr. Daniel Hyman


Our senior management team and Board members routinely describe the Children’s Hospital Colorado Target Zero program as being among the most successful in the 100+ years of our long and proud history. I would describe it as the most rewarding professional opportunity I have had in my career. [...]