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

Sep 7

Written by: pipsqcblog
9/7/2017 10:30 AM  RssIcon

PIPSQC is pleased to share the new publication in Pediatrics, entitled "Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm," which highlights the work and results of the Children's Hospitals' Solutions for Patient Safety (SPS).

The publication is available online at:



To determine if an improvement collaborative of 33 children's hospitals focused on reliable best practice implementation and culture of safety improvements can reduce hospital-acquired conditions (HACs) and serious safety events (SSEs).


A 3-year prospective cohort study design with a 12-month historical control population was completed by the Children's Hospitals' Solutions for Patient Safety collaborative. Identification and dissemination of best practices related to 9 HACs and SSE reduction focused on key process and culture of safety improvements. Individual hospital improvement teams leveraged the resources of a large, structured children's hospital collaborative using electronic, virtual, and in-person interactions.


Thirty-three children's hospitals from across the United States volunteered to be part of the Children's Hospitals' Solutions for Patient Safety collaborative. Thirty-two met all the data submission eligibility requirements for the HAC improvement objective of this study, and 21 participated in the high-reliability culture work aimed at reducing SSEs. Significant harm reduction occurred in 8 of 9 common HACs (range 9%71%; P < .005 for all). The mean monthly SSE rate decreased 32% (from 0.77 to 0.52; P < .001). The 12-month rolling average SSE rate decreased 50% (from 0.82 to 0.41; P < .001).


Participation in a structured collaborative dedicated to implementing HAC-related best-practice prevention bundles and culture of safety interventions designed to increase the use of high-reliability organization practices resulted in significant HAC and SSE reductions. Structured collaboration and rapid sharing of evidence-based practices and tools are effective approaches to decreasing hospital-acquired harm.


To access SPS Hospital Resources, please visit:

To view the SPS Results for Readmissions and Hospital-Acquired Conditions (HACs), please visit:

For more information about how to become a member of the SPS network, please email: