Latest Posts

To Sleep Perchance to Dream - Quality in Pediatric Anesthesia
1/30/2013 3:08 PM | Vieve Paisley, MD
Two Patient Identifiers and Patient Safety: A Case of Mistaken Identity
12/31/2012 3:13 PM | Vieve Paisley, MD
To Fly (or not): Starting a Medication Safety Program
11/30/2012 3:18 PM | Vieve Paisley, MD
Welcome to the PIPSQC Blog
11/30/2012 3:00 PM | Vieve Paisley, MD

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To Sleep Perchance to Dream - Quality in Pediatric Anesthesia

Author: Dr. Conor McDonnell

Where Am I?
We can usually measure how far we have come by how little we have left to go. While directing the M&M program for the Department of Anesthesia & Pain Medicine at SickKids Hospital in Toronto, Canada, I found myself one day with very little to do, in that regard at least. There had been no mortalities or significant morbidities in the previous three reporting quarters, we had a reliable reporting / data collection system, a timely review process and an institution amenable to change when such change was beneficial to patients. So what to do next? [...]

Two Patient Identifiers and Patient Safety: A Case of Mistaken Identity

Author: Dr. Matt Scanlon

A central component of many safety plans is the practice of checking two or more patient identifiers. This concept has been the focus of countless safety campaigns in the hopes of avoiding the administration of medications to the wrong patient, wrong patient procedures and other potentially preventable errors and harm. Which would all be wonderful if it was meaningful. However, science and reason suggest otherwise. [...]

To Fly (or not): Starting a Medication Safety Program

Author: Dr. Dennis E. Schellhase

Behind the times

As I sat down to write and began to review the increasing literature related to reducing harm due to adverse drug events (ADEs), I realized that we start several years behind. In the past decade, a growing number of programs have implemented successful safety initiatives to reduce pediatric ADEs based primarily upon W. Edward Deming’s method of improvement model1-4. We have just begun to step away from the hierarchical top down approach of innumerable policies and procedures and to slowly and gingerly move toward a frontline approach to improve quality and safety utilizing the method of improvement model. [...]

 

Welcome to the PIPSQC Blog

Author: Dr. Peter Lachman, PIPSQC Chair
 

Dear PIPSQC Members and All Who Visit the Website,

We are launching our PIPSQC Blog on the website today. This is the first step in our next phase on the development of the international movement for paediatric patient safety. Initially the blog posts will be from invited centers, but we will in time also welcome posts from others who are involved in improving the safety of care of children in all health settings. We also intend to start a monthly best practice column from leaders in the field. [...]