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  • Writer's pictureStephen Harden

Pediatric Adverse Events High and Unchanged, Study Finds

Adverse events (AEs) remain high among pediatric inpatients and are "substantially higher" among children in teaching hospitals and those with chronic conditions, a study has found. More than half of AEs were preventable.

"Although a growing body of literature has demonstrated substantial reductions in certain types of AEs in hospitals, it appears that additional efforts are needed to achieve improvements in the safety of all care for hospitalized children," writes David C. Stockwell, MD, MBA, from Children's National Medical Center and the Division of Critical Care Medicine, Department of Pediatrics, School of Medicine and Health Sciences, George Washington University, both in Washington, DC.

Children's hospitals have a collaborative network network of 130+ children’s hospitals who share the vision that no child will ever experience serious harm while being treated. The network, Solutions for Patient Safety, provides evidence-based bundles, protocols, and practices to improve care and reduce AEs. Despite the success of the solutions this incredible network provides, many children's (and adult) hospitals don't really have a repeatable and proven system to implement the evidence-based bundles provided to them.

Leaders in these facilities have discovered that no matter how effective the bundle, if they couldn't get their physicians and staff to reliably and sustainable use it, and to work better together in crosschecking and supporting each other while using it, they can't get the full benefit of the bundle for their patients; hence AEs remain high among pediatric inpatients.

This is where LifeWings comes in. We teach leaders a system that is based on our experience coaching over 200 healthcare organizations through the implementation of evidenced-based practices, processes, algorithms, and bundles. Like SPS, we believe leadership matters and our system provides a clear roadmap of actions for leadership teams to take to ensure a successful implementation.

We also know that without a culture of peer-to-peer accountability based on teamwork and communication, no bundle initiative is sustainable. We specialize in coaching leadership teams in creating that culture around the use of their bundles. Go here to see a case study from our work at Miami Children's so you can get a sense of how to implement a bundle successfully.

If your organization is struggling with the same issues of effective implementation of change initiatives, the first two questions to ask are 1) Are we as a leadership team taking the correct actions (which assumes you know the exact actions to take), and 2) Have we created a culture of peer-to-peer accountability? Your answer to these 2 questions will tell you where to start if you want to get different results and reduce AEs.

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