Ohio Children's Hospital Solutions for Patient Safety

Solutions for Patient Safety (sps) is a unique learning network consisting of 145 Children's hospitals across north america working together to help each individual Hospital make progress on a journey to zero harm in participating institutions. Employing high-reliability concepts and quality improvement science methods, the network is focused on reducing harm by preventing serious Safety events, readmissions (within 7 days from discharge), and 12 Hospital acquired conditions (hacs): adverse drug events, anti-microbial stewardship, catheter-associated urinary tract infections, central line-associated blood stream infections, employee and staff Safety, injuries from falls, nephrotoxic acute kidney injury, pressure injuries,peripheral intravenous infiltrates/extravasations, surgical site infections, unplanned extubations, ventilator-associated events, and venous thromboembolism. The sps network launched the ambulatory Safety portfolio in 2022 with a global aim to ensure all patients are safe from harm in ambulatory health care settings. Sps supported research and publications by encouraging abstract submissions, and 10 of these were published in pediatric quality & Safety. Sps also supported 11 studies, of which 3 were accepted for publication in 2022. Sps gathered insights from network stakeholders and subject matter experts to update their network's ess improvment strategy. A few 2022 strategy highlights include: opening stratified serious employee harm data collections for all network hopsitals; executing a Patient behavioral events (pbe) measurement task force and an "all teach, all learn" on pbe topics; and hosting a design session to revise the theory for improvement to reduce serious employee harm from overexertion. Sps launched five key resources to help health care providers identify the drivers of gaps in outcomes and attain further harm reduction. Sps is dedicated to supporting all network hospitals to develop structures and processes with the initial objective of submitting clabsi and/or ue-icu data stratified by Patient race and ethnicity. Through implementation of the network's best practices, children are being protected from harm and costs are being removed from the health care system. Since 2012, this national effort has led to an estimated savings of more than 447 million and saved 23,036 children from serious harm, with a consistent upward trend in harm prevented every month. In 2022, sps hosted many in person and virtual learning events engaging over 1400 participants.