OHIO CHILDREN'S HOSPITAL SOLUTIONS FOR PATIENT SAFETY

SOLUTIONS FOR PATIENT SAFETY (SPS) IS A UNIQUE LEARNING NETWORK CONSISTING OF 150+ 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 15 HOSPITAL ACQUIRED CONDITIONS (HACS): AMBULATORY SAFETY, ADVERSE DRUG EVENTS, CATHETER-ASSOCIATED URINARY TRACT INFECTIONS, CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS, EMPLOYEE AND STAFF SAFETY, CULTURE OF SAFETY, HOSPITAL ACQUIRED DELIRIUM, INJURIES FROM FALLS, NEPHROTOXIC ACUTE KIDNEY INJURY, PRESSURE INJURIES,PERIPHERAL INTRAVENOUS INFILTRATES/EXTRAVASATIONS,SAFETY DISPARITIES, SURGICAL SITE INFECTIONS, UNPLANNED EXTUBATIONS, AND VENOUS THROMBOEMBOLISM. IN 2025, SPS STRENGTHEND THEIR FOUNDATIONS IN MODERN SAFETY CULTURE AND INTRODUCED THE SPS SAFETY PERFORMANCE PLAN AND ITS ASSOCIATED SAFETY CRITICAL TASKS. SPS ADVANCED STRATEGIC PLANNING AND SET ONE YEAR IMPROVEMENT TARGETS FOR THE HIGHEST OCCURRING PATENT AND EMPLOYEE HARMS, WHICH INCLUDE CENTRAL LINE-ASSOCIATED BLOOD STREAM INFECTIONS (CLABSI), UNPLANNED EXTUBATIONS (UE)-ICU, OVEREXERTION (OE), AND PATIENT BEHAVIORIAL EVENTS (PBE). IN RESPONSE TO THE INFORMATION OBTAINED FROM THE CLABSI DATA, 26 HOSPITALS PARTICIPATED IN A SIX-PART WEBINAR SERIES RELATED TO PROACTIVE SAFETY TOOLS RELATED TO EFFECTIVE LINE MAINTENANCE. QUALITY/SAFETY AND OCCUPATIONAL HEALTH/SAFETY PARTNERS FROM 19 HOSPITALS PARTICIPATED IN THE OE CHANGE PACKAGE IMPLEMENTATION WORKGROUP. SPS PUBLISHED TWO NEW PUBLICATIONS RELATED TO REDUCING UNPLANNED EXTUBATION AND THE IMPACT OF SAFETY FOCUSED SITE VISITS BETWEEN CHILDREN'S HOSPITALS. 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 805 MILLION AND SAVED 34,000 CHILDREN FROM SERIOUS HARM, WITH A CONSISTENT UPWARD TREND IN HARM PREVENTED EVERY MONTH. IN 2025, SPS HOSTED A SPRING IN-PERSON LEARNING EVENT AND A WINTER VIRTUAL LEARNING EVENT ENGAGING OVER 1700 PARTICIPANTS. ADDITIONALLY, SPS HELD AN IN-PERSON SESSION AND A WEBINAR FOR 120+ CEOS AND TOP PEDIATRIC LEADERS TO UTILIZE PEER TO PEER AND INDUSTRY LEARNINGS TO IDENTIFY BEST PRACTICES FOR ELIMINATING HARM, AS WELL AS DISCOVER TRENDING TOPICS FOR THE NETWORK. SPS HOSTED THREE VIRTUAL QUALITY AND SAFETY LEADER CONVENINGS BRINGING TOGETHER 127 HOSPITAL SAFELY LEADERS TO DISCUSS THE SHIFT TOWARD MODERN SAFETY CULTURE AND LEADERSHIP BEHAVIORS TO INFLUENCE CULTURE AND DRIVE MEANINGFUL IMPROVEMENT. TWO BOARD TRAININGS WERE HELD THAT FEATURED NETWORKING, SCENARIO-BASED LEARNING, AND BREAKOUTS FOCUSED ON BREAKTHROUGH HARMS AND THE IMPLEMENTATION OF MODERN SAFETY PRINCIPLES THAT HOSTED 98 VIRTUAL ATTENDEES AND 46 IN-PERSON ATTENDEES. THIRTEEN REGIONAL MEETINGS WERE HELD TO APPLY A PROACTIVE SAFETY TOOL TO A BREAKTHROUGH HOSPITAL ACQUIRED CONDITION TO LEARN ABOUT IMPROVEMENT OPPORTUNITIES.