RT Book, Section
A1 Frush, Karen
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155750893
T1 Patient Safety
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accesspediatrics.mhmedical.com/content.aspx?aid=1155750893
RD 2024/04/20
AB Progress  in  improving  patient  safety  since  the  release  of  the  1999  Institute  of  Medicine  (IOM)  report,  “To  err  is  human”  has  been  slower  than  anticipated.Medical  errors  and  adverse  events  are  most  often  the  result  of  systems  flaws,  not  character  flaws,  as  demonstrated  by  the  “Swiss  cheese”  model  of  organizational  accidents  developed  by  James  Reasons.A  culture  of  safety  is  characterized  not  as  “blame-free,”  but  as  a  “culture  of  accountability”  in  which  leaders  support  and  encourage  clinicians  to  make  safe  choices  that  can  reduce  the  risk  of  harm  to  pediatric  patients.Medication  safety  is  a  particular  concern  in  the  pediatric  emergency  care  setting  due  to  the  hectic  environment  in  the  emergency  department  (ED),  a  lack  of  standard  pediatric  drug  dosing  and  formulations,  the  rising  incidence  of  childhood  obesity  and  the  use  of  IT  systems  that  frequently  lack  pediatric  safety  features.Reduction  in  harm  requires  the  active  involvement  of  leaders  who  make  patient  safety  a  priority,  create  a  strategy  and  structure  for  improvement,  foster  an  environment  of  teamwork  and  mutual  respect,  and  visibly  celebrate  successes  achieved  along  the  way  in  the  journey  to  high  reliability.Multidisciplinary,  high-performing  teams  are  essential  for  safe  care  of  children  in  the  ED.Burnout  is  a  threat  to  patient  safety  and  to  the  well-being  of  ED  providers.  Solutions  to  burnout  include  both  organizational  and  individual  strategies  to  enhance  resilience.