TY - CHAP M1 - Book, Section TI - Patient Safety A1 - Frush, Karen A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. Y1 - 2014 N1 - T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - The science of patient safety has evolved over the past decade, leading to our current understanding of PS as a discipline that utilizes a systems approach to improving healthcare processes and outcomes.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, 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, and foster an environment of teamwork and mutual respect.Multidisciplinary, high-performing teams are essential for safe care of children in the ED.A growing body of evidence shows that effective teamwork and communication among healthcare providers are linked to better patient outcomes. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1105688672 ER -