RT Book, Section
A1 Frush, Karen
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105688672
T1 Patient Safety
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1105688672
RD 2024/04/19
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.