TY - CHAP M1 - Book, Section TI - Patient Safety A1 - Frush, Karen A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/10 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1155750893 ER -