Le Bonheur Children’s Improving Safety

MeriArmour,PresidentandCEO

CHSPS Network Mission

Workingtogethertoeliminateseriousharmacrossallchildren’shospitalsinthe

UnitedStates

CHSPS Network Principles

Wewillnotcompeteonsafety

Transparencywithinthenetwork

ShareallinformaBonwithinandbeyondthenetwork–“AllTeach,

AllLearn”

Actwithasenseofurgency

Focusonoutcomes,learnthroughtesBng,andpartneringwithfamiliesandfrontline

staff

Combinehighlyreliablekeyprocesseswithhighreliability

concepts

Tennessee Quality and Patient Safety Collaborative

Improvement Strategies

• Children’sHospitalsSoluBonsforPaBentSafety(CHSPS)

•  SeriousSafetyEventReview• CultureShaping•  LeBonheurChildren’sHospitalEfforts

Serious Safety Event Review (SSE)

• PartofCHSPSwork• CollaboraBonwithChildren’sHospitalAssociaBonPaBentSafetyOrganizaBon(PSO)

• De-idenBfiedreviewofharmuptoandincludingdeath

•  Causeanalysis–rootcause,apparentcause,commoncause

•  AcBonplans•  SummariessentoutwithacBonexpectedfromeachhospital

•  SSERatescapturedtomonitorimprovement

Culture Shaping

• HospitalsparBcipatewithinCHSPSorindependently

•  HealthcarePerformanceImprovement,LLC(HPI)

•  ErrorPrevenBonMethods•  MethodsforanyonetopreventerrorsbyimprovingcommunicaBonandsituaBonalawareness

•  ARCC,STAR,QVV,etc.

•  LeadershipMethods•  Methodstosupportandsustain

•  DailySafetyBriefs,SafetyStories,5:1Feedback,etc.

OrganizaHonal Chart LeBonheurQualityCouncil

MeriArmourDr.BillMay

SafetyOperationalCouncil

ServiceSupportUnits

ClinicalServiceLines

SpecialtyCareUnits

Ancillary

Departments

MedicalStaffCommittees

ProjectTeams

NursingDivision

QualityProgramOverview

Pharmacy&TherapeuticsCommittee

PhysicianAdvisoryGroup

MedicationSafety

MethodistLeBonheurHealthcare

QualityStructure(includingQualityCommittee

oftheBoardofDirectors

Risk Management

Operational Departments

Medical Staff Committees

Service Line and

Department Medical Directors

Le Bonheur Children’s Efforts

SafetyOperaBonsCouncil(SOC)•  SafetyitemsidenBfiedbyindividuals,units,medicalstaff•  AssignmentsmadeforresoluBonanditemsplacedondocketfortracking•  ResoluBonspresented,evaluatedforotherapplicaBonsandapprovedSituaBonalAwareness:WatcherProgram•  AdaptedfromCincinnaBChildren’sHospital•  TriggersidenBfypaBentsneedingaddiBonalcareplanningandfollowupPharmacyLedDischargeCounseling•  Chartreviewedbypharmacist/intern•  MedicaBoneducaBon(counseling)providedtopaBentandfamily•  Followupphonecallsa]er48hours