AHRQ Study: New Tool Identifies Causes of Pediatric Patient Harm
A new tool to identify the most common causes of harm in pediatric inpatient environments could improve patient safety for hospitalized children, according to an AHRQ-funded study. An article published online with an abstract May 18 in Pediatrics described the development and pilot-testing of the tool. Six academic children’s hospitals used the tool to review 100 randomly selected inpatient records from patients discharged from each site in February 2012. Of 600 patient charts evaluated, 240 harmful events (“harms”) were identified, for a rate of 40 harms per 100 patients admitted and 54.9 harms per 1,000 patient days across the six hospitals. The most common patient harms were intravenous catheter infiltrations/burns, respiratory distress, constipation, pain and surgical complications. One of every four pediatric admissions had at least one identified harm. Nearly half (45 percent) of the harms were deemed preventable. The authors concluded that, like adult hospital patients, harm occurs at high rates among hospitalized children.A trigger tool to detect harm in pediatric inpatient settings. - PubMed - NCBI
Pediatrics. 2015 Jun;135(6):1036-42. doi: 10.1542/peds.2014-2152. Epub 2015 May 18.
A trigger tool to detect harm in pediatric inpatient settings.
Stockwell DC1, Bisarya H2, Classen DC3, Kirkendall ES4, Landrigan CP5, Lemon V6, Tham E7, Hyman D8, Lehman SM9, Searles E10, Hall M11, Muething SE12, Schuster MA13, Sharek PJ14.
Copyright © 2015 by the American Academy of Pediatrics.
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