Ohio Children's Hospital Solutions for Patient Safety

Solutions for Patient Safety (sps) is a unique learning network consisting of 151 Children's hospitals across north america working together to help each individual Hospital make progress on a journey to zero harm in participating institutions. Employing high-reliability concepts and quality improvement science methods, the network is focused on reducing harm by preventing serious Safety events, readmissions (within 7 days from discharge), and 12 Hospital acquired conditions (hacs): adverse drug events, anti-microbial stewardship, catheter-associated urinary tract infections, central line-associated blood stream infections, employee and staff Safety, injuries from falls, nephrotoxic acute kidney injury, pressure injuries,peripheral intravenous infiltrates/extravasations, surgical site infections, unplanned extubations, ventilator-associated events, and venous thromboembolism. In 2023, the sps network introduced the proactive Safety focus which provides four proactive Safety playbooks to network hospitals to introduce new tools, including learning teams, proactive Safety huddles, language for leadership rounds, and walk-through talk-through. Sps published five new publications, including one publication that published the results from a sps developed cohort related to the racial and ethnic disparaties in inpatient Safety outcomes. Sps developed a new overexertion improvement cohort with 12 network hospitals to enhance organization alignment and resourcing in support of local overexertion prevention. Through implementation of the network's best practices, children are being protected from harm and costs are being removed from the health care system. Since 2012, this national effort has led to an estimated savings of more than 533 million and saved 25,000 children from serious harm, with a consistent upward trend in harm prevented every month. In 2023, sps hosted a spring in person learning event and a fall virtual learning event engaging over 1900 participants. Additionally, a convention was held for 30+ ceos and top pediatric leaders to utilize peer to peer and industry learnings to identify best practices for eliminating harm with a focus on culture of Safety, employee/staff Safety, and Safety disparaties.