{"id":1440,"date":"2014-12-22T14:27:32","date_gmt":"2014-12-22T18:27:32","guid":{"rendered":"https:\/\/news.med.virginia.edu\/kidsmatter\/?p=1440"},"modified":"2014-12-22T14:32:42","modified_gmt":"2014-12-22T18:32:42","slug":"quality-corner-december-2014","status":"publish","type":"post","link":"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-december-2014\/","title":{"rendered":"December Quality Corner"},"content":{"rendered":"<p><strong>The Children\u2019s Hospital and a Culture of Safety<\/strong><\/p>\n<p>As Be Safe continues to roll, we need to remind ourselves that in health care, there will always going to be errors and near misses. This does not mean we can become complacent or be \u201cokay\u201d when things do not go as planned. But expecting humans to be error-free 100% of the time is a recipe for failure as well.<\/p>\n<p>The Children\u2019s Hospital, through Be Safe and other quality and safety initiatives, needs to have a Culture of Safety. The Institute of Healthcare Improvement defines a Culture of Safety as having the following characteristics:<\/p>\n<ul>\n<li><strong>Psychological Safety<\/strong>: People know their concerns will be openly received and treated with respect.<\/li>\n<li><strong>Active Leadership<\/strong>: Leaders actively create an environment where all staff are comfortable expressing their concerns.<\/li>\n<li><strong>Transparency<\/strong>: Patient safety problems aren\u2019t swept under the rug. Team members have a high degree of confidence that the organization will learn from problems and use them to improve the system.<\/li>\n<li><strong>Fairness<\/strong>: People know they will not be punished or blamed for system-based errors.<\/li>\n<\/ul>\n<p>So what is the Children\u2019s Hospital doing to develop and\/or strengthen these characteristics?<\/p>\n<ul>\n<li><strong>Psychological Safety<\/strong>: Every day, all events reported through the Be Safe Event reporting system are viewed by local unit based leaders as well as Children\u2019s Hospital senior leadership. If you feel you cannot openly share information, please find someone that you can speak to who can help find a solution. If team members feel that they cannot speak openly and freely, we will actively work to make that a reality.<\/li>\n<li><strong>Active Leadership<\/strong>: In 2013, we started having Quality &amp; Safety Walk Rounds in the Primary Care Center and the 7<sup>th<\/sup> Floor inpatient units involving senior Pediatric leadership and local unit\/clinic leadership. As Be Safe was initiated, these rounds became part of the Unit Based Leadership meetings. Look for increased visibility by senior leadership as part of these rounds after the New Year.<\/li>\n<li><strong>Transparency<\/strong>: All units have developed a process to share their information to both team members and patients\/families. For example, as you enter into the NICU, many have noticed the TV screen sharing information. The NICU team shares on a daily basis how many days since their last central line infection, unplanned extubation and breast milk protocol errors.<\/li>\n<li><strong>Fairness<\/strong>: The Children\u2019s Hospital leadership believes that \u201cevery system is perfectly designed to get the results it produces\u201d and that only a very small number of errors are due to an individual.<\/li>\n<\/ul>\n<p>Does the Children\u2019s Hospital have a \u201cCulture of Safety?\u201d Send me your thoughts and ideas to improve our Culture and let\u2019s see if we can become the \u201cSafest Hospital in America.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p><strong>7 Acute surpasses 300 Central Line Associated Blood Stream Infection Days!<\/strong><\/p>\n<p>Congratulations to everyone on 7 Acute. This is a great milestone and one that everyone can be proud of across the Children\u2019s Hospital. Keep up the great work! We will have more information on the entire Children\u2019s Hospital rates for 2014 next month.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>The Children\u2019s Hospital Situation Room \u2013 Nearly Up and Running. <\/strong><\/p>\n<p>The Children\u2019s Hospital has nearly completed the \u201cremodel\u201d of the Fishbowl on 7 West for our own \u201csituation room.\u201d Every weekday morning at 9:30 AM, unit and clinic leaders (although anyone is invited!) along with administration meet to discuss everyone\u2019s M.E.S.S. (Methods, Equipment, Supplies, and Staffing) issues. If issues cannot be resolved, they are brought to the Medical Center\u2019s Situation Room at 10:00 AM to pull on the Help Chain. Stop by the room soon to see what A3s are being developed and what issues are being solved. We hope to soon have the capability for off-site clinics to be able to join us via video-conference.<\/p>\n<p><a href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2014\/12\/QC.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1441\" src=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2014\/12\/QC-300x118.jpg\" alt=\"QC\" width=\"300\" height=\"118\" srcset=\"https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2014\/12\/QC-300x118.jpg 300w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2014\/12\/QC-1024x405.jpg 1024w, https:\/\/news.med.virginia.edu\/kidsmatter\/files\/2014\/12\/QC.jpg 1432w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Children\u2019s Hospital and a Culture of Safety As Be Safe continues to roll, we need to remind ourselves that in health care, there will always going to be errors and near misses. This does not mean we can become complacent or be \u201cokay\u201d when things do not go as planned. But expecting humans to [&hellip;]<\/p>\n","protected":false},"author":338,"featured_media":1401,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[18],"class_list":["post-1440","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-features","tag-jrs3yc"],"acf":false,"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>December Quality Corner - Monthly Matters<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/news.med.virginia.edu\/kidsmatter\/quality-corner-december-2014\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"December Quality Corner - Monthly Matters\" \/>\n<meta property=\"og:description\" content=\"The Children\u2019s Hospital and a Culture of Safety As Be Safe continues to roll, we need to remind ourselves that in health care, there will always going to be errors and near misses. 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