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Pediatric and Congenital Cardiac Care pp 321–329Cite as

The Children’s Hospital of Michigan Quality and Safety Journey: Making Safety First and Making It Last

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Abstract

Quality improvement, while commonplace in manufacturing for decades, is a newer concept in health over the past 10–15 years. Accountability and transparency of patient care quality and safety metrics are becoming expectations of hospitals today. There is an increasing emphasis on the provision of quality care in the most cost effective manner, thereby yielding the highest value to our consumers (patients and families). The delivery of value is also highly desired by third party payers.

To increase the safety of patient care delivery at our pediatric hospital, our journey to transform our safety culture took place 2 years ago, and was led by our hospital board and our executive leadership team. The collective passion for driving safety permeated through to the frontline staff of the hospital. Points of emphasis were daily safety huddles, increased event reporting, and intensive investigation of hospital safety events through root cause analysis and peer review. Positive reinforcement for near miss or “great catch” reporting is a regular occurrence, and has contributed to earlier identification of problems. Our 2-year journey has resulted in a marked increase in event reporting and reduction in serious safety events. Further, improved safety outcomes including reduction in central line associated blood stream infections and catheter associated urinary tract infections have led to our hospital achieving national recognition in 2013.

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Author information

Authors and Affiliations

  1. Pediatric Nephrology, Children’s Hospital of Michigan, Wayne State University School of Medicine, 3901 Beaubien Blvd, Detroit, MI, 48201-2119, USA

    Rudolph P. Valentini MD

Authors
  1. Rudolph P. Valentini MD
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Correspondence to Rudolph P. Valentini MD .

Editor information

Editors and Affiliations

  1. School of Medicine,, University of Oslo, Oslo, Norway

    Paul R. Barach

  2. Division of Cardiac Surgery, Department of Surgery,, Division of Cardiac Surgery, Department of Surgery, Johns Hopkins All Children’s Heart Institute, All Children’s Hospital and Florida Hospital for Children, Johns Hopkins University, St. Petersburg, Tampa, Orlando, FL, USA, Johns Hopkins University, Baltimore, Maryland, USA

    Jeffery P. Jacobs

  3. School of Medicine, Wayne State University, Detroit, Michigan, USA

    Steven E. Lipshultz

  4. University of Toronto, The Hospital for Sick Children, Toronto, Ontario, Canada

    Peter C. Laussen

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© 2015 Springer-Verlag London

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Valentini, R.P. (2015). The Children’s Hospital of Michigan Quality and Safety Journey: Making Safety First and Making It Last. In: Barach, P., Jacobs, J., Lipshultz, S., Laussen, P. (eds) Pediatric and Congenital Cardiac Care. Springer, London. https://doi.org/10.1007/978-1-4471-6566-8_25

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  • DOI: https://doi.org/10.1007/978-1-4471-6566-8_25

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6565-1

  • Online ISBN: 978-1-4471-6566-8

  • eBook Packages: MedicineMedicine (R0)

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