Priorities for Pediatric Patient Safety Research

: media-1vid110.1542/5972296743001PEDS-VA_2018-0496 BACKGROUND: Developing a research agenda that is focused on the priorities of key stakeholders may expedite implementation and dissemination. Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicia...

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Veröffentlicht in:Pediatrics (Evanston) 2019-02, Vol.143 (2), p.1
Hauptverfasser: Hoffman, James M, Keeling, Nicholas J, Forrest, Christopher B, Tubbs-Cooley, Heather L, Moore, Erin, Oehler, Emily, Wilson, Stephanie, Schainker, Elisabeth, Walsh, Kathleen E
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container_end_page
container_issue 2
container_start_page 1
container_title Pediatrics (Evanston)
container_volume 143
creator Hoffman, James M
Keeling, Nicholas J
Forrest, Christopher B
Tubbs-Cooley, Heather L
Moore, Erin
Oehler, Emily
Wilson, Stephanie
Schainker, Elisabeth
Walsh, Kathleen E
description : media-1vid110.1542/5972296743001PEDS-VA_2018-0496 BACKGROUND: Developing a research agenda that is focused on the priorities of key stakeholders may expedite implementation and dissemination. Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicians, health care leaders, and families. The Children's Hospitals Solutions for Patient Safety Network is a network of >100 children's hospitals working together to eliminate harm due to health care. Parents and site leaders responded to an open-ended, anonymous e-mail survey used to elicit research topics. A key stakeholder panel winnowed related topics and prioritized topics using Likert scale ratings. Site leaders and parents responded to a second anonymous e-mail survey and rated the importance of each topic. Health system executive interviews were used to elicit their opinions regarding top priorities for patient-safety research. The elicitation survey had 107 respondents who produced 49 unique research topics. The key stakeholder panel developed a final list of 24 topics. The prioritization survey had 74 respondents. Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas. With this study, we take a first step toward a stakeholder-driven research agenda on the basis of the assumption that stakeholders are best positioned to determine what research will be used to address the problems of most concern to them.
doi_str_mv 10.1542/peds.2018-0496
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Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas. 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Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicians, health care leaders, and families. The Children's Hospitals Solutions for Patient Safety Network is a network of &gt;100 children's hospitals working together to eliminate harm due to health care. Parents and site leaders responded to an open-ended, anonymous e-mail survey used to elicit research topics. A key stakeholder panel winnowed related topics and prioritized topics using Likert scale ratings. Site leaders and parents responded to a second anonymous e-mail survey and rated the importance of each topic. Health system executive interviews were used to elicit their opinions regarding top priorities for patient-safety research. The elicitation survey had 107 respondents who produced 49 unique research topics. The key stakeholder panel developed a final list of 24 topics. The prioritization survey had 74 respondents. Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas. With this study, we take a first step toward a stakeholder-driven research agenda on the basis of the assumption that stakeholders are best positioned to determine what research will be used to address the problems of most concern to them.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Analysis</subject><subject>Children</subject><subject>Clinical deterioration</subject><subject>Female</subject><subject>Health Personnel - standards</subject><subject>Health Services Research - methods</subject><subject>Health Services Research - standards</subject><subject>Health surveys</subject><subject>Hospitals</subject><subject>Hospitals, Pediatric - standards</subject><subject>Humans</subject><subject>Male</subject><subject>Medication errors</subject><subject>Middle Aged</subject><subject>Occupational health</subject><subject>Patient safety</subject><subject>Patient Safety - standards</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Priorities</subject><subject>Research - standards</subject><subject>Safety</subject><subject>Safety research</subject><subject>Sepsis</subject><subject>Stakeholders</subject><subject>Surveys and Questionnaires</subject><subject>Vital signs</subject><subject>Young Adult</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkc1r3DAQxUVIabZprzkGQy69eDv6GNm6BMLSLwhk6cdZKPJ4o-C1NpK3NP99ZTYNaU8DM795vMdj7IzDkqMSH3bU5aUA3tagjD5iCw6mrZVo8JgtACSvFQCesDc53wOAwka8ZicSdKM0mAWDdQoxhSlQrvqYqjV1wU0p-GrtynKcqu-up-mx-kaZXPJ3b9mr3g2Z3j3NU_bz08cfqy_19c3nr6ur69or1FMtsIfWYIO9QXmLknRnXK9byR11neZeNJxTX5wrJ5UHpVGVEwopDZBp5Sm7POju9rdb6nyxktxgdylsXXq00QX772UMd3YTf1ktNZc4C7x_EkjxYU95stuQPQ2DGynusxW8MYojF1jQi__Q-7hPY4lXqFaBMZzPgvWB2riBbBh9HCf6Pfk4DLQhW9KvbuwVttCgAeSFXx54n2LOifpn8xzsXJ6dy7NzeXYurzycv4z8jP9tS_4BXtGTDA</recordid><startdate>201902</startdate><enddate>201902</enddate><creator>Hoffman, James M</creator><creator>Keeling, Nicholas J</creator><creator>Forrest, Christopher B</creator><creator>Tubbs-Cooley, Heather L</creator><creator>Moore, Erin</creator><creator>Oehler, Emily</creator><creator>Wilson, Stephanie</creator><creator>Schainker, Elisabeth</creator><creator>Walsh, Kathleen E</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201902</creationdate><title>Priorities for Pediatric Patient Safety Research</title><author>Hoffman, James M ; Keeling, Nicholas J ; Forrest, Christopher B ; Tubbs-Cooley, Heather L ; Moore, Erin ; Oehler, Emily ; Wilson, Stephanie ; Schainker, Elisabeth ; Walsh, Kathleen E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-25f089575f953b53e6d9af6831aedd61c2711ef2014a34c046541ae523390e983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Analysis</topic><topic>Children</topic><topic>Clinical deterioration</topic><topic>Female</topic><topic>Health Personnel - standards</topic><topic>Health Services Research - methods</topic><topic>Health Services Research - standards</topic><topic>Health surveys</topic><topic>Hospitals</topic><topic>Hospitals, Pediatric - standards</topic><topic>Humans</topic><topic>Male</topic><topic>Medication errors</topic><topic>Middle Aged</topic><topic>Occupational health</topic><topic>Patient safety</topic><topic>Patient Safety - standards</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Priorities</topic><topic>Research - standards</topic><topic>Safety</topic><topic>Safety research</topic><topic>Sepsis</topic><topic>Stakeholders</topic><topic>Surveys and Questionnaires</topic><topic>Vital signs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoffman, James M</creatorcontrib><creatorcontrib>Keeling, Nicholas J</creatorcontrib><creatorcontrib>Forrest, Christopher B</creatorcontrib><creatorcontrib>Tubbs-Cooley, Heather L</creatorcontrib><creatorcontrib>Moore, Erin</creatorcontrib><creatorcontrib>Oehler, Emily</creatorcontrib><creatorcontrib>Wilson, Stephanie</creatorcontrib><creatorcontrib>Schainker, Elisabeth</creatorcontrib><creatorcontrib>Walsh, Kathleen E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicians, health care leaders, and families. The Children's Hospitals Solutions for Patient Safety Network is a network of &gt;100 children's hospitals working together to eliminate harm due to health care. Parents and site leaders responded to an open-ended, anonymous e-mail survey used to elicit research topics. A key stakeholder panel winnowed related topics and prioritized topics using Likert scale ratings. Site leaders and parents responded to a second anonymous e-mail survey and rated the importance of each topic. Health system executive interviews were used to elicit their opinions regarding top priorities for patient-safety research. The elicitation survey had 107 respondents who produced 49 unique research topics. The key stakeholder panel developed a final list of 24 topics. The prioritization survey had 74 respondents. Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas. With this study, we take a first step toward a stakeholder-driven research agenda on the basis of the assumption that stakeholders are best positioned to determine what research will be used to address the problems of most concern to them.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>30674609</pmid><doi>10.1542/peds.2018-0496</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Analysis
Children
Clinical deterioration
Female
Health Personnel - standards
Health Services Research - methods
Health Services Research - standards
Health surveys
Hospitals
Hospitals, Pediatric - standards
Humans
Male
Medication errors
Middle Aged
Occupational health
Patient safety
Patient Safety - standards
Pediatric research
Pediatrics
Priorities
Research - standards
Safety
Safety research
Sepsis
Stakeholders
Surveys and Questionnaires
Vital signs
Young Adult
title Priorities for Pediatric Patient Safety Research
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