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 |
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container_title | Pediatrics (Evanston) |
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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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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.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2018-0496</identifier><identifier>PMID: 30674609</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>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</subject><ispartof>Pediatrics (Evanston), 2019-02, Vol.143 (2), p.1</ispartof><rights>Copyright © 2019 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Feb 2019</rights><rights>Copyright © 2019 by the American Academy of Pediatrics 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-25f089575f953b53e6d9af6831aedd61c2711ef2014a34c046541ae523390e983</citedby><cites>FETCH-LOGICAL-c456t-25f089575f953b53e6d9af6831aedd61c2711ef2014a34c046541ae523390e983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30674609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Priorities for Pediatric Patient Safety Research</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><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.</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 & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoffman, James M</au><au>Keeling, Nicholas J</au><au>Forrest, Christopher B</au><au>Tubbs-Cooley, Heather L</au><au>Moore, Erin</au><au>Oehler, Emily</au><au>Wilson, Stephanie</au><au>Schainker, Elisabeth</au><au>Walsh, Kathleen E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Priorities for Pediatric Patient Safety Research</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2019-02</date><risdate>2019</risdate><volume>143</volume><issue>2</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>: 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.</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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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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