Pediatric Trainees' Speaking Up About Unprofessional Behavior and Traditional Patient Safety Threats.

Objective: Speaking up is increasingly recognized as essential for patient safety. We aimed to determine pediatric trainees' experiences, attitudes, and anticipated behaviors with speaking up about safety threats including unprofessional behavior.

Methods: Anonymous, cross-sectional survey of 512 pediatric trainees at 2 large US academic children's hospitals that queried experiences, attitudes, barriers and facilitators, and vignette responses for unprofessional behavior and traditional safety threats.

Pediatric Surgeon Perceptions of Participation in External Patient Safety Programs: impact on Patient Safety.

Introduction: Surgeons play a crucial role in preventing harm and contributing to the safety culture of their institutions. External safety data programs are designed to review adverse events and provide performance benchmarks to ameliorate future adverse events. The extent to which pediatric surgeons are aware of these programs, utilize data from these programs, and believe that they improve patient safety, is unknown.

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.

Introduction: Peer-review endeavors represent the continual learning environment critical for a culture of patient safety. Morbidity and mortality (M&M) conferences are designed to review adverse events to prevent future similar events. The extent to which pediatric surgeons participate in M&M, and believe M&M improves patient safety, is unknown.

Surgical Safety Checklists in Children's Surgery: Surgeons' Attitudes and Review of the Literature.

Introduction: Surgical safety checklists (SSCs) aim to create a safe operating room environment for surgical patients. Provider attitudes toward checklists affect their ability to prevent harm. Pediatric surgeons' perceptions surrounding SSCs, and their role in improving patient safety, are unknown.

Parent Perspectives on Readiness for Discharge Home after Neonatal Intensive Care Unit Admission.

Objective: To explore the parent perspective on discharge home from the neonatal intensive care unit (NICU).

Study Design: We interviewed parents of NICU graduates with a range of demographic characteristics and medical complexities to explore parent perspectives on readiness for discharge. Interviews were transcribed and coded by a 6-member team.

Safety culture among pediatric surgeons: A national survey of attitudes and perceptions of patient safety.

Purpose: Improving the culture of safety within health care is an essential component of preventing errors and improving overall health care quality. The purpose of this study was to characterize the attitudes and perceptions of patient safety among pediatric surgeons.

Methods: We conducted a cross-sectional online survey of American Pediatric Surgery Association members.

Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial.

Purpose: We tested whether prospective use of electronic health record-based trigger algorithms to identify patients at risk of diagnostic delays could prevent delays in diagnostic evaluation for cancer.

Methods: We performed a cluster randomized controlled trial of primary care providers (PCPs) at two sites to test whether triggers that prospectively identify patients with potential delays in diagnostic evaluation for lung, colorectal, or prostate cancer can reduce time to follow-up diagnostic evaluation. Intervention steps included queries of the electronic health record repository for patients with abnormal findings and lack of associated follow-up actions, manual review of triggered records, and communication of this information to PCPs via secure e-mail and, if needed, phone calls to ensure message receipt.

Barriers to reporting medication errors: a measurement equivalence perspective.

Objectives: To demonstrate a statistical analysis for testing the measurement equivalence of a patient safety survey instrument. The survey instrument examined in the present study is the Medication Administration Error Reporting Survey.

Methods: Surveys were posted to a random sample of registered nurses in the State of Texas, with 435 nurses completing the survey.