Le Bonheur Children’s Improving Safety Meri Armour, President and CEO
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Le Bonheur Children’s Improving Safety
MeriArmour,PresidentandCEO
CHSPS Network Mission
Workingtogethertoeliminateseriousharmacrossallchildren’shospitalsinthe
UnitedStates
CHSPS Network Principles
Wewillnotcompeteonsafety
Transparencywithinthenetwork
ShareallinformaBonwithinandbeyondthenetwork–“AllTeach,
AllLearn”
Actwithasenseofurgency
Focusonoutcomes,learnthroughtesBng,andpartneringwithfamiliesandfrontline
staff
Combinehighlyreliablekeyprocesseswithhighreliability
concepts
Tennessee Quality and Patient Safety Collaborative
Improvement Strategies
• Children’sHospitalsSoluBonsforPaBentSafety(CHSPS)
• SeriousSafetyEventReview• CultureShaping• LeBonheurChildren’sHospitalEfforts
Serious Safety Event Review (SSE)
• PartofCHSPSwork• CollaboraBonwithChildren’sHospitalAssociaBonPaBentSafetyOrganizaBon(PSO)
• De-idenBfiedreviewofharmuptoandincludingdeath
• Causeanalysis–rootcause,apparentcause,commoncause
• AcBonplans• SummariessentoutwithacBonexpectedfromeachhospital
• SSERatescapturedtomonitorimprovement
Culture Shaping
• HospitalsparBcipatewithinCHSPSorindependently
• HealthcarePerformanceImprovement,LLC(HPI)
• ErrorPrevenBonMethods• MethodsforanyonetopreventerrorsbyimprovingcommunicaBonandsituaBonalawareness
• ARCC,STAR,QVV,etc.
• LeadershipMethods• Methodstosupportandsustain
• DailySafetyBriefs,SafetyStories,5:1Feedback,etc.
OrganizaHonal Chart LeBonheurQualityCouncil
MeriArmourDr.BillMay
SafetyOperationalCouncil
ServiceSupportUnits
ClinicalServiceLines
SpecialtyCareUnits
Ancillary
Departments
MedicalStaffCommittees
ProjectTeams
NursingDivision
QualityProgramOverview
Pharmacy&TherapeuticsCommittee
PhysicianAdvisoryGroup
MedicationSafety
MethodistLeBonheurHealthcare
QualityStructure(includingQualityCommittee
oftheBoardofDirectors
Risk Management
Operational Departments
Medical Staff Committees
Service Line and
Department Medical Directors
Le Bonheur Children’s Efforts
SafetyOperaBonsCouncil(SOC)• SafetyitemsidenBfiedbyindividuals,units,medicalstaff• AssignmentsmadeforresoluBonanditemsplacedondocketfortracking• ResoluBonspresented,evaluatedforotherapplicaBonsandapprovedSituaBonalAwareness:WatcherProgram• AdaptedfromCincinnaBChildren’sHospital• TriggersidenBfypaBentsneedingaddiBonalcareplanningandfollowupPharmacyLedDischargeCounseling• Chartreviewedbypharmacist/intern• MedicaBoneducaBon(counseling)providedtopaBentandfamily• Followupphonecallsa]er48hours
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