Family Safety Reporting in Hospitalized Children With Medical Complexity.


Journal

Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422

Informations de publication

Date de publication:
01 08 2022
Historique:
accepted: 29 04 2022
pubmed: 7 7 2022
medline: 3 8 2022
entrez: 6 7 2022
Statut: ppublish

Résumé

Hospitalized children with medical complexity (CMC) are at high risk of medical errors. Their families are an underutilized source of hospital safety data. We evaluated safety concerns from families of hospitalized CMC and patient/parent characteristics associated with family safety concerns. We conducted a 12-month prospective cohort study of English- and Spanish-speaking parents/staff of hospitalized CMC on 5 units caring for complex care patients at a tertiary care children's hospital. Parents completed safety and experience surveys predischarge. Staff completed surveys during meetings and shifts. Mixed-effects logistic regression with random intercepts controlling for clustering and other patient/parent factors evaluated associations between family safety concerns and patient/parent characteristics. A total of 155 parents and 214 staff completed surveys (>89% response rates). 43% (n = 66) had ≥1 hospital safety concerns, totaling 115 concerns (1-6 concerns each). On physician review, 69% of concerns were medical errors and 22% nonsafety-related quality issues. Most parents (68%) reported concerns to staff, particularly bedside nurses. Only 32% of parents recalled being told how to report safety concerns. Higher education (adjusted odds ratio 2.94, 95% confidence interval [1.21-7.14], P = .02) and longer length of stay (3.08 [1.29-7.38], P = .01) were associated with family safety concerns. Although parents of CMC were infrequently advised about how to report safety concerns, they frequently identified medical errors during hospitalization. Hospitals should provide clear mechanisms for families, particularly of CMC and those from disadvantaged backgrounds, to share safety concerns. Actively engaging patients/families in reporting will allow hospitals to develop a more comprehensive, patient-centered view of safety.

Sections du résumé

BACKGROUND AND OBJECTIVES
Hospitalized children with medical complexity (CMC) are at high risk of medical errors. Their families are an underutilized source of hospital safety data. We evaluated safety concerns from families of hospitalized CMC and patient/parent characteristics associated with family safety concerns.
METHODS
We conducted a 12-month prospective cohort study of English- and Spanish-speaking parents/staff of hospitalized CMC on 5 units caring for complex care patients at a tertiary care children's hospital. Parents completed safety and experience surveys predischarge. Staff completed surveys during meetings and shifts. Mixed-effects logistic regression with random intercepts controlling for clustering and other patient/parent factors evaluated associations between family safety concerns and patient/parent characteristics.
RESULTS
A total of 155 parents and 214 staff completed surveys (>89% response rates). 43% (n = 66) had ≥1 hospital safety concerns, totaling 115 concerns (1-6 concerns each). On physician review, 69% of concerns were medical errors and 22% nonsafety-related quality issues. Most parents (68%) reported concerns to staff, particularly bedside nurses. Only 32% of parents recalled being told how to report safety concerns. Higher education (adjusted odds ratio 2.94, 95% confidence interval [1.21-7.14], P = .02) and longer length of stay (3.08 [1.29-7.38], P = .01) were associated with family safety concerns.
CONCLUSIONS
Although parents of CMC were infrequently advised about how to report safety concerns, they frequently identified medical errors during hospitalization. Hospitals should provide clear mechanisms for families, particularly of CMC and those from disadvantaged backgrounds, to share safety concerns. Actively engaging patients/families in reporting will allow hospitals to develop a more comprehensive, patient-centered view of safety.

Identifiants

pubmed: 35791784
pii: 188486
doi: 10.1542/peds.2021-055098
pii:
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, P.H.S. Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : AHRQ HHS
ID : K08 HS025781
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL007779
Pays : United States

Informations de copyright

Copyright © 2022 by the American Academy of Pediatrics.

Auteurs

Alexandra N Mercer (AN)

Division of General Pediatrics, Department of Pediatrics.

Sangeeta Mauskar (S)

Division of General Pediatrics, Department of Pediatrics.

Jennifer Baird (J)

Department of Medicine.

Jay Berry (J)

Family Advisory Council.

Deanna Chieco (D)

Center for Applied Pediatric Quality Analytics.

Katherine Copp (K)

Division of General Pediatrics, Department of Pediatrics.

Elizabeth D Cox (ED)

Office of Health Equity and Inclusion.

Helen Haskell (H)

Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, Massachusetts.

Karen Hennessy (K)

Division of General Pediatrics, Department of Pediatrics.

Michelle M Kelly (MM)

Office of Health Equity and Inclusion.
Institute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California.

Nandini Mallick (N)

Department of Pediatrics, Mount Sinai School of Medicine, New York, New York.

Amanda McGeachey (A)

Maine Children's Cancer Program, The Barbara Bush Children's Hospital at Maine Medical Center, Scarborough, Maine.

Patrice Melvin (P)

Department of Pediatrics, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin.
Mothers Against Medical Error, Columbia, South Carolina.

Tiffany Ngo (T)

Division of General Pediatrics, Department of Pediatrics.

Amy Pinkham (A)

Division of General Pediatrics, Department of Pediatrics.

Jayne Rogers (J)

Division of General Pediatrics, Department of Pediatrics.

Walter Wickremasinghe (W)

Division of General Pediatrics, Department of Pediatrics.

David Williams (D)

Department of Pediatrics, University of Wisconsin Health, American Family Children's Hospital, Madison, Wisconsin.
Department of Orthopaedic Surgery.

Christopher P Landrigan (CP)

Division of General Pediatrics, Department of Pediatrics.
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts.

Alisa Khan (A)

Division of General Pediatrics, Department of Pediatrics.
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH