Diagnostic Safety Toolkit.

Tools/Toolkit

Diagnostic Safety Toolkit.

May 27, 2020

Child Health Patient Safety Organization. Washington DC: Children's Hospital Association; May 2020.

Effective communication is an important component of diagnostic accuracy. Shaped with data collected by a patient safety organization, this five section toolkit features tactics to support effective communication across diagnostic process in children’s hospital care, including the use of time outs, case analysis and communication gap assessment.

Available at

Related Resources From the Same Author(s)

Safer Together Annual Report.

November 21, 2023

Emerging Topics in Quality Improvement.

February 14, 2023 - February 14, 2023

September 15, 2021

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

Child Health Patient Safety Organization.

February 21, 2018

Patient Safety, Spring 2019 Final CDP Report.

March 25, 2020

A system-wide hospital child maltreatment patient safety program.

September 8, 2021

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.

July 18, 2007

Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.

May 27, 2020

Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look.

May 20, 2020

Health IT and Patient Safety: Building Safer Systems for Better Care.

November 16, 2011

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

February 9, 2011

2009 Older Adults' Knowledge About Medications That Can Impact Driving.

September 16, 2009

An initiative to reduce insulin-related adverse drug events in a children's hospital.

February 16, 2022

Quality and Safety in Women's Health Care. Second Edition.

October 20, 2010

Keeping Patients Safe: Transforming the Work Environment of Nurses.

May 11, 2005

Promoting Patient Safety Through Effective Health Information Technology Risk Management.

July 23, 2014

CHPSO Annual Reports.

August 15, 2023

Addressing Health Worker Burnout.

June 8, 2022

New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings.

May 21, 2014

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

July 20, 2011

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Association of clinical nursing work environment with quality and safety in maternity care in the United States.

November 11, 2020

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

The safety culture in a children's hospital.

July 12, 2006

Reporting of unsafe conditions at an academic women and children's hospital.

September 29, 2021

2005 Quest for Quality Prize.

October 5, 2005

A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes.

November 4, 2020

Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital.

August 22, 2018

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.

July 29, 2020

For children admitted to hospital, what interventions improve medication safety on ward rounds?

March 1, 2023

The London Declaration.

February 22, 2006

Community discharge among post-acute nursing home residents: an association with patient safety culture?

June 30, 2021

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.

October 21, 2020

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

Joint Statement on Multiple Patients Per Ventilator.

April 22, 2020

10 Facts on Patient Safety.

June 27, 2018

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.

July 27, 2022

Building a Culture of Safety in Health Care.

June 28, 2023

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

The Canadian Quality and Patient Safety Framework for Health and Social Services.

May 22, 2019

WHO Patient Safety Curriculum Guide: Multi-Professional Edition.

November 23, 2011

Engaging Patients for Patient Safety: Advocacy Brief.

February 14, 2024

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

Global Patient Safety Collaborative.

May 16, 2007

Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009.

September 6, 2006

WHO Draft Guidelines for Adverse Event Reporting and Learning Systems.

December 21, 2005

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Core Entrustable Professional Activities for Entering Residency.

August 6, 2014

Quality Improvement and Patient Safety Competencies Across the Learning Continuum.

January 1, 2019

Medication Errors. 2nd ed.

November 1, 2006

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative.

December 12, 2018

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

A Transformational Effort on Patient Safety.

September 13, 2023

Professional Conduct Toolkit.

February 9, 2011

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

December 10, 2008

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

February 27, 2008

Patient Safety: Achieving a New Standard of Care.

December 21, 2005

Patient Safety: Achieving a New Standard for Care.

March 6, 2005

Global Report on Infection Prevention and Control: Executive Summary.

May 25, 2022

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

Australian hospital leaders on the provision of safe care: implications for safety I and safety II.

September 29, 2021

Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia.

May 26, 2021

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia.

July 5, 2023

Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.

May 25, 2022

Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.

June 4, 2014

Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.

July 11, 2018

Evidence Brief: Implementation of High Reliability Organization Principles.

July 24, 2019

VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement.

July 5, 2006

VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.

July 5, 2006

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.

February 3, 2021

The patient died: what about involvement in the investigation process?

June 24, 2020

Five Steps to Safer Health Care.

March 27, 2005

August 19, 2020

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.

December 16, 2020

Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.

May 20, 2015

Adverse Drug Events.

March 26, 2014

Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses.

August 19, 2020

Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation.

August 5, 2020

Exploring patient safety outcomes for people with learning disabilities in acute hospital settings: a scoping review.

June 30, 2021

Sitters as a patient safety strategy to reduce hospital falls: a systematic review.

February 26, 2020

A Crisis in Health Care: A Call to Action on Physician Burnout.

January 30, 2019

Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps and Future Directions.

October 7, 2020

Health Worker Safety: A Priority for Patient Safety.

September 30, 2020

Patient safety culture as a space of social struggle: understanding infection prevention practice and patient safety culture within hospital isolation settings - a qualitative study.

December 14, 2022

Medication safety issue brief. Counterfeit drug prevention and identification.

September 21, 2005

Recommendations for Safe Use of Insulin in Hospitals.

February 8, 2006

Implementing high-reliability organization principles into practice: a rapid evidence review.

November 11, 2020

Reported clinical incidents of children with intellectual disability: a qualitative analysis.

June 15, 2022

Health care work environments, employee satisfaction, and patient safety: care provider perspectives.

February 7, 2007

Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators.

July 28, 2021

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

October 12, 2011

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training.

May 11, 2022

Standing Up for Doctors, Speaking Out for Patients. Final Report.

June 2, 2010

Standing Up for Doctors, Speaking Out for Patients. Final Report.

June 2, 2010

Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center.

August 12, 2020

Incidence of Adverse Events in Indian Health Service Hospitals.

December 23, 2020

Related Resources

Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units.

April 17, 2024

Annual Perspective

Equity in Patient Safety

March 27, 2024

Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety.

March 20, 2024

Patient Safety Innovations

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

January 31, 2024

Safer Together Annual Report.

November 21, 2023

Pediatric Diagnostic Safety: State of the Science and Future Directions.

September 13, 2023

Assessing the impact of a new pediatric healthcare facility on medication administration: a human factors approach.

July 12, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions.

March 8, 2023

Patient Safety Innovations

Journal Article

Study

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

November 16, 2022

Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content.

November 16, 2022

Toolkit To Improve Antibiotic Use in Ambulatory Care.

October 26, 2022

Resident and nurse perspectives on the use of secure text messaging systems.

October 19, 2022

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality.

April 20, 2022

Journal Article

Study

Patient Safety Innovations

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

April 7, 2022

Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence.

April 6, 2022

Weight-based Medication Errors in Children.

February 16, 2022

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.

February 2, 2022

Changes made to orders placed by overnight admitting residents on teaching rounds the next day.

January 26, 2022

Improving shared situation awareness for high-risk therapies in hospitalized children.

January 19, 2022

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members.

December 8, 2021

Interventions to reduce medication dispensing, administration, and monitoring errors in pediatric professional healthcare settings: a systematic review.

September 29, 2021

Patient Safety Innovations

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

September 29, 2021

September 15, 2021

Toolkit for Engaging Patients to Improve Diagnostic Safety.

September 8, 2021

See More About The Topic

Children's Hospitals

Quality and Safety Professionals

Pediatrics

Diagnostic Errors

Communication between Providers