Medical errors are a concern across the economic spectrum worldwide. This commentary describes an educational effort to develop champions to lead patient safety, quality improvement, and infection control initiatives in health systems in low- and middle-income countries. The authors highlight the importance of contextualizing training to consider local needs and resources.

This revised set of guidelines suggests standards to ensure high-quality care for pediatric patients in the emergency department, including a section on improving patient safety. Key recommendations focus on pediatric emergency care coordinators and implementing quality control mechanisms.

… Joint Commission journal on quality and patient safety … Jt Comm J Qual Patient Saf … … a partnership in which a large privately owned group of hospitals, postacute facilities, and outpatient clinics … culture and metrics. The program included an assessment of the quality at each site followed by an individual …

Emergency departments harbor conditions that can hinder safe medication administration for pediatric patients. This policy statement identifies and prioritizes improvements such as implementing kilogram-only weight-based dosing, involving pharmacists in frontline emergency care, and utilizing computerized provider order entry and clinical decision support systems.

… Hospital pediatrics … Hosp Pediatr … Handoff improvement is a national … educational intervention for teaching handoffs to pediatric residents did not result in enhanced perception of handoff quality or improvement in clinical outcomes. …

A nurse-led comprehensive unit-based safety program identified numerous important safety issues in an intensive care unit. Executive walkrounds helped overcome barriers to address these problems.

… American journal of medical quality : the official journal of the American College of Medical Quality … Am J Med Qual … … used for improving safety culture , but their effect on specific patient safety attitudes and outcomes is not well …

The Josie King Care Journal is a tool intended to improve communication between the health care team and families of hospitalized children. This study reports on the implementation of the journal in a pediatric intensive care unit. Use of the tool was associated with perceived improvements in communication by both clinicians and parents.

Reviewing evidence on transitions in care, this article describes how one university health system developed a comprehensive handoff curriculum to address educational needs in the context of changes to resident duty hours.

Some hospitals have begun allowing patients and families to directly summon a rapid response team. This implementation study reports on the training process for establishing a family-activated rapid response team at a children's hospital.

Use of a computerized interactive algorithm significantly improved residents' ability to correctly manage simulated cases of anaphylactic shock.

This policy statement provides context regarding medical errors in pediatric emergency care and offers recommendations to support patient safety improvements in this setting.

This study developed a simulation model in the radiology environment and identified the need for greater resuscitation aids to treat unexpected clinical events. A past AHRQ WebM&M commentary discussed the role of simulation as a method to practice both behavioral and technical skills.

The authors present both unit- and department-level strategies used to launch a pediatric safety initiative, including the tools and resources that supported that work.

… Pediatric radiology … Pediatr Radiol … The authors describe the creation and implementation of a system-wide educational and awareness program to support the development of a culture of safety . …

The authors distributed an audiovisual education program to inform pediatric emergency care clinicians on the correct use of the Broselow Pediatric Resuscitation Tape. They found that the intervention improved dosing accuracy and administration time.