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. 2019 Feb;143(2):e20180496.
doi: 10.1542/peds.2018-0496.

Priorities for Pediatric Patient Safety Research

James M Hoffman  1   2 , Nicholas J Keeling  1   3 , Christopher B Forrest  4 , Heather L Tubbs-Cooley  5   6 , Erin Moore  7 , Emily Oehler  6 , Stephanie Wilson  6 , Elisabeth Schainker  8 , Kathleen E Walsh  9   10
Affiliations

Priorities for Pediatric Patient Safety Research

James M Hoffman et al. Pediatrics. 2019 Feb.

Abstract

: media-1vid110.1542/5972296743001PEDS-VA_2018-0496Video Abstract BACKGROUND: Developing a research agenda that is focused on the priorities of key stakeholders may expedite implementation and dissemination. Our objective was to identify the highest-priority patient-safety research topics among pediatric clinicians, health care leaders, and families.

Methods: The Children's Hospitals Solutions for Patient Safety Network is a network of >100 children's hospitals working together to eliminate harm due to health care. Parents and site leaders responded to an open-ended, anonymous e-mail survey used to elicit research topics. A key stakeholder panel winnowed related topics and prioritized topics using Likert scale ratings. Site leaders and parents responded to a second anonymous e-mail survey and rated the importance of each topic. Health system executive interviews were used to elicit their opinions regarding top priorities for patient-safety research.

Results: The elicitation survey had 107 respondents who produced 49 unique research topics. The key stakeholder panel developed a final list of 24 topics. The prioritization survey had 74 respondents. Top-priority research topics concerned high reliability, safety culture, open communication, and early detection of patient deterioration and sepsis. During 7 qualitative interviews, health system executives highlighted diagnostic error, medication safety, deterioration, and ambulatory patient safety as priority areas.

Conclusions: With this study, we take a first step toward a stakeholder-driven research agenda on the basis of the assumption that stakeholders are best positioned to determine what research will be used to address the problems of most concern to them.

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Conflict of interest statement

POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Study methods and number of participants and research topics.
See this image and copyright information in PMC

Comment in

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