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Review
. 2021;7(3):138-151.
doi: 10.1007/s40746-021-00227-6. Epub 2021 Jul 12.

Aligning Patient Safety and Stewardship: A Harm Reduction Strategy for Children

Matthew Schefft  1   2 , Andrew Noda  3 , Emily Godbout  4
Affiliations
Review

Aligning Patient Safety and Stewardship: A Harm Reduction Strategy for Children

Matthew Schefft et al. Curr Treat Options Pediatr. 2021.

Abstract

Purpose of review: Review important patient safety and stewardship concepts and use clinical examples to describe how they align to improve patient outcomes and reduce harm for children.

Recent findings: Current evidence indicates that healthcare overuse is substantial. Unnecessary care leads to avoidable adverse events, anxiety and distress, and financial toxicity. Increases in antimicrobial resistance, venous thromboembolism, radiation exposure, and healthcare costs are examples of patient harm associated with a lack of stewardship. Studies indicate that many tools can increase standardization of care, improve resource utilization, and enhance safety culture to better align safety and stewardship.

Summary: The principles of stewardship and parsimonious care can improve patient safety for children.

Keywords: Overuse; Parsimonious care; Patient safety; Pediatrics; Stewardship.

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Conflict of interest statement

Conflict of InterestThe authors have no conflicts or competing interests to disclose.

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References

    1. Starmer AJ, Sectish TC, Simon DW, Keohane C, McSweeney ME, Chung EY, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA - J Am Med Assoc [Internet]. 2020;310(21):2262–70 Available from: https://pubmed-ncbi-nlm-nih-gov.proxy.library.vcu.edu/24302089/. - PubMed
    1. Lyren A, Coffey M, Shepherd M, Lashutka N, Muething S. The Joint Commission Journal on Quality and Patient Safety 2018; 000:1-12 INNOVATION IN PATIENT SAFETY AND QUALITY AT THE NATIONAL LEVEL We Will Not Compete on Safety: How Children’s Hospitals Have Come Together to Hasten Harm Reduction. 2018 [cited 2020 Jun 19]; Available from: doi: 10.1016/j.jcjq.2018.04.005 - PubMed
    1. Neuspiel DR, Stubbs EH. Patient Safety in Ambulatory Care [Internet]. Vol. 59, Pediatric Clinics of North America. W.B. Saunders; 2012 [cited 2021 Jan 19]. p. 1341–54. Available from: https://pubmed-ncbi-nlm-nih-gov.proxy.library.vcu.edu/23116530/ - PubMed
    1. Tilburt JC, Cassel CK. Why the ethics of parsimonious medicine is not the ethics of rationing [Internet]. Vol. 309, JAMA - Journal of the American Medical Association. JAMA; 2013 [cited 2021 Jan 19]. p. 773–4. Available from: https://pubmed-ncbi-nlm-nih-gov.proxy.library.vcu.edu/23443438/ - PubMed
    1. Carlton EF, Barbaro RP, Iwashyna T, Prescott HC. Cost of Pediatric Severe Sepsis Hospitalizations [Internet]. Vol. 173, JAMA Pediatrics. American Medical Association; 2019 [cited 2021 Jan 6]. p. 986–7. Available from: http://apps.bea.gov/iTable/iTable.cfm?reqid=19&step=3&isuri=1&1921= - PMC - PubMed

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