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Patient safety in a pediatric centre: partnering with families
Bonnie Fleming-Carroll1, Anne Matlow, Siobhan Dooley
1Centre for Nursing, Hospital for Sick Children, Toronto, ON. bonnie.fleming-carroll@sickkids.ca
Insights
Family Centred Care (FCC) enhances pediatric patient safety by fostering collaboration between healthcare teams and families. This partnership model successfully identifies safety issues and promotes awareness, leading to improved healthcare outcomes.
Area of Science:
- Pediatric Healthcare Quality
- Patient Safety Initiatives
- Family-Centered Care Models
Background:
- Patient-Centered Care (PCC) is fundamental to quality healthcare, respecting patient preferences and values.
- In pediatrics, PCC extends to Family-Centered Care (FCC), involving the entire family in clinical decisions.
- Effective FCC necessitates transparent collaboration among the child, family, and healthcare team.
Purpose of the Study:
- To evaluate the effectiveness of Family-Centered Care (FCC) principles in enhancing pediatric patient safety.
- To highlight the role of institutional commitment in integrating FCC across healthcare provisions.
- To showcase a successful FCC-based initiative at a children's hospital.
Main Methods:
- Implementation of an interdisciplinary committee (Families as Partners in Patient Safety Committee) at a children's hospital.
- The committee comprises healthcare providers, parents, and Children's Council representatives.
- The committee's mandate includes identifying patient safety (PS) issues, recommending improvements, and promoting parent-staff partnerships in PS.
Main Results:
- The committee successfully developed patient safety information for families.
- Initiatives included a joint hand hygiene campaign and a smoke-free hospital campaign.
- A task-oriented partnership model between families and healthcare workers proved productive for advancing pediatric patient safety.
Conclusions:
- Family-Centered Care principles, when explicitly adopted by an institution, significantly improve pediatric patient safety.
- Interdisciplinary committees integrating parents and healthcare providers are effective in addressing patient safety concerns.
- Collaborative partnerships between families and healthcare staff are a productive model for enhancing safety in pediatric settings.
Abstract:
Patient Centred Care (PCC) is a recognized pillar of quality healthcare. According to the Institute of Medicine (Kohn et al. 2000), PCC respects and is responsive to individual patient preferences, needs and values, and ensures they guide all clinical decisions. In a pediatric setting, both the child and family's preferences and values are critical; as a result, the concept of PCC is broadened to include the entire family, and is termed Family Centred Care (FCC). True FCC requires transparent and ongoing collaboration between the child, family, and all members of the healthcare team. An institution's commitment to Family Centred Care must be explicit and permeate all aspects of healthcare provisions. At Toronto's Hospital for Sick Children (SickKids), the Families as Partners in Patient Safety Committee has proven to be a successful initiative based on Family Centred Care principles. This interdisciplinary committee includes healthcare providers, parents and representatives from our hospital's Children's Council. The mandate of the group is to: (1) identify patient safety (PS) issues, (2) make recommendations to improve PS and (3) increase awareness and promote the partnership between parents and staff in PS. Key initiatives to date include developing PS information for families, a combined hand hygiene campaign and a campaign to make the hospital 100% smoke-free. A task-oriented partnership between families and healthcare workers has proven to be a productive model for advancing pediatric patient safety.
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