Lyren Anne, Coffey Maitreya, Shepherd Melissa, Lashutka Nicholas, Muething Stephen
Jt Comm J Qual Patient Saf. 2018 Jul;44(7):377-388. doi: 10.1016/j.jcjq.2018.04.005. Epub 2018 Jun 6.
Launched in 2012, the Children's Hospitals' Solutions for Patient Safety (SPS) Network is a collaborative of children's hospitals in the United States and Canada working together to eliminate patient and employee/staff harm across all children's hospitals.
The SPS Network, which has grown from 8 to 137 hospitals, has a foundation of leadership engagement, noncompetition, data-driven learning, attention to safety culture, family engagement, and transparency. The SPS Leadership Group, which consists of more than 150 leaders from participating hospitals, forms condition-specific teams to promote the reduction of hospital-acquired harm in a phased design that includes an ongoing focus on both process improvement and safety culture enhancements. Hospital leaders are engaged through monthly reports, executive webinars, in-person meetings, and biannual training opportunities for boards of trustees. SPS has developed extensive opportunities for learning collaboration, including in-person networkwide learning sessions, regional meetings, general and condition-specific webinars, communications, and a shared website.
Over time, the portfolio has expanded as SPS has achieved harm reduction targets for some conditions and begun work to reduce harm in other, previously unaddressed areas. In 2017 SPS reported a 9%-71% reduction in eight harm conditions by an initial cohort of 33 hospitals. SPS estimates that more than 9,000 children have been spared harm since 2012, with $148.5 million in health care spending avoided.
Participation in the SPS Network has been associated with improved safety in children's hospitals. Widespread participation in this or similar collaborations has the potential to dramatically decrease harm to patients, employees, and staff.
儿童医院患者安全解决方案（SPS）网络于2012年启动，是美国和加拿大的儿童医院的合作组织，共同努力消除所有儿童医院中患者及员工/工作人员受到的伤害。
SPS网络已从8家医院发展到137家，其基础是领导层参与、非竞争、数据驱动学习、关注安全文化、家庭参与和透明度。SPS领导小组由来自参与医院的150多名领导者组成，他们组建特定病情团队，以分阶段设计的方式促进减少医院获得性伤害，其中包括持续关注流程改进和安全文化提升。通过月度报告、高管网络研讨会、面对面会议以及为董事会提供的半年一次的培训机会，让医院领导者参与其中。SPS开发了广泛的学习合作机会，包括全网络面对面学习会议、区域会议、一般和特定病情网络研讨会、通信以及一个共享网站。
随着时间的推移，随着SPS在某些病情方面实现了伤害减少目标，并开始在其他以前未涉及的领域开展减少伤害的工作，其业务范围不断扩大。2017年，SPS报告称，首批33家医院在八种伤害病情方面减少了9%-71%。SPS估计，自2012年以来，已有超过9000名儿童免受伤害，避免了1.485亿美元的医疗支出。
参与SPS网络与儿童医院安全性的提高相关。广泛参与此类或类似合作有可能大幅减少对患者、员工和工作人员的伤害。
