SPS Peer-Reviewed Publications

Articles

2024

• Koo, Jane, et al. Levofloxacin prophylaxis in pediatric oncology and hematopoietic stem cell transplantation: a literature review. Pediatric Hematology and Oncology. Published online July 8, 2024.

• Lyren, Anne. Safety Disparities: Putting Pediatrics at a Professional Crossroads. Pediatrics. Published online February 12, 2024.

2023

• Wu AG, Madhavan G, Deakins K, et al. Pediatric Ventilator-Associated Events Before and After a Multicenter Quality Improvement Initiative. JAMA Netw Open. Published online December 7, 2023.

• Tripathi S, McGarvey J, Lee K, et al. Compliance with Central Line Maintenance Bundle and Infection Rates. Pediatrics. Published online August 4, 2023.

• Lyren A, Haines E, Fanta M, et al. Racial and ethnic disparities in common inpatient safety outcomes in a children’s hospital cohort. BMJ Quality & Safety. Published online July 17, 2023.

• Rabbani N, Pageler NM, Hoffman JM, Longhurst CA, Sharek PJ. Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals. Applied Clinical Informatics. Published online July 12, 2023.

2022

• Poppy A, Ziniel SI, Hyman D. Variability in Serious Safety Event Classification among Children’s Hospitals: A Measure for Comparison? Pediatric Quality & Safety. Published online November/December 2022.

• Maitreya Coffey, MD; Miguel Marino, PhD; Anne Lyren, MD, MSc; et al. Association Between Hospital-Acquired Harm Outcomes and Membership in a National Patient Safety Collaborative. JAMA Pediatr. Published online July 25, 2022.

2021

• Randall, K. H., Slovensky, D., Weech-Maldonado, R., & Sharek, P. (2021). The relationship between high-reliability practice and hospital-acquired conditions among the solutions for Patient Safety Collaborative. Pediatric Quality & Safety, 6(5).

2020

• Foster, C. B., Ackerman, K., Hupertz, V., Mustin, L., Sanders, J., Sisson, P., & Wenthe, R. E. (2020). Catheter-Associated Urinary Tract Infection Reduction in a Pediatric Safety Engagement Network. Pediatrics, 146(4), e20192057. 

• Klugman D, Melton K, Maynord PO, et al. Assessment of an Unplanned Extubation Bundle to Reduce Unplanned Extubations in Critically Ill Neonates, Infants, and Children [published online ahead of print, 2020 Apr 13]. JAMA Pediatr. 2020. 

• Cowden, J.D., Flores, G., Chow, T. et al. Variability in Collection and Use of Race/Ethnicity and Language Data in 93 Pediatric Hospitals. J. Racial and Ethnic Health Disparities (2020). 

2019

• Peterson, K. A., Rutherford, M., Drvol, D., Barkman, D., Phipps, A. R., Hales, R., Dawson, A., Stevens, L., Teman, S., & Teets, J. (2019). Disclosure of Adverse Events: A guide for clinicians. Pediatric Quality & Safety, 4(4).

• Terao, M., Hoffman, J.M., Brilli, R.J. et al. Accelerating Improvement in Children’s Healthcare Through Quality Improvement Collaboratives: a Synthesis of Recent Efforts. Curr Treat Options Peds 5, 111–130 (2019). 

• Randall KH, Slovensky D, Weech-Maldonado R, Patrician PA, Sharek PJ. Self-Reported Adherence to High Reliability Practices Among Participants in the Children’s Hospitals’ Solutions for Patient Safety Collaborative. Jt Comm J Qual Patient Saf. 2019;45(3):164‐169. 

• Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for pediatric patient safety research. Pediatrics. 2019;143(2). 

• Lyren, A; Dawson, A; Purcell, D; Hoffman, J; Provost, L. Developing Evidence for New Patient Safety Bundles Through Multihospital Collaboration, Journal of Patient Safety: January 31, 2019. 

2018

• Lyren A, Coffey M, Shepherd M, Lashutka N, Muething S; SPS Leadership Group. We will not compete on safety: how children’s hospitals have come together to hasten harm reduction. Jt Comm J Qual Patient Saf. 2018;44(7):377–388. 

2017

• Lyren, A., Brilli, R. J., Zieker, K., Marino, M., Muething, S., & Sharek, P. J. (2017). Children’s Hospitals’ Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. Pediatrics, 140(3), e20163494. 

• Frank, G; Walsh, K; Wooton, S; Bost, J; Dong, W; Keller, L; Miller, M; Zieker, K‡; Brilli, R. Impact of a Pressure Injury Prevention Bundle in the Solutions for Patient Safety Network, Pediatric Quality & Safety: March/April 2017 

2015

• Schaffzin JK, Harte L, Marquette S, et al. Surgical Site Infection Reduction by the Solutions for Patient Safety Hospital Engagement Network. Pediatrics. 2015;136(5). 

2014

• Toltzis P, O’Riordan M, Cunningham DJ, et al. A statewide collaborative to reduce pediatric surgical site infections. Pediatrics. 2014;134(4). 

2013

• Lyren, A., Brilli, R., Bird, M., Lashutka, N., & Muething, S. (2013). Ohio Children’s Hospitals’ Solutions for Patient Safety: A Framework for Pediatric Patient Safety Improvement. Journal for Healthcare Quality, 38(4), 213–222.

SPS Learning Session Published Abstracts

2024

• Bradfield, Audra MHA; Pantano, Connie MBA; Bunch, Erica BS. A System-wide Approach: Implementing a Plan for Behavioral Events in Children’s Healthcare. Pediatric Quality and Safety 9(S3):p e765, September/October 2024.

• Collins, Cate MD; Snider, Josephine B. MD; Klamka, Allison N. MS, RN, CPN, CCRN; Neubauer, Jennifer M. BSN, RN, CLS; McHugh, Matthew MT (ASCP), MPH, CIC‖; Weisert, Lauren M. PMP, LCSW. Optimization of the Rounds for Influence Maintenance Bundle Process. Pediatric Quality and Safety 9(S3):p e759, September/October 2024.

• Edwards, Lauren M. BSN, RN; Garcia, Lindsey DNP, MBA, MS, RN, CENP, C-ONQS; Murray, Thomas S. MD, PhD; Kandil, Sarah B. MD. Adopting a Proactive Safety Approach: Creating a CLABSI Rapid Response Team. Pediatric Quality and Safety 9(S3):p e761, September/October 2024.

• Edwards, Lauren M. BSN, RN; Garcia, Cathleen MSN, RN, RNC-NIC, ELBW; Garcia, Lindsey DNP, MBA, MS, RN, CENP, C-ONQS. High Ventilator Days and Low Unplanned Extubations in an NICU: It Is Possible!. Pediatric Quality and Safety 9(S3):p e762, September/October 2024.

• Moses, Karrie MSN, RN, NE-BC; Lipes, Amber MS, RRT, RRT-NPS; Hundley, Douglas RRT; Cady, Ghislaine RN, BSN; Ramsey, Kim MSN, ACCNS-N, RNC-NIC, CPST; Patel, Hirenkumar MD, FAAP; Keele, Linda MD, FAAP, MAS. Undulating but Undaunted Path to Unplanned Extubation Reduction. Pediatric Quality and Safety 9(S3):p e764, September/October 2024.

• Perryman, Joshua MBA; Siddiqui, Maha MHA. Decreasing Overexertion Injuries by Improving Workflow, Staffing, Culture, Best Practices, and Reporting of Environmental Services Staff. Pediatric Quality and Safety 9(S3):p e763, September/October 2024.

• Richman, Ilyse BSN, RNC-NIC, C-ONQS; Puntervold, Lina MPH, BSN, RN, CIC; Kahn, Doron J. MD, FAAP. The Evolution of “Wipeout Wednesdays”: A Clinical Staff Engagement Initiative to Reduce CLABSIs in the NICU. Pediatric Quality and Safety 9(S3):p e760, September/October 2024.

• Riley, Soraya MBA, CSSMBB; Vadner, Emily MSN, APRN, CNP-PC, CRNN-K. Development of a Central Line Team to Reduce CLABSI in a Level IV NICU. Pediatric Quality and Safety 9(S3):p e754, September/October 2024.

• Schneider, Christian A. BHS, RRT-NPS, CPHQ; McDonnell, Jennifer A. BSN, RN, CPHON; O’Neill, Erin K. BSN, RN, CPHON. Developing an Oral Care Bundle to Reduce the Incidence of Mucosal Barrier Injuries in Hematology/Oncology Patients. Pediatric Quality and Safety 9(S3):p e758, September/October 2024.

• Starr, Allison MN, RN; Hu, Shi Yuan Susan RN, MN; Coffey, Maitreya MD, FAAO, FRCPC; D’Annunzio, Daniela RN, MN; During, David B.Eng (Elcet), MSIE, MBB; Fleming-Carroll, Bonnie RN (EC), MN; Wray, Richard RN, MN. Enhancing a High-reliability Safety Culture through a Reimagined Leadership Workshop Series. Pediatric Quality and Safety 9(S3):p e766, September/October 2024.

2023

• Blackwell, Angie MSN; Anderson, Brittney K. DNP. Decreasing Ambulatory CLABSIs in Oncology Patients. Pediatric Quality and Safety 9():p e698, January/February 2024.

• Eberhard, Erica APRN, FNP-C, CWOCN; Brooks, Grace BSN, RN, PHN; LeBlanc, Julie MPH, CPHQ, CIC; Lu, Natalie MSN, RN. Skin in the Game: Implementation of Weekly Active Surveillance in a Pediatric ICU. Pediatric Quality and Safety 9():p e701, January/February 2024.

• Bledsaw, Kandice R. PhD, RN; Prudowsky, Zachary D. MD; DeJean, Janet MSN, RN; Staton, Sharon MS-SSEM, BSN, RN; Robins, Jenell BSDH, RDH; Steffin, David MD; Harriehausen, Claudia X. DDS, MSD; Yang, Esther DDS; Stevens, Alexandra M. MD, PhD. The Integration of an Oral Health Educator Enhances Prevention of Mucosal Barrier Injury Central Line-associated Bloodstream Infections for Pediatric BMT Patients. Pediatric Quality and Safety 9():p e683, January/February 2024.

• Dapul, Heda MD; Basile, Carla MSN; Verma, Sourabh MD; Alessi, Samantha MSN; Malizia, Rebecca MPP; Haines, Elizabeth DO. Beyond the Bundle: Reducing Unplanned Extubation Rates after Implementation of SPS Factors. Pediatric Quality and Safety 9():p e694, January/February 2024.

• Little, Hadassah L. BSN, RN. Diaper Duty: a CAUTI Reduction Initiative. Pediatric Quality and Safety 9():p e684, January/February 2024.

• Shafland, Heidi MSN, APRN, ACCNS-P, CCRN-K; Johnson, Lia MPH, CIC; Johnson, Nicole BSN, RN; Murphy, Sarah MSN, RN, CCRN. CLABSI Reduction Strategies in a Cardiovascular ICU. Pediatric Quality and Safety 9():p e691, January/February 2024.

• Chadha, Mandeep MD; Golchehreh, Alex MSRC, RCP, RRT-NPS; Konstantin, Anna RN, MSN, CNL. It Takes Two: Reduction of Unplanned Extubations in a Pediatric Intensive Care Unit through Continuous Quality Improvement. Pediatric Quality and Safety 9():p e712, January/February 2024.

• Chang, Elizabeth M. MSN, RN, FNP-BC, NEA-BC, NPC-BC; Brunner, Sarah MD; Bergerhofer, Lacey MSN, RN-BC. All Hands on Deck: How Multidisciplinary Implementation of CLABSI Countermeasures Cut Our Rate in Half. Pediatric Quality and Safety 9():p e692, January/February 2024.

• Pasinski, Joanne DNP, MSN, RN, CCRN, CNL; Young, Johanna BSN, RN, CCRN; Leone, Nicole MD; Philips, Kaitlyn DO, MS. Reducing Central Line-associated Bloodstream Infections Using a Frontline Staff-driven Approach. Pediatric Quality and Safety 9():p e685, January/February 2024.

• Forbus, John J. MSSE, CSSBB; Jaya Shankar, Giri MIS, MBA. Implementing Standard HAC Data Collection, Storage, and Display to Promote Informed Decisions. Pediatric Quality and Safety 9():p e687, January/February 2024.

2022

• Welter, Amanda; Villanueva, Jennifer. CLABSI Reduction Strategy: Utilizing Weekly Rounds with an Interdisciplinary Team. Pediatric Quality and Safety. 7:e611, September/October 2022.

• Kanaley, Rebecca L.; Sosa, Tina; Brown, Kristen. Speak Up For Safety: Use of an Abbreviated Reporting Form to Increase Understanding of Near-miss and Adverse Events. Pediatric Quality and Safety. 7:e607, September/October 2022.

• Stimpson, Megan D.; Johnson, Shanda M.; Wood, Lara R.; Bettinger, Brendan; Sharek, Paul J.; Fryzlewicz, Bonnie; Zerr, Danielle M. Confronting CLABSI Disparities: The Role of REaL Variables, Data Transparency, and Intentional Process Measurement in Achieving Equitable Outcomes. Pediatric Quality and Safety. 7:e606, September/October 2022.

• Webster, Caitlin I.; DiFiore, Megan W.; Rooke, Caroline M.; Foster, Amy L.; Hebbar, Kiran B. Improving Crisis Response for the Behavioral Mental Health Patient Using Simulation. Pediatric Quality and Safety. 7:e605, September/October 2022.

• Regalado, Lisa; Ziesemer-Girouard, Yvette; Rizzi, Jennifer; Frazier, Brittney; Hubert, Sarah L.; Shah, Manish. Improved Compliance With Postoperative Neurosurgical SSI Preventative Measures. Pediatric Quality and Safety. 7:e605, September/October 2022.

• Johnson, Sherry; Billings, Tammy; Wittman, David; Hakim, Hana. Utilizing a Pediatric Early Warning Tool for Sepsis Screening in a Pediatric Oncology Hospital. Pediatric Quality and Safety. 7:e603, September/October 2022.

• Walker, Carolyn; Ojo, Oluwafemi; Garcia, Matthew; Hutchison, Jennifer; Lesak, Dillon; Calvo, Laura; Friese, Jordi; Garza, Candace; Barman, Sally; Buck, Ernest; Budin, Lee. Pediatric Quality and Safety. Decreasing Medication Errors at Discharge: A Quality Improvement Project. 7:e599, September/October 2022.

• Eckstein, Michelle V.; Gallie, Sarah E.; Cameron, Connie. The Central HAC Team: Advancing the Culture of Safety Through Practice Observations. Pediatric Quality and Safety. 7:e597, September/October 2022.

• Hill, Melissa L.; Bennett, Camrin C.; Taylor, Deidre M.; Pugh, Caitlin W.; Dye, Mary Eva; Morris, Emily A. Reducing CLABSI by Increasing Frequency of Incubator Changes. Pediatric Quality and Safety. 7:e593, September/October 2022.

• Andres, Kathleen A.; Patterson, Erica R.; Schonfeld, Deborah. Piloting an Electronic Sepsis Alerting System to Reduce Inpatient Sepsis-related Serious Safety Events. Pediatric Quality and Safety. 7:e592, September/October 2022.

2021

• Gabel, M. E., Neumeister, S. W., Meyers, J. M., & Schriefer, J. A. (2021). A Quality Improvement Bundle to Reduce Ambulatory CLABSI: The Importance of a Multidisciplinary Team. Pediatric Quality & Safety, 6(Supplement 5), e500. 

• Haj, M., Parker, M., Corrigan, C., Little, H., & Mack, E. (2021). Racial Disparities in Hospital-acquired Conditions among Pediatric Patients. Pediatric Quality & Safety, 6(Supplement 5), e499. 

• Thomas, J. D., & Flanders, S. L. (2021). Standardization of Care is Key: Reducing CLABSI in Pediatric Patients. Pediatric Quality & Safety, 6(Supplement 5), e498. 

• Srivorakiat, L. K., Ehrhardt, J., & Kew, B. (2021). Development of Proactive and Reactive Ambulatory Behavioral Support Structures. Pediatric Quality & Safety, 6(Supplement 5), e494. 

• Simmons, J., Carver, A., Goebel, M. J., Geiser, M., Cooks, A., Garcia, M., Webster, K., & Simon, K. (2021b). A Systems Approach to Spread Improvements from Safety Events. Pediatric Quality & Safety, 6(Supplement 5), e491. 

• Schweer, M. E., Herrmann, L., Duncan, M., Demeritt, B., & Statile, A. M. (2021). Developing a Standardized Behavior Response Team on Medical Inpatient Units to Reduce Harm. Pediatric Quality & Safety, 6(Supplement 5), e490. 

• Keller, A. R., Kanaley, R. L., & Starr, T. (2021). Addressing and Recognizing Pediatric Inpatient Aggression Utilizing an Interprofessional Quality Team Approach. Pediatric Quality & Safety, 6(Supplement 5), e489. 

• Blazier, L. A., & Stefanescu, B. M. (2021). Reduction of CLABSIs at Riley NICU: It Takes a Village and a Continuous QI Process! Pediatric Quality & Safety, 6(Supplement 5), e488. 

• Reinhart, R. M., Fink, A., Bhattarai, S., Saha, A., Worten, K., Cronin, J., & Shah, R. (2021). UE Engagement and Bundle Compliance: A Virtual Success Story. Pediatric Quality & Safety, 6(Supplement 5), e487. 

• Ecklund, M. M., & Zimmerman, K. (2021). Journey to Zero Harm for HAPI: “HAPI Hour” Team. Pediatric Quality & Safety, 6(Supplement 1), e444. 

• Montgomery, V. L., & Hudson, R. W. (2021). Reaching for Zero: Eliminating Mislabeled Specimens. Pediatric Quality & Safety, 6(Supplement 1), e445. 

• Mack, E., Adams, L., & Corrigan, C. (2021). Shared Learning from Potentially Preventable Events. Pediatric Quality & Safety, 6(Supplement 1), e446. 

• Chhipa, A. K., & Chan-Galapon, M. (2021). A Quality Improvement Project to Decrease Falls on In-patient Pediatric Units. Pediatric Quality & Safety, 6(Supplement 1), e447. 

• Fuller, J., Angert, R., Fisher, J. C., Kerns, R., Jones, K., & Haines, E. (2021). Utilizing Skin Rounds and Kamishibai Cards to Prevent DTPIs in Hospitalized Children: Hassenfeld Children’s Hospital at NYU Langone Health. Pediatric Quality & Safety, 6(Supplement 1), e448. 

• Kim, F., Brooks, C., Villaraza-Morales, S., Daven, J., Bradley, S., Chhipa, A. K., Brachio, S. S., & Vargas, D. (2021). Quality Improvement Effort to Decrease Unplanned Extubations in a Cardiac Neonatal Intensive Care Unit. Pediatric Quality & Safety, 6(Supplement 1), e451. 

2020

• Gibson, C. A., Morrison, A. K., & Gutzeit, M. F. (2020). Health Literacy-related Safety Events. Pediatric Quality and Safety, 5, e262. 

• Gehle, S. C., Howard, J., Criddle, A. B., Corrigan, C., & Mack, E. (2020). Germ Busters: Environmental Cleaning in the Prevention of CLABSIs in Pediatric oncology patients. Pediatric Quality and Safety, 5, e273. 

• Eizyk, S., Ferdon, K. R., Schaffer, P. L., Gronauer, J. M., Chitkara, R. A., McGuane, K. A., & White, C. C. (2020). A Systems Approach to Reducing the Rate of Pediatric Pressure Injury and Preventing Harm. Pediatric Quality and Safety, 5, e275. 

• Vincent, K., Richmond, M., Hallford, R., & Milbourne, M. (2020). Reduction of Serious Harm Events with Practice Change(s) and Implementation of Clinical Education Software. Pediatric Quality and Safety, 5, e276. 

• Davis, A. M., Kader, K. L., Pandya, M. A., Maixner, M. A., Davis, J. K., Hernandez, J. R., Krawacki, A. C., Barnett, A. H., James, J., & Smith, K. G. (2020). Improving Care of Pediatric Behavioral Health Patients and Employee Safety through Quality Collaborative Participation. Pediatric Quality and Safety, 5, e286. 

• Craig, S. L., Lang, M. D. M., & Schlottman, K. J. (2020). Environmental Services Quality Improvement Drives Healthcare-acquired Infection Reduction. Pediatric Quality and Safety, 5, e280. 

2019

• Pollet, S., Bekmezian, A., Wilson-Ganz, J., Lucas, S. S., Ghomeshi, K. K., Spolini, K., & Nash, K. (2019). Innovative Use of In-room Technology to Expedite Treatment of Seizures in Hospitalized Pediatric Patients. Pediatric Quality and Safety, 4, e143. 

• Hochberg, E. M., Merkeley, K. A., Fahey, L., & Shah, R. K. (2019). Identification of Leadership Tactics to Improve Safety Culture. Pediatric Quality and Safety, 4, e133. 

• Kim, M. L., Donovan, S., Magri, E., Christie, D., Schulman, H., Akaydin, L., & Quintos-Alagheband, M. L. (2019). “Keep Me Safe.” Pediatric Quality and Safety, 4, e134. 

• Dean, A. (2019). Reducing Mechanical Restraints on Inpatient Adolescent Psychiatric Units. Pediatric Quality and Safety, 4, e139. 

• Stelter, A. J., & Graham, A. (2019). Peer-to-Peer Rounding to Reduce the Number of Peripheral Intravenous Infiltrations and Extravasations. Pediatric Quality and Safety, 4, e142. 

• Schiessler, M. M., Darwin, L. M., Phipps, A. R., Hegemann, L. R., Heybrock, B. S., Shriver, K., & Macfadyen, A. J. (2019). Do Not Have Doubt, Get the Catheter Out. Pediatric Quality and Safety, 4, e148. 

• Srinivasan, L., Morris, K., Shanahan, A., Bezpalko, O., Frye, A., Powell, S., & Sammons, J. S. (2019). Leveraging High Reliability to Identify Special Cause Factors and Reduce Central Line-Associated Bloodstream Infections. Pediatric Quality and Safety, 4, e150. 

• McClusky, J. L., & Steenland, C. J. (2019). A Multidisciplinary Team Approach to Reducing Catheter-associated Urinary Tract Infections in Pediatric Intensive Care. Pediatric Quality and Safety, 4, e151. 

• Corrigan, C., & Mack, E. H. (2019). Evolution to an Electronic Incentivized Kamishibai card System. Pediatric Quality and Safety, 4, e157.