Pediatric Care, Safety, and Standardization

  • Anne Matlow
  • John M. A. Bohnen
Part of the Health Informatics book series (HI)


The Institute of Medicine (IOM) defines patient safety as “freedom from accidental injury due to medical care, or medical errors,” and promotes the establishment of systems and processes to improve the reliability of patient care as one route to making health care safer.1 In his recent book, Patient Safety, Charles Vincent offers two different approaches to achieving this aim, each founded in a distinct “vision of safety.”2 One vision highlights the expertise and skills that providers regularly channel into creating safe patient care, and promotes the adoption of new and enhanced skills such as teamwork training and mindfulness as keys to improving patient safety. The other vision recognizes the fallibility of human beings, and seeks to improve safety by replacing or supporting the health care provider using technical and procedural interventions such as standardization, guidelines, and information technology. The important role of information technology was underscored in the IOM's report, “Crossing the Quality Chasm.”3 Standardization of practice patterns is one aspect of clinical care that is very amenable to the use of informatics.4 By reducing process variability, standardization can potentially reduce errors and make outcomes more predictable, thereby improving care processes. In this chapter we will explore various strategies currently being used to standardize care, and their impact on patient safety.


Blood Stream Infection Care Bundle Safe Patient Care Central Line Bundle Serum Gentamicin Level 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Anne Matlow
    • 1
    • 2
  • John M. A. Bohnen
    • 3
  1. 1.Professor of Pediatrics, Laboratory Medicine and PathobiologyUniversity of TorontoTorontoCanada
  2. 2.Sick Kids HospitalTorontoCanada
  3. 3.Professor of Surgery and Health Policy, Management and Evaluation, Vice-Dean, Clinical AffairsUniversity of TorontoTorontoCanada

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