Abstract
Epidemiological data from the literature are few for patient safety in pediatrics and there is a need for comparing experiences and applied solutions in different contexts. A study published in 2012 underlined that the 79% of adverse events in children happened in intensive care unit, the incidence on admissions is of 6,5 and 44,7% of these adverse events are preventable. The promotion of patient safety in pediatrics requires also patient and family programs of information and education to increase awareness about risk factors and behaviors to prevent harms. The aim of project is to design a multidimensional approach to patient safety and to pilot three patient safety practices: preventing children’s falls through the use of the Modify Humpty Dumpty Fall Scale validated in Italian; the appropriate transition of care and the early evaluation of patient deterioration through the Pediatric Early Warning Score. All pilots have been realized by adopting a systemic approach with solutions designed by taking into account the principles of ergonomic and human factors and applying them for the definition of cognitive, organizational and physical ergonomic solutions. In order to support the spreading of safety practices, a specific project of designing, implementing and evaluating of four cartoon video-vignettes on pediatric patient safety has been developed.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
American Academy of Pediatrics (2011) Principles of patient safety in pediatrics. Pediatrics 107(6):1473–1475
Matlow AG, Baker GR, Flintoft V (2012) Adverse events among children in Canadian hospitals: the Canadian pediatric adverse events study. CMAJ 184(13):E709–E718
Jansen JO et al (2010) Detecting critical illness outside the ICU: the role of track and trigger systems. Curr Opin Crit Care 16:184–190
Smith GB et al (2008) A review, and performance evaluation, of single parameter “track and trigger” systems. Resuscitation 79:11–21
Smith GB, Prytherch DR, Schmidt PE, Featherstone PI (2008) Review and performance evaluation of aggregate weighted “trackand trigger system”. Resuscitation 77(1):170–179
Duncan H, Hutchison J, Parshuram CS (2006) The Pediatric Early Warning System score: a severity of illness score to predict urgent medical need in hospitalized children. J Crit Care 21(3):271–278
Seiger N, Maconichie I, Oostenbrink R et al (2013) Validity of different pediatric early warning scores in the emergency department. Pediatrics 132:e84
Way C, Crawford D, Gray J et al (2013) Standards for assessing, measuring and monitoring vital signs in infants, children and young people. Royal College of Nursing
Tucker KM, Brewer TL et al (2009) Prospective evaluation of a pediatric inpatient early warning scoring system. J Spec. Pediatr Nurs 14:79–85
Hillman KM, Bristow PJ, Chey T et al (2001) Antecedents to hospital deaths. Int Med J 31:343–348
Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B (2008) Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Qual Saf Health Care 17(6):424–430
Hitcho EB, Krauss MJ, Birge S, Claiborne Dunagan W, Fischer I, Johnson S, Nast PA, Costantinou E, Fraser VJ (2004) Characteristics and circumstances of falls in a hospital setting: a prospective analysis. J Gen Intern Med 13:732–739
Pomerantz WJ, Gittelman MA, Hornung R, Husseinzadeh H (2012) Falls in children birth to 5 years: different mechanisms lead to different injuries. J Trauma Acute Care Surg 73(4 Suppl. 3):S254–S257
Jamerson PA, Graf E, Messmer PR et al (2014) Inpatient falls in freestanding children’s hospitals. Pediatr Nurs 40(3):127–135
Hill-Rodriguez D, Messmer PR, Williams PD, Zeller RA, Williams AR, Wood M, Henry M (2009) The humpty dumpty falls scale: a case-control study. J Spec Pediatr Nurs 14(1):22–32
Wong MC, Yee KC, Turner P (2008) Clinical Handover Literature Review. eHealth Services Research Group. University of Tasmania, Australia, pp 111–114
Toccafondi G, Alboino S, Tartaglia R et al (2012) The collaborative communication model for patient handover at the interface between high-acuity and low-acuity care. BMJ Qual Saf 21:58–66
Sousa V, Rojjanasrirat W (2011) Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user friendly guideline. J Eval Clin Practica 17:268–274
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Albolino, S. et al. (2019). Patient Safety in Pediatrics: Ergonomic Solutions for Safer Care of Children. In: Bagnara, S., Tartaglia, R., Albolino, S., Alexander, T., Fujita, Y. (eds) Proceedings of the 20th Congress of the International Ergonomics Association (IEA 2018). IEA 2018. Advances in Intelligent Systems and Computing, vol 818. Springer, Cham. https://doi.org/10.1007/978-3-319-96098-2_91
Download citation
DOI: https://doi.org/10.1007/978-3-319-96098-2_91
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-96097-5
Online ISBN: 978-3-319-96098-2
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)