Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Implementation of a Patient Safety Program  Amber R. Phipps, MBA, DBA, Melisa Paradis, MSN, RN, Kimberly A. Peterson, MSN, APRN, Jill Jensen, MSN, RN, Katie Nielsen, BSN, RN, Mel Hall, Kari Simonsen, MD, Bridget M. Norton, MD  Joint Commission Journal on Quality and Patient Safety  Volume 44, Issue 6, Pages 334-340 (June 2018) DOI: 10.1016/j.jcjq.2017.12.006 Copyright © 2018 The Authors Terms and Conditions

Figure 1 This figure depicts the safety program interventions, each intervention with its implementation date. Interventions were implemented during the 2½-year period following the launch of the No Harm Patient Safety Program on March 1, 2015. HAC, hospital-acquired condition. Joint Commission Journal on Quality and Patient Safety 2018 44, 334-340DOI: (10.1016/j.jcjq.2017.12.006) Copyright © 2018 The Authors Terms and Conditions

Figure 2 In this figure, the red bars represent the children who were harmed each month, while the blue line reflects the monthly rate per 10,000 adjusted patient-days. Following the launch of the organization's No Harm Patient Safety Program, a decline in SSEs was seen. The rate of SSEs per adjusted patient-days decreased from a rate of 0.19 in 2014 to a rate of 0.09 in 2015. The rate significantly declined from 2015 to 2016 to a rate of 0.00, showing a rate difference of -0.00009 (95% CI: -0.00016, -0.00002; p = 0.012). APD, adjusted patient-days; SSE, serious safety event. Joint Commission Journal on Quality and Patient Safety 2018 44, 334-340DOI: (10.1016/j.jcjq.2017.12.006) Copyright © 2018 The Authors Terms and Conditions

Figure 3 In this figure, the blue line shows the monthly rate of safety event reports per 1,000 adjusted patient-days. Following a system upgrade in June 2015 that enhanced the ease of reporting, a large increase in the actual number of safety event reports completed each month was seen. APD, adjusted patient-days. Joint Commission Journal on Quality and Patient Safety 2018 44, 334-340DOI: (10.1016/j.jcjq.2017.12.006) Copyright © 2018 The Authors Terms and Conditions