1. We Will Not Compete on Safety: How Children's Hospitals Have Come Together to Hasten Harm Reduction 
Anne Lyren, MD, MSc, Maitreya Coffey, MD, Melissa Shepherd, BA, Nicholas Lashutka, BA, Stephen Muething, MD 
Joint Commission Journal on Quality and Patient Safety 
Volume 44, Issue 7, Pages (July 2018)
DOI: /j.jcjq
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2. Figure 1
Between 2005 and 2017, the Solutions for Patient Safety (SPS) Network evolved from a focused quality improvement effort shared among a small number of hospitals into an international collaborative engaged in a broad portfolio of harm reduction work. SSI, surgical site infection; ADE, adverse drug event.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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3. Figure 2
As of 2017, the SPS Network had grown to more than 130 member hospitals, distributed across the United States and Canada.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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4. Figure 3
The Children's Hospitals’ Solutions for Patient Safety (SPS) Network is governed by a board of directors composed mainly of member hospital chief executives. The leadership team oversees improvement teams made up of a combination of Network staff and volunteer clinical leaders and subject matter experts from member hospitals across the Network. HAC, hospital-acquired condition.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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5. Figure 4
Solutions for Patient Safety (SPS) Network improvement efforts are organized into a series of discrete phases (2015–2018), corresponding to idea generation, testing, evidence generation, sustaining improvement, and dissemination. HAC, hospital-acquired condition; QI, quality improvement.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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6. Figure 5
The discrete foci of Network harm reduction work progressed through the design phases between 2015 and IV, intravenous; CLABSI, central line–associated bloodstream infection; Hem/Onc, hematology/oncology; VAE, ventilator-associated events; VTE, venous thromboembolism; PI, pressure injury; CAUTI, catheter-associated urinary tract infection.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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7. Left to right: Stephen Muething, MD; Melissa Shepherd, BA; Nicholas Lashutka, BA, President, SPS; Maitreya Coffey, MD; Anne Lyren, MD, MSc; and Michael Fisher, Chairman, Board of Trustees, SPS.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
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