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PSI Caring Safely Research Grant

Congratulations to C-QuIPS staff and member, Trey Coffey (Sickkids, CQuIPS), Kaveh Shojania ( Sunnybrook, CQuIPS) , Joanne Goldman ( CQuIPS), Leahora Rotteau ( CQuIPS), Ross Baker(IHPME), and Paula Rowland ( UHN), and collaborators Marlys Christianson ( Rotman School of Management) and Timothy Vogus ( Vanderbilt University), on their successful funding application from Physician Services Incorporated for their study “High Reliability Organizing in healthcare: Caring Safely at the Hospital for Sick Children”.

This qualitative study aims to gain in an in-depth understanding of whether and how Caring Safely at SickKids, an innovative and large scale hospital intervention focusing on high reliability organizing principles, informs patient safety culture and practices to prevent four types of hospital acquired harm: surgical site infections, central line associated bloodstream infections, pressure injuries and serious safety events. High reliability organizing is drawn from high-risk industries that have successfully avoided catastrophes despite their complexity. However, evidence around this organizational approach in healthcare is lacking. Using interviews, observations and documents, this study will explore how hospital leaders, healthcare providers and family advisors, are interpreting and practicing the principles of high reliability in the ‘Caring Safely’ initiative. The findings will provide valuable insights into the social processes and contextual factors that characterize organizational change for improving patient safety.