Evidence map›Paper›PMID 35615941›Full record

ArticlePediatrics2022

Family Safety Reporting in Medically Complex Children: Parent, Staff, and Leader Perspectives.

Alisa Khan, Jennifer Baird, Michelle M Kelly, Kevin Blaine, Deanna Chieco, Helen Haskell, Kelleen Lopez, Tiffany Ngo, Alexandra Mercer, Bianca Quiñones-Pérez and 6 more

Abstract read
In one paragraph

Article in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 'They Take the Mum Off You When You Come In': An Ethnographic Study of Parent Experiences of Medicines Safety Systems in English Hospitals.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Alisa KhanDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Jennifer BairdInstitute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California.
Michelle M KellyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Kevin BlaineInstitute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California.
Deanna ChiecoDivision of Pediatric Hospital Medicine, Department of Pediatrics, Mount Sinai School of Medicine, New York, New York.
Helen HaskellMothers Against Medical Error, Columbia, South Carolina.
Kelleen LopezInstitute for Nursing and Interprofessional Research, Children's Hospital Los Angeles, Los Angeles, California.
Tiffany NgoDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Alexandra MercerDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Bianca Quiñones-PérezDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Mark A SchusterKaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.
Sara J SingerDepartment of Medicine, Stanford University School of Medicine, Stanford, California.
K ViswanathDepartment of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Christopher P LandriganDivision of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
David WilliamsOrthopedic Surgery.
Donna LuffAnesthesia, Harvard Medical School, Boston, Massachusetts.

Funding

Family Activation and Communication about Errors and Safety (FACES)K08HS025781 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI KHAN, ALISA · 2018 to 2019
$308k
AHRQ HHS K08 HS025781AHRQ HHS R01 HS028930
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite compelling evidence that patients and families report valid and unique safety information, particularly for children with medical complexity (CMC), hospitals typically do not proactively solicit patient or family concerns about patient safety. We sought to understand parent, staff, and hospital leader perspectives about family safety reporting in CMC to inform future interventions.

methodsThis qualitative study was conducted at 2 tertiary care children's hospitals with dedicated inpatient complex care services. A research team conducted approximately 60-minute semistructured, individual interviews with English and Spanish-speaking parents of CMC, physicians, nurses, and hospital leaders. Audio-recorded interviews were translated, transcribed, and verified. Two researchers coded data inductively and deductively developed and iteratively refined the codebook with validation by a third researcher. Thematic analysis allowed for identification of emerging themes.

resultsWe interviewed 80 participants (34 parents, 19 nurses and allied health professionals, 11 physicians, and 16 hospital leaders). Four themes related to family safety reporting were identified: (1) unclear, nontransparent, and variable existing processes, (2) a continuum of staff and leadership buy-in, (3) a family decision-making calculus about whether to report, and (4) misaligned staff and parent priorities and expectations. We also identified potential strategies for engaging families and staff in family reporting.

conclusionsAlthough parents were deemed experts about their children, buy-in about the value of family safety reporting among staff and leaders varied, staff and parent priorities and expectations were misaligned, and family decision-making around reporting was complex. Strategies to address these areas can inform design of family safety reporting interventions attuned to all stakeholder groups.

Indexed as

ParentsPhysiciansChildHospitalizationHospitalsHumansQualitative Research

Identifiers

PMID35615941
PMCPMC11088436

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.