Feasibility and implementation of a daily safety brief at a children's hospital-in-a-hospital.

Background: The daily safety brief (DSB) is a structured approach to enhancing patient safety and readiness, widely used in free-standing children's hospitals. This observational study examines the implementation and feasibility of a DSB within a children's hospital embedded in an adult healthcare system-a unique challenge requiring adaptation to an infrastructure primarily designed for adult care. Methods: Using a descriptive, observational design, we tracked safety concerns reported during DSBs over a 12-month period across inpatient units and the pediatric emergency department. Safety concerns were categorized using a predefined taxonomy and reviewed by the implementation team. Results: The implementation process confirmed the feasibility of integrating pediatric safety efforts within an adult system. While qualitative feedback suggested improved communication and situational awareness, this study did not measure direct improvements in patient safety outcomes, and the single-center design limits generalizability. The reduction in reported safety concerns over time should be interpreted cautiously, as changes in reporting may reflect cultural or behavioral factors rather than true safety improvements. Conclusions: This initiative highlights the potential for embedding pediatric safety practices within broader hospital operations, warranting further investigation using controlled designs with objective patient safety outcome measures.