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Health Resources and Services Administration
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Academic Year: 2023-2024
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Bureau of Health Workforce
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OMB Number: 0906-0086
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Annual Performance Report
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OMB Expiration Date: 03/31/2027
CHD-2: CHGME Hospital Data – Hospital Discharge and Safety Data
CHD-2 - SetupWarning
If you have used the CHD-2 form before, this answer is pre-selected ‘Yes’ for you. You do not need to answer this question again. | Did your children’s hospital have any patient safety initiatives in place in the most recently completed academic year? | Yes (complete CHD-2) No (Click Save and Validate to proceed to the next form) |
Figure 1. CHD-2 - Setup
- If your children’s hospital has any patient safety initiatives in place during the most recently completed academic year, answer ‘Yes’ and proceed to complete this form. Clicking "Yes" will activate the remaining forms that will allow you to begin data entry.
- If not, please answer ‘No’ and click ‘Save and Validate’ to proceed to the next required form.
Did your children’s hospital have any patient safety initiatives in place in the most recently completed academic year? : |
CHD-2 - Adding Patient Safety Initiatives | *Add Patient Safety Initiative (add all that apply) |
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| Patient Safety Initiative | | Add Record |
Figure 2. CHD-2 - Adding Patient Safety Initiatives
Patient Safety Initiative: - Use the drop-down menu labeled ‘Patient Safety Initiative’ to identify all patient safety initiatives your children’s hospital utilized during the current reporting period. Choose ALL of the following that apply.
- You may add additional initiatives by selecting “Other” and typing the name of the safety initiative in the textbox provided.
- Click the “Add Record” button after each selection. Each selected initiative will form a row on the table below.
- Repeat this process as necessary to capture the names of all safety initiatives used during the current reporting period.
- 1:1 inpatient monitoring of at-risk patients
- Appropriate Use of prophylactic antibiotics in surgery
- Automatic drug dispensing linked to CPOE
- Availability of translators
- Discharge Planning
- Elimination of look/sound-alike drugs
- Error Prevention Training - Simulation
- Handheld Computer use
- Implementation of a safety program for preventing blood-borne pathogens
- Implementation of a safety program for preventing patient falls and slips
- Implementation of a safety program to address aggressive patients
- Infection Prevention and Control
- Influenza immunization program for children & parents of high-risk children
- Institution of protocols/guidelines
- Logs and literature reviews on error analysis
- Mechanisms for timely recognition and treatment of shock
- Medication Reconciliation
- Mock codes/patient simulation for residents
- None of the Above
- Nutrition ordering and nutrition education
- Participation in the Improve Care Now (ICN) Inflammatory Bowel Disease national collaborative
- Pediatric venous thromboembolism prevention
- PEWS-Pediatric Early Warning Score
- Pressure ulcer prevention
- Preventing unplanned extubations
- Prevention of catheter-related bloodstream infections
- Prevention of surgical site infections
- Prevention of ventilator associated pneumonia
- Production of Patient Safety Morning Reports
- Reducing patient hand-offs
- Remediation mechanisms for residents that err and harm patient
- Resident participation in quality assurance committees
- Root cause/error analysis
- Safety coach program/employee safety initiative
- Standardization of drug dosing
- Use of bar code technology for breast milk
- Use of chart audits
- Use of Electronic Monitoring Systems
- Use of Electronic Sepsis Monitoring in lieu of PEWS
- Use of logic based forcing functions
- Use of Medication Administration Bar Coding
- Use of Rapid Response Teams (RRT)
- Voluntary Mandatory and/or Confidential Error Reporting Systems
- Other
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CHD-2 - Selecting Whether Initiative is Part of the Hospital’s Patient Safety Program Figure 3. CHD-2 - Selecting Whether Initiative is Part of the Hospital’s Patient Safety Program
Select Whether Initiative is Part of the Hospital's Patient Safety Program in Most Recent Academic Year: Report whether or not each patient safety initiative was part of the hospital’s patient safety program in the current reporting period by clicking on the drop-down menu under Column 2 and selecting one of the following options: |
CHD-2 - Entering Changes made to the Initiative since the Previous Academic Year Figure 4. CHD-2 - Entering Changes made to the Initiative since the Previous Academic Year
Select Whether the Hospital has made Changes in Initiative since the Previous Academic Year: Report whether or not the hospital made changes to each patient safety initiative since the previous academic year by clicking on the drop-down menu under Column 3 and selecting one of the following options: Reasons for Change: Identify the reason(s) for the change by clicking on the drop-down menu under Column 4 and selecting all of the reasons below that apply. If “No” was selected in Column 3, choose “No changes” in Column 4. If “Yes” was selected for Column 3, “No changes” cannot be selected for Column 4. - Advances in medicine
- Eliminated
- Enhanced/expanded
- Implement best practices
- Increase in number of Faculty
- Newly introduced/offered
- No changes
- Phase in new protocols and guidelines
- Reduction in Faculty
- To meet mandatory requirements
- To meet new standards
- Transition to new system
- Other
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CHD-2 - Entering Benefits of Initiative Figure 5. CHD-2 - Entering Benefits of Initiative
Benefits of Initiative: Identify all of the benefits of each patient safety by clicking on the drop-down menu under Column 5 and selecting all of the following options that apply: - Added faculty expertise
- Benefits pending
- Expanded clinical services
- Improved clinical competence
- Improved clinical management
- Improved monitoring/evaluation
- Improved patient care outcomes
- Improved professional development
- Improved provider performance
- Improved reporting
- Improved supervision
- Improved workflow
- Improvements in procedural technique
- Incorporated best practices
- Increased awareness of community resources
- Increased awareness of psychosocial conditions
- Increased awareness/exposure to underserved populations
- Increased clinical coverage
- Increased medical knowledge
- Increased mentoring
- Increased/improved feedback
- Increased/improved research activities
- Other
- None of the Above
- N/A
Warning
"None of the Above" and "N/A" cannot be selected in combination with any other option To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform. |
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