Wake Up Safe Update

By Manon Hache, MD

Wake Up Safe (WUS) is a Patient Safety Organization with the primary goal of eliminating preventable harm in children during the perioperative period by promoting quality improvement work. Since the last update to this newsletter, in summer 2019, we have grown from 36 to 38 participating institutions. We now have data from over 5.2 million pediatric anesthesia encounters and over 5,600 serious adverse events.

Over the last 11 years, WUS has continued to grow and strengthen as an organization, collaborate with other organizations, particularly with our surgical colleagues, work to standardize reporting of adverse events to our database, continue to provide background knowledge, skills and analytical framework for Quality Improvement (QI) and safety analytics, encourage quality improvement work in the various member institutions and disseminate the improvements noted to the pediatric anesthesia community. We look forward to collaborating and working alongside our surgical colleagues in the American College of Surgeons Children’s Quality Verification (CSV) Program to address and improve perioperative processes and OR related adverse events.

In the past year, we have begun reevaluating whether our current method of data collection supports meeting our goal. We have begun searching for a new data management company that will help us fulfill our mission and make the most of the data our institutions collect.

The past year has brought with it a unique set of challenges. Having the network of Wake Up Safe participating institutions proved particularly useful when facing the COVID-19 pandemic. Each month, WUS leads a phone meeting with the goals of sharing information and reviewing particular subjects of concern to our organizations. We also have a Google group through which we can ask questions about various issues faced in our different institutions. During the pandemic, it was extremely helpful to have an available group of people to exchange information and protocols being used across the institutions.

The Wake Up Safe educational curriculum has continued with both fundamental and advanced workshops in safety analytics and quality improvement. Workshops were available remotely at the last annual SPA meeting. We plan on continuing these workshops, as well as our involvement with promoting education in patient safety and quality improvement science, across our institutions and in various international locations.

Wake Up Safe tracks the QI capability of its member institutions through milestones and objectives.  This helps the group tailor its education and support to the group’s individual needs and track our QI capability over time. We have also developed change packets to address one of the most common and preventable serious adverse events reported to the Wake Up Safe database: medication errors.

Publications since the last newsletter update include:

  • Lee AC, Townsend Redding A, Tjia I, Sohel Rana Md, Heitmiller E, Self-Reported Awareness During General Anesthesia in Pediatric Patients: A Study from Wake Up Safe, Paediatr Anaesth 2021, Mar 11, Online ahead of print
  • Raghavan KC, Hache M, Bulsara P, Lu Z, Rossi MG Perianesthetic Neurological Adverse Events in Children: A Review of the Wake-Up Safe Database.
    Paediatr Anaesth. 2021 Feb 25, Online ahead of print.
  • Haché M, Sun LS, Gadi G, Busse J, Lee AC, Lorinc A, Rampersad S, Outcomes from Wake Up Safe, the Pediatric Anesthesia Quality Improvement Initiative, Pediatric Anesthesia. 2020 Dec; 30(12):1348-1354
  • Wakimoto M, Miller R, Kim SS, Uffman JC, NafiuS OO, Tobias JD, Beltran RJ Perioperative Anaphylaxis in Children: A Report from the Wake-Up Safe Collaborative, Paediatr Anaesthesia.  2020 Nov 3, Online ahead of print
  • Pfaff KE, Tumin D, Miller R, Beltran RJ, Tobias JD, Uffman JC, Perioperative Aspiration Events in Children: A Report from the Wake Up Safe Collaborative, Paediatr Anaesth. 2020 Jun;30(6):660-666
  • Haydar B, Baetzel A, Stewart M, Voepel-Lewis T, Malviya S, Christensen R, Complications Associated With the Anesthesia Transport of Pediatric Patients: An Analysis of the Wake Up Safe Database, Anesth Analg. 2020 Jul;131(1):245-254

In conclusion, Wake Up Safe continues to grow as a patient safety organization. We want to decrease preventable anesthesia safety events. We will continue to work to improve our data collection to meet our goals and promote quality improvement work in each of our participating institutions.

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