Safety in Oversight: A New Approach for Children's Ombudsmen in Critical Incident Review.

Independent state ombudsmen for child welfare services are proliferating in response to high-profile child deaths viewed as system "failures." They are pressured to root out and hold individuals accountable. Safety Science emerges as an effective approach to learning from critical incidents, includi...

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Publicado en:Child Welfare Vol. 101; no. 1; pp. 133 - 157
Autores principales: O'Neill, Moira K., Kennedy, Heather M.
Formato: Artículo
Publicado: Child Welfare League of America 2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Child Welfare League of America
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        atl: Safety in Oversight: A New Approach for Children's Ombudsmen in Critical Incident Review.
      aug:
        au:
          O'Neill, Moira K.
          Kennedy, Heather M.
        affil:
          State of New Hampshire Office of the Child Advocate (former)
          Tan Chingfen Graduate School of Nursing UMass Chan Medical School Boston Children's Hospital
      su:
        Legal status of children
        Decision making
        Interprofessional relations
        Patient safety
        Children
        Medical incident reports
      sug:
        subj:
          Legal status of children
          Decision making
          Interprofessional relations
          Patient safety
          Children
          Medical incident reports
      ab: Independent state ombudsmen for child welfare services are proliferating in response to high-profile child deaths viewed as system "failures." They are pressured to root out and hold individuals accountable. Safety Science emerges as an effective approach to learning from critical incidents, including among child welfare jurisdictions. It relies upon space and collaboration for honest evaluation of all influences on case decisions, not just the individuals making them. If children's ombudsmen take the same approach to critical incident review, they can lead the dissemination of Safety Science in child welfare. We review the history and evolution of state children's ombudsmen, their role in critical incident review, and their amenability to Safety Science. An initiative of the New Hampshire Office of the Child Advocate serves as case exemplar for innovation in ombudsman review. We share preliminary observations from ombudsman-led, Safety Science-based, critical incident review with recommendations for evaluating outcomes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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