Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
Monroe Carell Jr. Children's Hospital at Vanderbilt
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Monroe Carell Jr.
Children's Hospital
at Vanderbilt
2200 Children's Way
Nashville, TN 37232

(615) 936-1000

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Home / Guide for Families and Visitors / About Us / Quality and Patient Safety
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Quality and Patient Safety


Be a safety superhero

The Performance Management and Improvement (PM&I) department manages quality and safety for Monroe Carell Jr. Children's Hospital at Vanderbilt.

Our mission is to support and guide Children’s Hospital to eliminate harm by advancing a culture of safety, quality improvement, efficiency and effectiveness.

Following are key quality and patient safety resources.

Patient safety and error prevention

All staff should have completed our Patient Safety and Error Prevention training to become familiar with our safety behavioral expectations and related tools.

Download our Essentials for Error Prevention reference tool (PDF).

Hospital Acquired Condition (HAC) prevention bundles

In order to achieve improved patient outcomes and eliminate serious harm from occurring at Children’s Hospital, we have adopted evidence-based Prevention Bundles for the following hospital-acquired conditions (HACs):

  • Adverse Drug Events (ADEs)
  • Catheter Associated Urinary Tract Infections (CAUTIs)
  • Central Line Associated Blood Stream Infections (CLABSIs)
  • Falls
  • Pressure Injuries (PIs)
  • Surgical Site Infections (SSIs)
  • Ventilator Associated Pneumonia (VAP)

Links to the bundles above are on the HAC VUNet ID password-protected page.

Quality Academy

Quality Academy at Monroe Carell Jr. Children’s Hospital at Vanderbilt is a year-long course designed to teach quality improvement (QI) principles and science among provider, nursing, and administrative leaders through project-focused and didactic learning. Participants envision, create, and lead a team to complete a robust QI project focused on improving one or more of the following: patient outcomes, hospital or department goals, value by reducing waste, efficiency, or USNWR reporting. Each participant will have a mentor who has previously graduated from Quality Academy.

Quality Academy will be held one Thursday per month from 3-7pm.

Application for Quality Academy (PDF)

Additional external quality and patient safety resources

Children's Hospital Association
Representing more than 220 children’s hospitals, the Association is the voice of children’s hospitals nationally.

Children’s Hospitals’ Solutions for Patient Safety
The Children’s Hospitals’ Solutions for Patient Safety National Children’s Network seeks to create a universally safe and healing environment for all children who are in our care.

The Joint Commission
The Joint Commission is the nation's leading standards-setting and accrediting body in health care.

Department of Pediatrics Quality Improvement
The Department of Pediatrics is a Portfolio Sponsor for Maintenance of Certification (MOC) Part IV credit through the American Board of Pediatrics (ABP). 

PM&I Staff

J. Autumne Bailey, MSN, RN, PCNS-BC, Administrative Director
Ashley Reid, RN, BSN, MMHC, Manager, Nursing Quality
Jan Cotton, Manager, PM&I Infrastructure
Caroline Epps, MSN, RN, Quality Consultant, Clinical
Stacey Schlafly, MPH, Sr. Advisor, Quality & Patient Safety
Lauran Sevier, MEd, PMP, Quality Improvement Analyst
Beth Sneed, Coordinator, Medical Registry
Pat Throop, RN, BSN, CPHQ, Sr. Advisor, Quality & Patient Safety
Hannah Wright, RN, Quality and Safety Advisor, Perioperative Services 

Last Edited: March 27, 2018
Valued Participant of Vanderbilt Health Affiliated Network