Compliance with barcode medication administration, an indicator of patient safety, rose to over 95%. Early sepsis recognition, notification, and treatment protocols were successfully instituted. Reduction in start times for analgesic administration for patients with painful conditions was implemented. To reduce variations in care among providers, new evidence-based clinical practice guidelines were instituted for many conditions including somatic symptom disorders, long bone fractures, bronchiolitis, and diabetic ketoacidosis. ENSURING A CHILD-FRIENDLY SPACE: Working with Katherine Larson, a local muralist, we’ve brightened the lives of our patients and families with wall art that brings color and serenity to our facility. OPERATIONAL EFFICIENCY AND ACCESS: In 2016, 26,637 patient/families visited CES, a 41% increase since we moved into C S Mott Children’s Hospital. Our commitment to rapid assessment and care places us within the top 25% of all U.S. children’s hospitals for getting our patients into a room and seen by a provider. On an average, children are placed in a room within four minutes of arrival to the emergency department and evaluated by our provider team member within 17 minutes! Our Pediatric Emergency Medicine (PEM) physicians, nurses and Child Life Specialists work together with a full PEM clinical team to provide world-class care around the clock. Our focus is on providing care in a child-friendly, family-centered manner while simultane- ously focusing on cutting-edge research, educating the next generation of pediatric emergency providers and advocacy to enhance healthcare delivery for children locally as well as worldwide. 2016 QUALITY AND SAFETY/PATIENT CARE INITIATIVES: Our CES Team partners with our Patient Family Advisory Council to evaluate and constantly improve processes, enhance quality of care, and optimize patient outcomes. Here are some examples of our 2016 Initiatives focusing on quality, safety, and patient satisfaction and health outcomes: Development of a Multidisciplinary Unit-based Safety Huddle, which occurs every four hours, provides an “all staff” communication platform to support vigilance on safety and risk issues. This team huddle has had significant impact on creating a culture of safety for patients, families, and staff. Hand-washing hygiene overt monitoring process: compliance rose from a low of 41% to a high of 100%. We are ranked as the highest performing unit in the entire health system! 16 Patient Care Impact Pediatric Patient Care Children’s Emergency Services (CES), located within Michigan Medicine’s CS Mott Children’s and Women’s hospital, is a 33-bed Level 1 Regional Pediatric Trauma and Burn Center. We provide complex critical and acute care to children and families from our region as well as around the world.