# The Family Input for Quality and Safety (FIQS) Study

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2021 · $89,962

## Abstract

Abstract
Adverse patient safety event rates remain stubbornly high in hospitals. For children, adverse events are 1.5-2
times more common than in adult inpatients (40.0 vs. 25.1 harms/100 admissions). The parent R01 proposal
uses an untapped source of safety event reporting—patients and family members of hospitalized pediatric
patients—to assess the epidemiology of pediatric safety events; strengths and limitations of current methods of
error reporting systems; methods to prevent pediatric medication errors; and the development of learning
health systems to address inpatient pediatric safety. Our mobile phone-based approach, Family Input for
Quality and Safety (FIQS), was developed in partnership with families and clinicians, and was pilot-tested on a
pediatric medical-surgical unit, with enthusiastic engagement from participants and staff. The objectives of this
proposal are to address the rigor of prior work in the following aims, while testing the approach in other hospital
units (e.g., ICU, hematology-oncology) and in a safety net hospital. Aim 1: Describe variations in safety events
across care settings and populations using family- and patient-generated safety reports (N~6,500 participants;
N~3000 FIQS Reports). This will use the real-time mobile phone tool to determine differences in family and
patient safety reports by hospital setting, medical complexity, language, health technology literacy, and patient
and family-member demographics. The proposed administrative supplement will support the career
development for a future Latinx physician-researcher, Ms. Maite Garcia, to improve care for Latinx patients and
families through rigorous and innovative research. The candidate is a US citizen whose parents did not receive
post-secondary high school degrees. Ms. Garcia will lead a qualitative study to better elicit safety events in
Latinx patients and families, who were found to report events infrequently in the pilot study. Aim 2: Compare
FIQS reports to clinician-generated reports documented in incident reports and in the medical record. This will
employ mixed-methods, quantifying the number of overlapping and unique events from each source, and using
qualitative analysis to describe unique domains covered in each source. Aim 3: Evaluate an improvement
collaborative focused on incorporating family and patient reports issues into safety efforts. The proposed
research is innovative in its paradigm-shifting conceptual model of 1) patient-engaged quality improvement, 2)
its use of mobile phone technologies to gather real time data, and 3) its use of an improvement collaborative to
develop robust implementation strategies for incorporating family and patient reports into safety efforts. The
contribution of the proposed research will be a description of family and patient safety reports across multiple
types of inpatient settings in two diverse health systems; a comparison of family and patient safety reports to
other methods of detecting adverse e...

## Key facts

- **NIH application ID:** 10264650
- **Project number:** 3R01HD100393-01S1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Naomi Shula Bardach
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $89,962
- **Award type:** 3
- **Project period:** 2021-01-01 → 2021-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10264650

## Citation

> US National Institutes of Health, RePORTER application 10264650, The Family Input for Quality and Safety (FIQS) Study (3R01HD100393-01S1). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10264650. Licensed CC0.

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