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Questions and Answers

Click each question to view the answer.

General Information 
Do you know if Safe N’ Sound works?

Would it be possible to test the SNS product prior to implementation?

Does SNS have to be put in a pediatric clinic waiting room?

What is the estimated cost of the product?

Can my institution change the content?

How often will the program be updated?


Legal Concerns

What if I have a patient who has an injury from something I didn’t discuss with his parent (if using the provider sheet)?


Guidelines

Does the program conform to HIPPA guidelines?

What information does the SNS program request from the patient?

Do we need to consult with the patient education committee (PEC) of our hospital before implementing SNS?

Do we need IRB approval before implementation?


Technology

Do we need a special computer to use SNS?

What else should we consider about placement?

Do we need special computer support to use the program?

Can children break or damage the computer?

Can we use a wireless device for the printer?

Can the program be downloaded to the website for parents and caretakers to complete the survey and print the feedback on their own?


Functionality

How long does it take to complete the survey or assessment?

Does the program interfere with patient flow?

SNS appears to detect the same risk areas for many patients. Is there a problem in the program?

How much technical assistance will the SNS developers be able to offer?


Getting Started

How can we start using the program? Where do we start from?

Can we insert our website or logo on the flyers and templates?

Can we get numbers of usage and risk areas?

Are we required to evaluate the hospital use of SNS?

Can we use SNS in general marketing materials?

Your organization along with the Children’s Hospital Association has provided information to hospitals about this program. What does this partnership mean and where should we address our questions?

 


General Information 
Q: Do you know if Safe N’ Sound works?
A: Previous studies show Safe N’ Sound (SNS) feedback helps parents change their safety related behaviors. Studies have shown content to be especially effective in populations with lower levels of education. A document summarizing these findings is available on the website.

Q: Would it be possible to test the SNS product prior to implementation?
A: At this point, the best way to try SNS is to read and approve the disclaimer and then try it on your hospital computer. There are also several documents you can review, including sample SNS feedback, which are available for you to download as a PDF document from the website.

Q: Does SNS have to be put in a pediatric clinic waiting room?
A: While SNS was initially used in the waiting room of pediatric clinics, it has since then been implemented in safety stores, emergency rooms, and other community locations. Users might try SNS anywhere parents of young children go and have to wait, such as WIC clinics or social service agencies.

Q: What is the estimated cost of the product?
A: The program itself is free. The cost to implement will depend on where and how you want to use the program. The program can be implemented on most standard computers and can use almost any printer. If you have a computer and printer the only monetary cost to you in this case is paper and printer upkeep. If you do not have a computer and color printer available then you may have to purchase one. In some cases the SNS program is administered by a kiosk, which can be customized to fit the particular look and feel of the area in which it is placed. This can cost anywhere from $3,000 to $8,000 depending on the extent of additional customized features.

Q: Can my institution change the content?
A: No. The content of the program has been standardized to ensure that best practices and AAP recommendations are followed. While those using the program cannot change the text, SNS undergoes updates periodically. The developers welcome comments and input and will review these recommendations when program updates are made.

Q: How often will the program be updated?
A: Initially, program updates will depend on the urgency of the needed change. Eventually, SNS will move to a web based system, which will allow developers to make content updates more often. If the developers update or discontinue the program, we will inform participating hospitals. The hospitals will be responsible for removing the program if the content becomes outdated.

 

 

Legal Concerns
Q: What if I have a patient who has an injury from something I didn’t discuss with his parent (if using the provider sheet)?
A: The institution is not responsible for areas that are not covered in the program or are not medically indicated during the patient visit.

Furthermore, the program includes a disclaimer at the end of the survey stating that: "These injury prevention teaching sheets are meant to help you care for your child. They do not take the place of medical care. Talk with your healthcare provider for diagnosis, treatment, and follow-up."  

 

Guidelines
Q: Does the program conform to HIPPA guidelines?
A: The customized feedback only shows the child’s first name. The program requests information about height and weight, but does not violate HIPPA guidelines since this information does not identify the child or his caregivers. The program does ask other additional demographic questions such as annual income and zip code information.

Q: What information does the SNS program request from the patient?
A: The SNS program asks parents a serious or questions including basic information about their child such as age, weight, gender and name. The program then asks parents about potential injury risks including questions about car seat use, poison storage and so forth. Once through the injury risks the program asks parents a serious of opinion questions about preventing injury in children. Finally the program will ask demographic questions such as household income and race of the child.

The video on the website will allow you to see the information collected by SNS.

Q: Do we need to consult with the patient education committee (PEC) of our hospital before implementing SNS?
A: Different hospitals have different rules. This decision most likely depends on where the computer is placed and how it will be used. It is best to follow up with your hospital’s committee for more information on this issue.

Q: Do we need IRB approval before implementation?
A: Many institutions have IRB requirements related to the collection and use of data. This program asks for first and last name of the child, age, weight and some demographic questions. Please consult your specific office if you feel there are concerns related to the collection or use of this information or if you wish to use this information for research.

 

Technology
Q: Do we need a special computer to use SNS?
A: The program can be used on any portable or stationary computer device with a printer. No additional software is needed. Information about SNS requirements is found on the website.

Q: What else should we consider about placement?
A: We suggest you put the computer close to an outlet and use flat head extension cords secured to the wall or floor. This will limit hazard exposures. We recommend putting the computer and printer apart from close seating if possible.

Q: Do we need special computer support to use the program?
A: Problems can be handled through your regular Information Technology Services (ITS) department. Problems with the program can be reported to the developers.

Q: Can children break or damage the computer?
A: Placing the computer on a higher table or reversing the CPU (Central Processing Unit) so that the power buttons are not displayed will limit this. You can also place the computer in a location easily visible to staff. It is important to note that we have not experienced any problems with this in the past.

Q: Can we use a wireless device for the printer?
A: Yes; but you will need to regularly check to make sure the wireless device is working.

Q: Can the program be downloaded to the website for parents and caretakers to complete the survey and print the feedback on their own?
A: This is not possible at this time. However the developers are currently working on making this a possibility.

 

Functionality
Q: How long does it take to complete the survey or assessment?
A: Since the number of questions a parent answers depends on their child’s injury risks, the length of time needed to finish the SNS assessment depends on those risks. However, based on current practices, the average time per user is about four minutes.

Q: Does the program interfere with patient flow?
A: Not that we have found, however, the program contains an opt-out button if the patient is needed elsewhere immediately, and automatically resets itself after 4 minutes if the parent or caregiver does not finish completing the survey.

Q: SNS appears to detect the same risk areas for many patients. Is there a problem in the program?
A: No. The program uses the responses of parents and caregivers to identify priority risk behaviors and identifies behaviors that predict the highest likelihood of serious injury. The fact that the same risk areas are observed for many children can be because many injury risks are the result of the same risk behaviors repeated across families. For example, motor vehicle and fire risks are typically high given the rate at which people travel and fail to check fire detector batteries.

Q: How much technical assistance will the SNS developers be able to offer?
A: You can reach the developers by email at any time. They will be able to provide additional information regarding program requirements, and share advice based on previous use. The developers will not be present on site and will not be able to provide in-depth program implementation assistance. Given our previous work, the program is largely stand-alone and does not require much outside support once installed.

 

Getting Started
Q: How can we start using the program? Where do we start from?
A: Read the Disclaimer and agree to the terms of use. You can then download the program directly from the website by clicking ‘Download’. If you have firewalls or problems downloading executable files, then you can request a zip drive of the program.

Q: Can we insert our website or logo on the flyers and templates?
A: Marketing materials found on the SNS website and in the users’ manual do allow for your name, logo and contact information to be inserted electronically when promoting the program to the community and providers. The program content cannot be customized at this time.

Q: Can we get numbers of usage and risk areas?
A: All information filled in by the user is stored in a database. Information on downloading this data can be found in the user’s manual.

Although not required, the SLU team asks that you share this data with our staff (after removing all children or parent identifying information). This allows for ongoing quality improvement.

Q: Are we required to evaluate the hospital use of SNS?
A: While we strongly encourage you to evaluate how effective the SNS program is with your patients, evaluation is not required for program use. Whether or not evaluation is required will be determined by each individual implementation site.

Q: Can we use SNS in general marketing materials?
A: Yes as long as the copyright statement is included and the SNS program is being used as intended

Q. Your organization along with the Children’s Hospital Association has provided information to hospitals about this program. What does this partnership mean and where should we address our questions?
A: From the beginning, this project has been a true partnership between Saint Louis University (SLU) and the Children’s Hospital Association (CHA). Before launching www.safensoundallaround.com, we surveyed injury prevention specialists and hospital CEOs to understand the injury problem from their perspective, and plan to continue our work to ensure that hospitals have the best tools they can have to prevent childhood injuries. CHA staff would be more than happy to hear from you, but all SNS program questions should be addressed to the developers.

 
 
 
 
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