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Achieving gains in state and local child safety systems and workforce development: application of the framework for quality improvement and innovation in child safety
  1. Jennifer B Leonardo1,
  2. Bina Ali2,
  3. Jenny Stern-Carusone1,
  4. Maria Katradis1
  1. 1Education Development Center, Waltham, Massachusetts, USA
  2. 2Pacific Institute for Research and Evaluation, Beltsville, Maryland, USA
  1. Correspondence to Dr Jennifer B Leonardo, Education Development Center, Waltham, MA 02451, USA; jleonardo{at}


Objective This study investigated the application of the Children’s Safety Network (CSN) Framework for Quality Improvement and Innovation in Child Safety through the Child Safety Learning Collaborative (CSLC).

Methods The CSN Framework was used by 26 state/jurisdiction teams that participated in cohort 1 of the CSLC, from November 2018 to April 2020. The aim was to strengthen child safety systems and the workforce to spread child safety evidence-based and evidence-informed strategies and programmes for children and adolescents ages <1–19 years.

Procedures Participating teams’ child safety system development, workforce development, engagement in the CSLC, challenges encountered and overall satisfaction with the CSLC were assessed through ongoing CSLC participation records and an end-of-cohort survey (survey response rate: 73.1%).

Results Teams showed an average change of 2.4-fold increase in the spread of evidence-based and evidence-informed child safety strategies and programmes, indicating improvement in child safety systems. Knowledge development on CSLC tools and strategies was reported by 77.8% of teams, with 55.5% reporting CSLC tools and strategies contributed to workforce development. Over two-thirds (70.6%) reported being satisfied or very satisfied with the CSLC, but identified some challenges, including staff turnover and the need to strengthen partnerships. All teams demonstrated engagement in the CSLC, based on participation in a virtual meeting, learning session or a monthly report submission.

Conclusions Despite challenges, teams continued to participate in the CSLC, recognising the importance of collaborative learning. The CSN Framework is helpful for state/jurisdiction teams to improve child safety systems and develop their workforce.

  • Dissemination
  • Implementation / Translation
  • Process/impact evaluation

Data availability statement

Data are available on reasonable request. Deidentified data available on reasonable request from the corresponding author.

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Data availability statement

Data are available on reasonable request. Deidentified data available on reasonable request from the corresponding author.

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  • Contributors JBL and BA made substantial contributions to the manuscript’s conception, design and writing. JBL is resonsible for the overall content as guarantor. JS-C and MK contributed to the collection and analysis of data. JS-C contributed to the editing of the manuscript. All authors approved this version for publication.

  • Funding The Children’s Safety Network is supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under the Child and Adolescent Injury and Violence Prevention Resource Centres Cooperative Agreement (U49MC28422) for US$5 000 000 with 0% financed with non-governmental sources.

  • Disclaimer The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS, or the U.S. Government.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.