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The Children’s Safety Network Framework for Quality Improvement and Innovation in Child Safety (CSN Framework) integrates child safety expertise, leadership and management, and systems improvement methods to strengthen child safety systems and workforce capacity, aiming to improve child and adolescent health outcomes. This white paper presents a study that investigated strengths and weaknesses of the CSN Framework from the perspective of state team representatives who participated in the Child Safety Learning Collaborative between November 2021 to May 2023.