Advertisement

“Patient Safety in Pediatric Patients -Nurses Concern”

mini Review Article | DOI: https://doi.org/DOI:10.31579/2835-8295/030

“Patient Safety in Pediatric Patients -Nurses Concern”

  • Mary Anbarasi Johnson *

via Sant’Andrea 32, 56127 Pisa, Italy 

*Corresponding Author: Mary Anbarasi Johnson, Professor of Pharmacology via Sant’Andrea 32, 56127 Pisa, Italy.

Citation: Johnson Mary, (2023), Patient Safety in Pediatric Patients -Nurses Concern, International Journal of Clinical Reports and Studies, 2(4); DOI:10.31579/2835-8295/030

Copyright: © 2023, Johnson Mary. This is an open-access artic le distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 08 August 2023 | Accepted: 28 August 2023 | Published: 31 August 2023

Keywords: patient safety; medication error; falls; pressure sores; adverse events

Abstract

Patient safety is a fundamental aspect of healthcare, especially in the context of pediatric care, where vulnerable children rely on competent and vigilant healthcare professionals. Nurses play a pivotal role in ensuring the safety of pediatric patients throughout their healthcare journey. This essay delves into the critical aspects of patient safety in pediatric care and explores the specific concerns that nurses face in this setting. It examines the challenges nurses encounter, the strategies and initiatives implemented to enhance patient safety, and the importance of creating a culture of safety within healthcare organizations. The essay emphasizes the indispensable role of nurses as advocates for their young patients and highlights the need for continuous education and training to promote a culture of safety.

Introduction

Patient safety is of paramount importance in healthcare for several reasons, Protecting Patients: The primary goal of patient safety is to protect patients from harm and prevent adverse outcomes related to their medical care. Patients, especially vulnerable populations such as children in pediatric care, trust healthcare professionals to provide safe and effective treatments. Minimizing Medical Errors: Medical errors, such as medication mistakes, misdiagnoses, or surgical errors, can have severe consequences for patients. By implementing patient safety measures, healthcare providers aim to minimize these errors and reduce the likelihood of harm. Children are vulnerable patients who require specialized care and attention. Safety measures are crucial to prevent accidents, injuries, and adverse events. Ensuring a safe environment promotes better outcomes and enhances patient experience

Background:

Enhancing Quality of Care: Patient safety is closely linked to the overall quality of healthcare. Safe care not only prevents harm but also improves patient outcomes and ensures the delivery of effective treatments. Building Trust and Confidence: When patients know that their safety is a priority for healthcare providers, it builds trust and confidence in the healthcare system. Patients are more likely to adhere to treatment plans and seek medical attention promptly when they believe their safety is safeguarded. Reducing Healthcare Costs: Medical errors and adverse events can lead to increased healthcare costs due to extended hospital stays, additional treatments, and potential legal actions. By prioritizing patient safety, healthcare organizations can reduce avoidable expenses.

Fostering a Positive Healthcare Culture:

Patient safety is an integral part of creating a culture of safety within healthcare organizations. When all members of the healthcare team are committed to patient safety, it leads to improved communication, teamwork, and a proactive approach to identifying and addressing safety concerns.

Meeting Regulatory and Accreditation Requirements:

Patient safety is a crucial aspect of meeting regulatory standards and accreditation requirements for healthcare institutions. Compliance with patient safety guidelines is essential for maintaining licensure and certification.

Advancing Healthcare Research and Learning:

Data on patient safety incidents and near misses contribute to healthcare research and learning. Analyzing safety events helps identify areas for improvement and informs the development of evidence-based best practices.

Preventing Adverse Events in High-Risk Populations:

Certain patient populations, such as pediatric patients, the elderly, and those with complex medical conditions, are more vulnerable to adverse events. Emphasizing patient safety is critical for protecting these high-risk groups.

Ethical Responsibility:

Patient safety is an ethical imperative for healthcare professionals. Upholding the principle of beneficence requires prioritizing patient well-being and taking all necessary precautions to ensure their safety during treatment.

Medication Errors:

Administering medications to children requires precise dosing based on weight, age, and medical condition. Errors in calculation or dispensing 

can lead to adverse drug reactions, toxicity, or inadequate treatment. Medication errors can have severe consequences for pediatric patients. Implement strict medication management protocols and double-check procedures. Use age-appropriate medication dosages and delivery methods

Infections:

  • Hand hygiene.
  • Use of personal protective equipment (e.g., gloves, masks, eyewear).
  • Respiratory hygiene / cough etiquette.
  • Sharps safety (engineering and work practice controls).
  • Safe injection practices (i.e., aseptic technique for parenteral medications).
  • Sterile instruments and devices.
  • Clean and disinfected environmental surfaces

Patient Identification:

  • Ensure accurate patient identification through multiple checks.
  • Use age-appropriate identification methods like photo badges or wristbands.
  • Implement barcode scanning for medication administration.
  • Double checking of medications in pediatric set up

Communication:

Children may have difficulty expressing their symptoms or understanding medicainformation. 

  • Effective communication with both the child and their parents or guardians is essential to ensure

Medical Device Safety:

The use of medical devices, such as ventilators or intravenous pumps, in pediatric patients requires specialized settings and careful monitoring to avoid complications. accurate diagnosis and appropriate treatmentNasogastric tube misplacement, Thermal injuries, Medication safety, Procedural Mishaps, Diabetic care

Surgical Safety: Pediatric surgeries have specific risks, and ensuring appropriate patient selection, proper consent, and adherence to surgical protocols is essential management. Check list for anesthesia confirm, nurse confirm, surgeon confirm, scrub confirm aswell time out are mandatory to ensure surgical safety among children undergoing surgery

Allergen Management:

  • Children often have allergies that must be carefully managed.
  • Maintain an updated allergy list and (Any type of allergy-drug, food allergies)
  • communicate it effectively among staff.
  • Avoid cross-contamination and ensure appropriate allergen-free meals.

Psychological support

  • Engage parents and caregivers in the child's care plan and safety measures
  • Educate families on potential hazards and safety protocols.
  • Encourage open communication and address their concerns.rt and family involvement

Diagnostic Errors:

Diagnosing children can be challenging due to variations in symptoms and the limited ability of children to articulate their problems.Proper evaluation, including consideration of age-appropriate differences, is vital to avoid misdiagnosis.

Parent Involvement: Involving parents or caregivers in the care process is crucial to ensure continuity of care and to provide essential information about the child's health and medical history

Staff Training:

  • Properly trained staff can significantly reduce safety risks.
  • Conduct regular training sessions on pediatric-specific safety protocols.
  • Encourage a culture of reporting and learning from near-miss incidents.

Conclusion:

patient safety is a foundational pillar of healthcare delivery. It encompasses measures, strategies, and a cultural mindset that prioritizes preventing harm, minimizing errors, and ensuring the well-being of patients. By embracing patient safety as a core value, healthcare providers and organizations demonstrate their commitment to excellence in patient care and contribute to overall improvements in healthcare quality and outcomes.

References

Clinical Trials and Clinical Research: I am delighted to provide a testimonial for the peer review process, support from the editorial office, and the exceptional quality of the journal for my article entitled “Effect of Traditional Moxibustion in Assisting the Rehabilitation of Stroke Patients.” The peer review process for my article was rigorous and thorough, ensuring that only high-quality research is published in the journal. The reviewers provided valuable feedback and constructive criticism that greatly improved the clarity and scientific rigor of my study. Their expertise and attention to detail helped me refine my research methodology and strengthen the overall impact of my findings. I would also like to express my gratitude for the exceptional support I received from the editorial office throughout the publication process. The editorial team was prompt, professional, and highly responsive to all my queries and concerns. Their guidance and assistance were instrumental in navigating the submission and revision process, making it a seamless and efficient experience. Furthermore, I am impressed by the outstanding quality of the journal itself. The journal’s commitment to publishing cutting-edge research in the field of stroke rehabilitation is evident in the diverse range of articles it features. The journal consistently upholds rigorous scientific standards, ensuring that only the most impactful and innovative studies are published. This commitment to excellence has undoubtedly contributed to the journal’s reputation as a leading platform for stroke rehabilitation research. In conclusion, I am extremely satisfied with the peer review process, the support from the editorial office, and the overall quality of the journal for my article. I wholeheartedly recommend this journal to researchers and clinicians interested in stroke rehabilitation and related fields. The journal’s dedication to scientific rigor, coupled with the exceptional support provided by the editorial office, makes it an invaluable platform for disseminating research and advancing the field.

img

Dr Shiming Tang

Clinical Reviews and Case Reports, The comment form the peer-review were satisfactory. I will cements on the quality of the journal when I receive my hardback copy

img

Hameed khan