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 treatment. Nasogastric 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
- Institute for Healthcare Improvement (IHI)
View at Publisher | View at Google Scholar - World Health Organization (WHO) Patient Safety
View at Publisher | View at Google Scholar - Agency for Healthcare Research and Quality (AHRQ)
View at Publisher | View at Google Scholar - The Joint Commission
View at Publisher | View at Google Scholar - American Academy of Pediatrics (AAP)
View at Publisher | View at Google Scholar - National Patient Safety Foundation (NPSF)
View at Publisher | View at Google Scholar - Institute of Medicine (IOM) Report -
View at Publisher | View at Google Scholar - World Alliance for Patient Safety - WHO Collaborating Centre for Patient Safety Solutions
View at Publisher | View at Google Scholar - National Institute for Children's Health Quality (NICHQ)
View at Publisher | View at Google Scholar - Patient Safety and Quality Healthcare (PSQH)
View at Publisher | View at Google Scholar