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Review of patient safety for children and young people

Review of patient safety for children and young people
Reference number
0886
Issue date01 June 2009
TypeData report

This report highlights some of the patient safety issues for children, young people and their families.

It uses data from the Reporting and Learning System (RLS), key patient safety quantitative studies, and external stakeholder consultations.

There were 910,089 incidents reported to the RLS over a one-year period (1 October 2007 to 30 September 2008). Of these, 2 per cent related to the care of neonates and 5 cent to the care of children.

The report highlighted the following issues:

  • Difficulty recognising the severity of illness.
  • A high rate of reported medication administration errors, particularly dosing errors.
  • Under-reporting of incidents in primary care.
  • The lack of an integrated approach to children’s risk management that incorporates health, education and social care.
  • A need for improved communication and listening skills when providing healthcare to children.
  • A lack of recognition and appropriate management of mental health issues in young people.

Actions include:

  1. Using available tools and resources.
  2. Registering for the Patient Safety First Campaign or the 1000 Lives Campaign.
  3. Using the Paediatric Global Trigger Tool.
  4. Ensuring that ‘Spotting the Sick Child 2’ is available as a reference tool.
  5. Reviewing local standard operating procedures for medicines management.
  6. Ensuring staff meet the National Service Framework for Children standard in relation to sharing information.
  7. Training healthcare staff to recognise mental health issues in young people.

Review of patient safety for children and young people
Review of patient safety for children and young people - 272 KB 0886 - Review of patient safety for children and young people - 2009-06 - V1