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Preventing Health Care–Associated Harm in Children

Kathleen E. Walsh, MD, MSc1; David G. Bundy, MD, MPH2; Christopher P. Landrigan, MD, MPH3,4
[+] Author Affiliations
1Department of Pediatrics, Cincinnati Children’s Hospital, University of Cincinnati School of Medicine, Cincinnati, Ohio
2Department of Pediatrics, Medical University of South Carolina, Charleston
3Division of General Pediatrics, Department of Pediatrics, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts
4Division of Sleep Medicine, Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts
JAMA. 2014;311(17):1731-1732. doi:10.1001/jama.2014.2038.
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Injuries due to medical care continue to affect substantial numbers of children; estimates range from 15% to 35% of hospitalized children.1,2 Although such harms are common in all patients, children are at substantial risk for health care–associated harm because of many unique factors, including the complexity of weight-based medication dosing, a lack of medication solutions made in concentrations for children, or technology, such as computer order entry, which may not always have specific pediatric dose limits. As pediatric patient safety practices and research evolve, there has been progress toward the goal of eliminating health care–associated harm to children.


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