Related Experiment Video
Updated: Jul 14, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Pediatric patient safety in the prehospital/emergency department setting
Isabel A Barata1, Lee S Benjamin, Sharon E Mace
1Department of Emergency Medicine, New York University School of Medicine, North Shore University Hospital, Manhasset, NY 11030, USA. IBARATA@aol.com
Insights
Pediatric emergency departments face unique safety challenges. Implementing standardized practices, teamwork, and improved medication safety systems can significantly reduce adverse events and improve outcomes for young patients.
Area of Science:
- Pediatric Emergency Medicine
- Patient Safety
- Healthcare Quality Improvement
Background:
- Pediatric patients, particularly young children and those with high acuity, are at increased risk for medical errors and adverse events in emergency departments (EDs).
- Current standard practices for ensuring pediatric patient safety in the ED are limited, contributing to vulnerability.
- Both prehospital and ED settings pose risks to pediatric patient safety.
Purpose of the Study:
- To provide an overview of the identified problems threatening pediatric patient safety in the ED.
- To explore and present potential solutions to mitigate these safety threats.
- To emphasize the importance of a safe environment and high-quality care in reducing pediatric morbidity and mortality.
Main Methods:
- Review and synthesis of existing literature on pediatric patient safety in emergency settings.
- Discussion of strategies including fostering a culture of safety and interdisciplinary teamwork.
- Analysis of methods to reduce medication errors through systems-based approaches and provider education.
Main Results:
- Organizational, manufacturing, and regulatory systems can enhance medication safety.
- Educating healthcare providers and equipping caregivers with monitoring tools are crucial for reducing prescribing errors.
- A high-quality, safe care environment is essential for improving outcomes.
Conclusions:
- Addressing pediatric patient safety in the ED requires a multi-faceted approach.
- Standardized practices, robust safety cultures, and effective teamwork are vital.
- Reducing medication errors and ensuring a high-quality environment are key to decreasing adverse events in pediatric emergency care.
Abstract:
The unique characteristics of the pediatric population expose them to errors in the emergency department (ED) with few standard practices for the safety of care. Young children and high-acuity patients are at increased risk of adverse events both in the prehospital and ED settings. We provide an overview of the problems and possible solutions to the threats to pediatric patient safety in the ED. Endorsing a culture of safety and training to work in a team are discussed. Medication errors can be reduced by using organizational systems, and manufacturing and regulatory systems, by educating health care providers, and by providing caregivers tools to monitor prescribing. The consensus is that a safe environment with a high quality of care will reduce morbidity and mortality in ED pediatric patients.
Related Concept Videos
Pharmacokinetics in Pediatric Patients: Drug Distribution
Cardiopulmonary Resuscitation III: AED Use
Pharmaceutical Poisoning: Potential Scenarios
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Excretion
Cardiopulmonary Resuscitation II: ACLS Airway Management

