Medical Errors: Children Are the Most Vulnerable

A recent New York Times article sheds light on the dangers of medical errors, particularly in infants and children since they are more vulnerable due to their small size. They are also still developing, and the effects of a medical error during this crucial time can have permanent or potentially life threatening consequences.

According to the article, the most common medical mistakes in children are:

  • Hospital infections
  • Medication errors
  • Catheter injuries
  • Misdiagnosis

In many instances, such errors are preventable but they happen nevertheless. Nearly a decade ago, the Institute of Medicine released a report on the prevalence of medical mistakes in the United States. At the time, the agency estimated that about 98,000 death a year were caused by preventable medical mistakes.

Some hospitals have taken measures to reduce the incidence of preventable errors, but more needs to be done, especially where children are involved.  In the meantime, parents can act as advocates for their children by asking questions, paying attention, and speaking up when necessary.

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Etiologic Profile of Spastic Diplegia in Children

This title is from an Abstract published in Pediatric Neurology in the September Issue.  "Etiologic Profile of Spastic Diplegia in Children" is a fancy way of saying what causes Spastic Diplegia.

Here's what jumped out at me.

The top three diagnoses were hypoxic-ischemic perinatal asphyxia (33%), periventricular leukomalacia (15%), and central nervous system infections (11%).In premature children, the most common diagnoses were periventricular leukomalacia (33%), perinatal asphyxia (26%), and central nervous system infections (15%). In term-born children, the most frequent diagnoses were perinatal asphyxia (37%), metabolic disease (12%), and structural malformation or infection (9% each).

There is a higher risk of injury to a child if the child is born premature.  This is why one of the questions we need answered when investigating a medical malpractice action is "Was the child born premature"

You can see from the above results that the "cause" with the highest percentage in full term children is perinatal asphyxia.
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