Greve Paul
Willis Health Care Practice, USA.
J Healthc Risk Manag. 2011;31(2):19-29. doi: 10.1002/jhrm.20084.
Pediatric risk is both unique and volatile. Children are more vulnerable when treated in any healthcare environment, but especially in the acute care setting. Children with chronic healthcare conditions are more challenging to treat and more susceptible to medical errors. Despite marked improvement in the national medical malpractice environment, the most volatile claims involve severely injured patients under age eighteen and especially those patients in the first year of life. This article provides the context of pediatric care in reviewing the demographics of children and the healthcare delivery system. The unique factors of pediatric care that create increased risk are also reviewed. Low frequency/high severity claims involving children are discussed in detail as well as physician claims in the specialty of general pediatrics. Risk management solutions for pediatric issues are proposed.
儿科风险既独特又多变。儿童在任何医疗环境中接受治疗时都更易受到伤害，尤其是在急症护理环境中。患有慢性疾病的儿童治疗起来更具挑战性，也更容易出现医疗差错。尽管全国医疗事故环境有了显著改善，但最易引发纠纷的索赔涉及18岁以下的重伤患者，尤其是一岁以下的患者。本文在回顾儿童人口统计学和医疗服务提供系统的背景下阐述了儿科护理。还回顾了导致儿科护理风险增加的独特因素。详细讨论了涉及儿童的低频/高严重度索赔以及普通儿科专业的医生索赔。并提出了针对儿科问题的风险管理解决方案。
