Child Safety in Healthcare: Are We Overlooking These Critical Risks?
"New research reveals how families perceive adverse events in primary care—and what it means for your child's well-being."
In the late 1990s, a concerning trend emerged: patient safety was being compromised. The landmark report, To Err is Human, shed light on the fact that preventable errors in healthcare led to the deaths of tens of thousands of people. This sparked a global movement to prioritize patient safety and reduce unnecessary harm.
Since then, organizations like the American Academy of Pediatrics (AAP) and the World Health Organization (WHO) have launched initiatives to address this critical issue, particularly for vulnerable populations like children. These efforts emphasize system-level changes, professional training, and active involvement of patients and families.
But how safe is your child when they visit their local clinic? A recent qualitative study dug deep into this question, exploring the perceptions of families and caregivers regarding adverse events in primary care. The findings reveal potential blind spots and offer valuable insights for improving child safety in healthcare.
What Adverse Events Look Like Through a Parent's Eyes

The study, conducted at a Basic Health Unit in Porto Alegre, Brazil, involved in-depth interviews with 11 family members and caregivers. Their experiences revealed a range of concerns, categorized into three key areas:
- Adverse Events in Healthcare Actions: These included issues like poorly administered vaccinations leading to complications and infections resulting from improper wound care.
- Access and Resolution as Safety Principles: Participants highlighted the importance of easy access to care and timely resolution of health issues. Barriers to access, such as appointment scheduling challenges, and lack of follow-up were seen as safety risks.
- Professional Qualification and Competence: Families emphasized the need for qualified healthcare professionals with the skills and knowledge to provide safe and effective care. Concerns were raised about staff attitudes, communication, and perceived lack of expertise.
Empowering Parents: Taking an Active Role in Your Child's Safety
The research highlights a critical need for healthcare providers to actively engage with families, listen to their concerns, and address their perceptions of safety. By fostering open communication and building trust, healthcare systems can create a safer environment for children.
So, what can you do as a parent or caregiver? Here are a few key takeaways:
<ul> <li><b>Speak up:</b> Don't hesitate to voice your concerns to healthcare providers. If something doesn't seem right, ask questions and seek clarification.</li> <li><b>Be informed:</b> Understand your child's health conditions, medications, and treatment plans.</li> <li><b>Advocate for access:</b> Ensure your child has timely access to primary care and follow-up services.</li> <li><b>Partner with providers:</b> Work collaboratively with healthcare professionals to create a safe and supportive care plan for your child.</li> </ul> By taking an active role in your child's healthcare, you can help prevent adverse events and ensure their well-being.