Safe_Med_Safe_Kid_Safe_Future_Case_Study_PPT.pptx

Safe_Med_Safe_Kid_Safe_Future_Case_Study-paediatric administration,cases, drug calculations,adverse drug reaction

1. Safe Med, Safe Kid, Safe Future World Patient Safety Day 2025 Theme: Safe care for every newborn and every child – Patient safety from the start!

2. Introduction • Children are highly vulnerable to medication errors. • Even small errors can cause serious harm. • Safe medication practices in pediatrics ensure a safe future.

3. Why Kids Are at Risk • Dosing depends on age and weight. • Limited pediatric formulations available. • Children cannot communicate side effects clearly. • Dependence on caregivers increases risks.

4. Common Pediatric Medication Errors • Wrong dose (decimal errors, mg/kg miscalculations). • Wrong drug (look-alike/sound-alike medicines). • Wrong route (oral vs IV confusion). • Wrong formulation (adult vs pediatric). • Unsafe storage at home.

5. Calculation Examples Example 1: Paracetamol 15 mg/kg/dose q6h • 12 kg child → Correct: 180 mg • Wrong (decimal error): 1800 mg → Liver injury Example 2: Gentamicin 7 mg/kg/day • 5 kg neonate → Correct: 35 mg/day • Wrong: 350 mg → Nephrotoxicity

6. Case 1 – The Decimal Error 3-year-old, 12 kg, given 1800 mg paracetamol instead of 180 mg. Outcome: Vomiting, liver injury. Discussion: 1. Identify the error. 2. Correct calculation? 3. Prevention steps?

7. Case 2 – Wrong Concentration IV 2-month-old, 4 kg neonate. Gentamicin 20 mg/day prescribed, but 200 mg given. Outcome: Kidney injury, hearing loss. Discussion: 1. What went wrong? 2. Safeguards in NICU? 3. Nurse-pharmacist collaboration?

8. Case 3 – LASA Error 5-year-old, asthma. Salbutamol prescribed but Salmeterol dispensed. Outcome: ICU admission. Discussion: 1. What error type? 2. LASA prevention? 3. Pharmacist role?

9. Case 4 – Unsafe Caregiver Practice 18-month-old. Parent used household spoon for syrup dosing. Outcome: Under/overdose, poor recovery. Discussion: 1. Parent education? 2. Nurse discharge role? 3. Community pharmacist support?

10. Case 5 – High-Alert Insulin Error 9-year-old, Type 1 DM. Insulin 10 units prescribed, 100 units given. Outcome: Severe hypoglycemia, seizures. Discussion: 1. What error? 2. Abbreviations to avoid? 3. High-alert protocol?

11. Evidence-Based Data • WHO: Medication errors → 500,000 preventable deaths yearly. • Pediatric units have 3x higher error rate than adults. • Most common: dosing errors, infusion mistakes. • ADRs in neonates often underreported.

12. Safe Med Practices (Nurses & Pharmacists) • Follow the 5 Rights + 2. • Independent double-check for high-alert meds. • Use oral syringes & standardized concentrations. • Report ADRs and near-misses.

13. Safe Kid Practices (Parents & Caregivers) • Teach parents safe dosing methods. • Always use syringes/cups, not household spoons. • Store medicines out of reach. • Avoid unsafe OTC use. • Check expiry and labels carefully.

14. Safe Future (Our Role) • Build safer pediatric systems. • Train healthcare staff in pediatric drug safety. • Adopt e-prescribing and barcoding. • Encourage non-punitive error reporting.

15. ✨ Safe Med, Safe Kid, Safe Future ✨ Patient Safety from the Start!