Patient Safety Events Among Children Receiving Home Health Care - Report - MDSpire

Patient Safety Events Among Children Receiving Home Health Care

  • By

  • Carolyn C. Foster

  • Peter Walsh

  • Michelle High

  • Leo Barrera

  • Cara L. Coleman

  • Margaret M. Storey

  • Nikki Montgomery

  • Debbi Simmons Harris

  • Danny Valdez

  • Carol Haywood

  • Tara Lagu

  • Kathleen E. Walsh

  • Alisa Khan

  • Nicole E. Werner

  • May 4, 2026

  • 0 min

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Safety Incidents in Pediatric Patients Undergoing Home Health Services

Overview

This study identifies the rates and types of safety incidents in pediatric home health care (HHC) for children with medical complexity. It highlights a critical gap in understanding patient safety events in this setting, emphasizing the need for improved tracking and intervention strategies.

Background

Children with medical complexity (CMC) represent a vulnerable population at increased risk for safety incidents due to their complex care needs and reliance on high-risk medical technologies. As care shifts to home environments, understanding the safety landscape in pediatric HHC becomes essential for ensuring quality care. Current systems for tracking safety events in pediatric HHC are lacking, necessitating research to inform better practices.

Data Highlights

No numerical data available in the provided source material.

Key Findings

  • The study conducted a longitudinal retrospective cohort analysis of pediatric patients receiving HHC from a national agency.
  • Incident reports were used to capture safety events, defined as hazards, errors, or harm related to HHC care plans.
  • Children receiving nursing-level care with higher medical technology needs experienced more frequent safety events.
  • There is a significant lack of existing data on pediatric HHC safety events compared to traditional clinical settings.
  • Improved tracking and categorization of safety events is necessary to develop targeted interventions.

Clinical Implications

Healthcare practitioners must recognize the heightened risk of safety incidents in pediatric HHC, particularly for children with complex medical needs. Implementing robust tracking systems for safety events can facilitate better care practices and enhance patient safety in home settings.

Conclusion

This study underscores the urgent need for comprehensive safety monitoring in pediatric home health care to protect vulnerable children and improve care outcomes. Future research should focus on developing effective interventions to reduce safety incidents.

References

  1. American Academy of Pediatrics, 2025 -- Home Health Care of Children, Adolescents and Young Adults With Complex Medical Needs: Clinical Report
  2. Collaborative Model of Care for Children With Medical Complexity: A Randomized Clinical Trial, 2025
  3. Frontiers in Pediatrics — Gastroenterologically relevant high alert medications prescribed to children with chronic diseases—a consensus-driven single-center pilot study
  4. Drugs - Real World Outcomes — Analysis of Self-Reported Medication Safety Incidents Involving High-Alert Medications in Pediatric Hospitals: A Qualitative Study on Error Chains and Medication Errors
  5. Frontiers in Pediatrics — Incidence, Characteristics and Suggestions for Prevention of Adverse Events in Supervised Pediatric Oncology Exercise Sessions
  6. Drug Safety — Impact of Medication Prescribing and Administration Mistakes on Pediatric Patients in Acute Care: Insights from a Multidisciplinary Panel Evaluation
  7. Home Health Care of Children, Adolescents and Young Adults With Complex Medical Needs: Clinical Report - PubMed
  8. Collaborative Model of Care for Children With Medical Complexity: A Randomized Clinical Trial - PubMed
  9. Central line-associated bloodstream infections in children: a systematic review and meta-analysis - PMC

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