WHEN 6-year-old Chance Pendleton came out of surgery for a wandering eye, it was obvious that something was not right. "He was crying hysterically, vomiting and kept saying, 'I wish I was dead,' " his mother, Grace Alexander, of Paris, Tex., recalled.
The boy had been through surgery before and had never reacted this way. "The nurse was quite peeved and wanted me to calm him before he disturbed anyone," said Ms. Alexander, who said Chance was denied more pain and anti-nausea medication. "She thought he was just throwing a tantrum."
After about 20 minutes, another nurse walked by, and Ms. Alexander beckoned her for help. The nurse checked the intravenous line in Chance's ankle and saw that it wasn't inserted correctly. He wasn't receiving any medication. She immediately fixed it, bringing relief to Chance in a matter of seconds.
Medical mistakes, though also common in adults, can have more serious consequences in children, doctors say. The actor Dennis Quaid's newborn twins nearly died last year after receiving 1,000 times the prescribed dose of a blood thinner. Other infants have died from the same error. A study in the journal Pediatrics in April found that problems due to medications occurred in 11 percent of children who were in the hospital, and that 22 percent of them were preventable.
An Institute of Medicine report nearly a decade ago highlighted the prevalence of medical errors, and they are still a major problem. "There's been slow progress in the decline of these errors," said Dr. Peter B. Angood, chief patient safety officer of the Joint Commission, the independent hospital accreditation agency. The agency recently called on hospitals to further reduce medication errors in children.
Children are also the victims of diagnostic errors, incorrect procedures or tests, infections and injuries.
Medical errors pose a greater threat to children than to adults for a number of reasons. They are physically small, and their kidneys, liver and immune system are still developing. Even a tiny increase in the dose of medication can have serious effects — especially in babies born prematurely. And if children take a turn for the worse, they can deteriorate more rapidly than adults. Children also are less able to communicate what they are feeling, making it difficult to diagnose their problem or know when a symptom or complication develops.
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