Errors Treating Kids?
Karen R.
McAlmon, president of the Massachusetts Chapter of the American Academy
of Pediatrics, believes that the lack of an on-site physician creates a
risk of medical errors – a risk that is amplified when treating
children with no pediatric specialist on site.
“If you
have people who aren’t used to dealing with children and
aren’t up to date on what’s new in the field, then an older
treatment that’s no longer being used has the risk of being
continued,” she says.
To avoid this
problem, the guidelines for the new clinics say they cannot treat
children age 24 months or younger.
“But even
with older children, there’s more risk than with adults being seen
in these clinics,” McAlmon adds.
MinuteClinic’s Ratner disagrees, explaining that all of
the company’s practitioners are board-certified family
nurses.
Plus, they have
built-in safeguards to prevent medical errors stemming from special
pediatric needs. For example, MinuteClinic has a prohibition on certain
vaccines for children under 4. And if a child presents for the same
condition at MinuteClinic three times in a year, the clinic has a system
built in to reject the patient and refer him or her to a pediatrician or
specialist.
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