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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Rinke, Michael L. Moon, Margaret Clark, John S. Mudd, Shawna Miller, Marlene R. |
Description | Country affiliation: United States Author Affiliation: Rinke ML ( Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD, USA.) |
Abstract | OBJECTIVES: To determine the frequency, prescriber, and type of prescribing errors in written in-house orders and ambulatory prescriptions in a pediatric emergency department (PED). METHODS: A 17-day retrospective chart review and a 6-month retrospective ambulatory prescription review in a PED for medications with weight-based dosing. Orders and prescriptions were checked for prescriber identification number, route, weight-based target dose in milligrams per kilogram, frequency, correct dosing, and drug allergies. Narcotics were excluded from the prescription analysis. RESULTS: Forty-seven (12.5%) of 377 in-house orders and 37 (19.4%) of 191 individual charts contained at least 1 error: 4 (1.1%) orders contained an incorrect dose, 41 (10.8%) were written incorrectly, and 2 (0.5%) contained an incorrect dose and were written incorrectly. Thirty (4.3%) of 696 ambulatory prescriptions contained 1 error: 14 (2.0%) contained an incorrect dose, and 16 (2.3%) were written incorrectly. Pediatric postgraduate year-3 residents had the highest in-house order incorrect dose error rate (1 of 29 orders or 3.5%), and ED pediatric postgraduate year-2 residents had the highest ambulatory prescription incorrect dose error rate (6 of 66 prescriptions or 9.1%). Pediatric ED attending physicians had the highest error rates for writing orders and prescriptions incorrectly, 25% (3 of 12) and 9.7% (3 of 31), respectively. Antibiotics, analgesics, and narcotics were most often involved in errors. CONCLUSIONS: Prescribing errors are common in both written in-house orders and ambulatory prescriptions in a PED. Targeting safety interventions toward groups with less practice in prescribing pediatric doses and reeducating groups on safe medication writing techniques could decrease this error rate. |
File Format | HTM / HTML |
ISSN | 07495161 |
Issue Number | 1 |
Volume Number | 24 |
e-ISSN | 15351815 |
Journal | Pediatric Emergency Care |
Language | English |
Publisher | Lippincott Williams & Wilkins |
Publisher Date | 2008-01-01 |
Publisher Place | United States |
Access Restriction | Subscribed |
Subject Keyword | Discipline Emergency Medicine Discipline Pediatrics Ambulatory Care Statistics & Numerical Data Emergency Service, Hospital Medication Errors Pediatrics Standards Academic Medical Centers Child Child, Preschool Drug Prescriptions Female Follow-up Studies Hospitals, Pediatric Humans Incidence Infant Internship And Residency Male Medical Staff, Hospital Trends Retrospective Studies Risk Assessment Comparative Study Journal Article |
Content Type | Text |
Resource Type | Article |
Subject Domain (in MeSH) | Eukaryota Therapeutics Investigative Techniques Health Occupations Education Persons Health Care Facilities, Manpower, and Services |
Subject | Pediatrics, Perinatology and Child Health Emergency Medicine |
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