Analysis of medication prescribing errors in critically ill children
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 3418785
Author(s) Glanzmann, Corina; Frey, Bernhard; Meier, Christoph R; Vonbach, Priska
Author(s) at UniBasel Meier, Christoph R.
Year 2015
Title Analysis of medication prescribing errors in critically ill children
Journal European journal of pediatrics
Volume 174
Number 10
Pages / Article-Number 1347-55
Abstract Medication prescribing errors (MPE) can result in serious consequences for patients. In order to reduce errors, we need to know more about the frequency, the type and the severity of such errors. We therefore performed a prospective observational study to determine the number and type of medication prescribing errors in critically ill children in a paediatric intensive care unit (PICU). Prescribing errors were prospectively identified by a clinical pharmacist. A total of 1129 medication orders were analysed. There were 151 prescribing errors, giving an overall error rate of 14 % (95 % CI 11 to 16). The medication groups with the highest proportion of MPEs were antihypertensives, antimycotics and drugs for nasal preparation with error rates of each 50 %, followed by antiasthmatic drugs (25 %), antibiotics (15 %) and analgesics (14 %). One hundred four errors (70 %) were classified as MPEs which required interventions and/or resulted in patient harm equivalent to 9 % of all medication orders (95 % CI 6.5 to 14.4). Forty-five MPEs (30 %) did not result in patient harm.; With a view to reduce MPEs and to improve patient safety, our data may help to prevent errors before they occur.; • Prescribing errors may be the most frequent medication errors. • In paediatric populations, the incidence of prescribing errors is higher than in adults. What is New: • Several risk factors for medication prescribing errors, such as medication groups, long PICU stay, and mechanical ventilation could be presented. • Analysing the combination of the most frequent prescribing errors and the severity of these errors.
Publisher Springer
ISSN/ISBN 1432-1076
edoc-URL http://edoc.unibas.ch/41946/
Full Text on edoc No
Digital Object Identifier DOI 10.1007/s00431-015-2542-4
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/25899070
ISI-Number WOS:000361649400011
Document type (ISI) Journal Article
 
   

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