Related Experiment Video
Updated: Sep 26, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Pharmacotherapeutic follow-up in hospitalised paediatric patients: adapting Dáder methodology]
D Fontana Raspanti1, N Solá Uthurry
1Departamento de Farmacia. Facultad de Ciencias Químicas. Universidad Nacional de Córdoba. Argentina. danielaf@dqo.fcq.unc.edu.ar
Insights
A new normalized work procedure (NWP) adapted the DA inverted exclamation mark der methodology for pediatric inpatients, identifying and resolving drug-related problems (DRP). The pilot study demonstrated the NWP
Area of Science:
- Clinical Pharmacy
- Pediatric Pharmacotherapy
- Drug-Related Problems (DRP)
Context:
- The DA inverted exclamation mark der methodology, a framework for identifying and resolving drug-related problems (DRP).
- Pediatric inpatients present unique challenges in pharmacotherapeutic management.
- The need for standardized procedures in pediatric pharmacotherapy.
Purpose:
- To adapt the DA inverted exclamation mark der methodology for pediatric inpatients.
- To design a normalized work procedure (NWP) for identifying and resolving DRPs in this population.
- To establish a pilot pharmacotherapeutic follow-up plan to evaluate the NWP.
Summary:
- A normalized work procedure (NWP) was developed by adapting the DA inverted exclamation mark der methodology for pediatric inpatients.
- A pilot study involving 21 pediatric inpatients identified 27 DRPs, with 71.4% of patients experiencing at least one DRP.
- Effectiveness and safety issues constituted the majority of DRPs, with a 55.6% resolution rate.
Impact:
- The NWP successfully adapted the DA inverted exclamation mark der methodology to a hospital setting for pediatric care.
- The pilot plan highlighted the critical role of pharmacists in multidisciplinary health teams.
- Implementation of the NWP can improve the quality of pharmacologic treatments for pediatric inpatients.
Objectives:
To adapt the DA inverted exclamation mark der methodology to identify and resolve drug related problems (DRP) in pediatric inpatients by disigning a normalized work procedure (NWP). To establish a pilot plan of pharmacotherapeutic follow-up to evaluate the NWP created.
Methods:
The DA inverted exclamation mark der methodology is taken as a base adapting it to the characteristics and needs of pediatric inpatients and a NWP for their pharmacotherapeutic follow-up is created. A pilot plan consisting in a prospective longitudinal follow-up study is designed. The population and setting of the study are all the inpatients during one month in a room at the Municipal Childrenâs Hospital.
Results:
The NWP is composed by the following steps: Previous phase: patient selection; follow-up phase: data compilation, information analysis (situation state, study phase, global evaluation), pharmaceutical intervention; results; clinical sessions; record documents. Pilot plan: 21 patients were studied; 71.4% of them presented at least 1 DRP during hospitalization period and 27 DRP were identified in all studied cases; 51.9% of DRP were effectiveness problems, 37.0% were related to safety and 11.1% to necessity; 55.6% of the health problems were resolved.
Conclusions:
The elaboration of the NWP allowed to adapt the DA inverted exclamation mark der methodology at the hospital setting. The pilot plan was very useful in carrying out the pharmacotherapeutic follow-up of pediatric inpatients thus showing the necessity of pharmacistâs participation in the health team to improve the quality of the inpatientâs pharmacologic treatments.
Related Concept Videos
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Dosage Regimens: Designs and Approaches
Pharmacokinetics in Pediatric Patients: Drug Distribution
Dosage Regimens: Partial Pharmacokinetic Parameters
Therapeutic Drug Monitoring: Drug Analysis Methods