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[Medication errors in pediatric inpatients: a multicentric prospective study]
C Stheneur1, J-B Armengaud, C Castro
1Service de Pédiatrie, Assistance Publique-Hôpitaux de Paris, Hôpital Ambroise-Paré, 8, Avenue du Général-de-Gaulle, 92100 Boulogne-Billancourt, France.
Insights
Pediatric medication errors are frequent, involving both prescription and administration. Identifying contributing factors is crucial for developing targeted safety interventions in pediatric care.
Area of Science:
- Pediatric pharmacology
- Patient safety research
- Healthcare quality improvement
Context:
- Medication errors pose a significant risk in pediatric inpatient settings.
- Understanding the frequency and characteristics of these errors is essential for improving care.
- This study investigated medication errors across various pediatric wards.
Purpose:
- To enhance understanding of pediatric medication error rates.
- To characterize the nature and contributing factors of these errors.
- To identify risk factors associated with medication errors in children.
Summary:
- A prospective study analyzed 75 reports of medication errors in pediatric wards.
- Errors primarily occurred during prescription (21 cases) and administration (45 cases).
- Attributable factors were identified in 39 cases, including protocol non-adherence, lack of knowledge, and system flaws.
Impact:
- Findings highlight the commonality of medication errors in pediatric inpatients.
- Complex contributing factors necessitate comprehensive safety strategies.
- Recommendations include developing robust medication safety programs and error reporting systems for pediatric patients.
Objective:
To improve the knowledge of medication errors in paediatrics: rate of occurrence, error characteristics, risk factors.
Patients And Methods:
Our prospective study included nine uninformed teaching paediatric wards (general paediatrics, emergency departments, intensive care units) using a describing questionnaire built from medical reports analysis (event description, medical issues, contributing personal and structural factors) during a two-months period.
Results:
Seventy-five questionnaires were collected and analysed. Medical errors reported concerned prescription: 21 cases and administration: 45 cases. Ten errors led to adverse effects. An attributable factor was noted in 39 cases. Concerning prescription errors, no respect to protocol: 11 cases, lack of knowledge: 3 cases, personal communication failure: 3 cases were noted. Concerning administration errors, human mistakes (lack of experience, miscommunication, calculation error): 8 cases, unclear prescription: 6 cases and system flaws: 6 cases were noted. Several attribuable causes were reported in 8 cases.
Conclusions:
Medication errors in paediatrics inpatients are common and contributing factors intricated. Paediatricians should help hospitals develop effective programs for safety providing medications, reporting medication errors, errors analysis strategy and creating a safe environment of medication for all hospitalised paediatric patients.
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