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[Medication administration errors in a pediatric intensive care unit].

C Steckmeyer1, S Henn-Ménétré, S Le Tacon

  • 1Service pharmacie, hôpital Brabois Enfants, rue du Morvan, 54511 Vandoeuvre-Lès-Nancy, France. c.stecki@wanadoo.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|April 20, 2007
PubMed
Summary
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Drug administration errors, including omissions and incorrect rates, occurred in 17.4% of cases in a pediatric intensive care unit. Improvements were implemented to enhance medication safety.

Area of Science:

  • Pharmacology
  • Patient Safety
  • Health Services Research

Context:

  • Medication administration is a critical stage in the drug circuit, with potential for adverse drug events.
  • The study was conducted in a pediatric intensive care unit of a teaching hospital.

Purpose:

  • To identify adverse drug events (ADEs) occurring during medication administration.
  • To suggest improvements for medication administration processes.

Summary:

  • A retrospective review compared 1035 prescription and administration records.
  • 180 errors (17.4%) were detected, including omissions, infusion rate errors, and administrations without prescriptions.
  • No errors in the route of administration were found.

Impact:

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  • Identified specific medication administration errors to inform targeted interventions.
  • Led to the implementation of a new prescription form and drug preparation protocols.
  • Aimed to reduce the incidence of ADEs at the administration stage.