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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Prescribing errors in a pediatric emergency department.

Michael L Rinke¹, Margaret Moon, John S Clark

¹Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD, USA.

Pediatric Emergency Care

|January 1, 2008

Summary

Prescribing errors are frequent in pediatric emergency departments for both inpatient orders and outpatient prescriptions. Interventions should focus on improving medication safety for less experienced prescribers and reinforcing safe writing practices.

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Area of Science:

Pediatric Emergency Medicine
Pharmacology
Patient Safety

Background:

Medication errors pose a significant risk in pediatric care.
Accurate prescribing is crucial for effective treatment in pediatric emergency settings.

Purpose of the Study:

To determine the frequency, prescriber, and type of prescribing errors.
To analyze errors in written in-house orders and ambulatory prescriptions within a pediatric emergency department (PED).

Main Methods:

Retrospective chart review of in-house orders (17 days) and ambulatory prescriptions (6 months).
Analysis focused on weight-based dosing, route, frequency, dose accuracy, and drug allergies.
Excluded narcotics from ambulatory prescription analysis.

Main Results:

12.5% of in-house orders and 19.4% of ambulatory charts had errors.
Common errors included incorrect dose (4.3%) and incorrect writing (10.8%).
Postgraduate residents and attending physicians showed varying error rates depending on order type.

Conclusions:

Prescribing errors are prevalent in pediatric emergency departments.
Targeting interventions toward less experienced prescribers and reinforcing safe medication writing techniques is recommended.
Improving medication safety in PEDs requires focused interventions.