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Prescribing for children
1Children's Services, Wirral University Teaching Hospital NHS Foundation Trust, United Kingdom. neil.caldwell@nhs.net
Insights
Children in emergency departments face unique medication risks. This study highlights best practices and guidelines for safe prescribing and administration of medicines for pediatric patients.
Area of Science:
- Pediatric Emergency Medicine
- Pharmacology
- Patient Safety
Background:
- Children face heightened risks with medication use in emergency settings due to dosing complexities (weight/age-based) and fractional administration of adult formulations.
- Effective management of pediatric medications in emergency departments is crucial for patient safety and optimal outcomes.
Purpose of the Study:
- To highlight aspects of good practice for pediatric emergency care, focusing on medication safety.
- To discuss the importance of medicines reconciliation and provide resources for practitioners.
- To outline guidelines for safe prescribing and administration of drugs to children.
Main Methods:
- Review of English National Service Framework (NSF) for Children, Young People and Maternity Services guidelines.
- Discussion of principles for medicines reconciliation and adherence.
- Identification of online resources for healthcare practitioners.
Main Results:
- Key aspects of good practice from the NSF are identified.
- The critical role of medicines reconciliation in preventing errors is emphasized.
- Resources supporting adherence and parent/child counseling are presented.
Conclusions:
- Individual assessment of drug-related needs for children and young people is essential.
- Established guidelines support safe prescribing and administration of medicines in pediatric emergency care.
- Implementing best practices enhances medication safety for children in emergency departments.
Abstract:
Many children receive urgent care within emergency departments. Children are at increased risk from the use of medicines for a number of reasons, including the need to calculate a weight or age-based dose or administration of a fraction or proportion of an adult formulation of medicine. Aspects of good practice from the English National Service Framework (NSF) for Children, Young People and Maternity Services are highlighted. The importance of good medicines reconciliation is discussed. Websites that support emergency care practitioners to address medicines adherence and counselling of parents and children on use of medicines are presented. The drug related needs of children and young people must be assessed on an individual basis. Guidelines are outlined to support safe prescribing and medicines administration.
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