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Liquid medication dosing errors in children: role of provider counseling strategies

H Shonna Yin1, Benard P Dreyer1, Hannah A Moreira1

  • 1Department of Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY.

Academic Pediatrics
|April 29, 2014
PubMed

Insights

Combining advanced provider counseling with dosing tools significantly reduces liquid medication errors in children. This dual approach is more effective than either strategy alone for preventing dosing mistakes.

Area of Science:

  • Pediatric Emergency Medicine
  • Health Literacy
  • Medication Safety

Background:

  • Parental medication dosing errors are a significant concern in pediatric care.
  • Effective communication strategies and tools are crucial for improving medication adherence and safety.

Purpose of the Study:

  • To assess the impact of provider counseling strategies and dosing instrument provision on reducing pediatric liquid medication dosing errors.
  • To determine if advanced communication techniques and dosing aids, used in combination, decrease medication errors.

Main Methods:

  • Cross-sectional analysis of 287 parents in urban pediatric emergency departments.
  • Data collected on provider counseling (advanced techniques like teachback) and dosing instrument receipt.
  • Multivariate logistic regression analyzed dosing errors (>20% deviation) controlling for various demographic and health literacy factors.

Main Results:

  • 41.1% of parents made dosing errors.
  • Advanced counseling and instrument provision were associated with fewer errors (30.5% vs 46.4% and 21.8% vs 45.7%, respectively).
  • Combined advanced counseling and instrument provision significantly reduced the odds of error (aOR 0.3; 95% CI 0.1-0.7).

Conclusions:

  • Provider use of advanced counseling strategies and dosing instruments together is highly effective in reducing pediatric medication dosing errors.
  • The synergistic effect of combining these interventions offers a promising approach to enhance medication safety.
Abstract

Keywords:
adherenceambulatory carehealth literacymedication errorparentspatient communicationpatient education

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