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Incidence, characteristics, and predictive factors for medication errors in paediatric anaesthesia: a prospective

C Gariel1, B Cogniat1, F-P Desgranges1

  • 1Department of Anaesthesia and Intensive Care, Femme Mère Enfant Hospital, Hospices Civils de Lyon, Bron, France.

British Journal of Anaesthesia
|February 18, 2018
PubMed

Insights

Medication errors occurred in 2.6% of paediatric anaesthetics, with incorrect dosing being most common. Longer procedures (>120 min) were linked to increased risk of these critical medication errors.

Area of Science:

  • Anesthesiology
  • Pediatric Medicine
  • Patient Safety

Background:

  • Medication errors are frequent in hospitalized patients.
  • Pediatric patients face higher risks due to complex dosing and drug preparation.
  • This study investigated medication errors in pediatric anesthesia.

Purpose of the Study:

  • Determine the incidence of medication errors in pediatric anesthesia.
  • Identify characteristics of these errors.
  • Find potential predictive factors for medication errors.

Main Methods:

  • Prospective incident monitoring study.
  • Conducted in a pediatric surgical center (Nov 2015 - Jan 2016).
  • Included children (<18 yr) undergoing general anesthesia; anonymous incident forms completed by anesthesiologists.

Main Results:

  • 37 medication errors (2.6%) reported in 1400 incident forms.
  • Opioids and antibiotics were most common drugs involved.
  • Incorrect dose (67.5%) was the primary error type; longer procedures (>120 min) were significantly associated with errors (aOR 4).

Conclusions:

  • Medication errors are a significant concern in pediatric anesthesia.
  • Understanding error mechanisms is crucial for developing preventive strategies.
  • Further studies are needed to assess the effectiveness of preventive measures.
Abstract

Keywords:
anaesthesiaerrorsgeneralmedicationpaediatrics

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