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What is new in paediatric medication safety?
Stacie Kahn1, Erika L Abramson1,2
1Department of Pediatrics, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, USA.
Insights
New advancements in paediatric medication safety aim to reduce common medical errors in children. Technologies like CPOE, barcoding, and SMART pumps are improving medication safety from ordering to administration.
Area of Science:
- Pediatric Medicine
- Patient Safety
- Health Informatics
Background:
- Medication errors are frequent medical errors, with children being a vulnerable population.
- Errors can occur at any stage of the medication process, impacting patient safety.
- Improving medication safety in pediatrics is critical for child health outcomes.
Purpose of the Study:
- To review recent advancements in pediatric medication safety.
- To highlight innovations across the entire medication process: ordering, transcribing, dispensing, and administration.
- To identify remaining gaps in pediatric medication safety.
Main Methods:
- Review of current literature and emerging technologies in pediatric medication safety.
- Focus on interventions like Computerized Provider Order Entry (CPOE) with clinical decision support.
- Examination of barcoding, SMART pumps, mobile applications, and workflow management systems.
Main Results:
- Computerized provider order entry with clinical decision support enhances medication safety.
- Barcoding technologies and SMART pumps improve medication administration accuracy.
- Mobile applications and workflow systems show promise in pilot studies.
Conclusions:
- Technological interventions are crucial for advancing pediatric medication safety.
- Continued focus and research are needed to address remaining safety gaps.
- Implementing these advancements can create a safer environment for pediatric patients.
Abstract:
Medication-related errors are among the most common medical errors, and studies have shown that the paediatric population is particularly vulnerable. Errors can occur during any step in the medication process. This review article seeks to highlight new advancements in the field of paediatric medication safety at each stage of the medication process, from ordering and transcribing to medication dispensing and administration. We will focus on interventions that are increasingly widely used, such as computerised provider order entry with clinical decision support, barcoding technologies and safe medication administration through technologies pumps (SMART pumps), as well as innovative mobile application devices and workflow management systems that are being piloted at single institutions. By highlighting what is new in paediatric medication safety, as well as the gaps that remain, we hope to continue to foster focus on this critically important area in order to create the safest possible environment for children.
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