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Updated: Feb 3, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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

Published on: November 9, 2016

31.2K

Pediatric Medication Safety in the Emergency Department

Lee Benjamin, Karen Frush, Kathy Shaw

    Pediatrics
    |October 24, 2018
    PubMed

    Insights

    Pediatric medication errors in emergency departments (EDs) are a significant concern. Key strategies to improve patient safety include standardized dosing, optimized electronic ordering, and enhanced professional training.

    Area of Science:

    • Emergency Medicine
    • Pediatric Patient Safety
    • Pharmacology

    Background:

    • Pediatric patients in emergency departments (EDs) face a high risk of medication errors.
    • Multiple factors contribute to the vulnerability of this patient population.

    Purpose of the Study:

    • To identify key opportunities for improving medication safety in the pediatric emergency setting.
    • To foster a discussion among experts on best practices for pediatric medication administration.

    Main Methods:

    • A multidisciplinary panel was convened by the Emergency Medical Services for Children program and the American Academy of Pediatrics Committee on Pediatric Emergency Medicine.
    • The panel discussed and identified critical areas for intervention.

    Main Results:

    • Opportunities include: kilogram-only weight-based dosing, optimizing computerized physician order entry (CPOE) with clinical decision support, standardizing medication concentrations and formularies, integrating pharmacists into ED workflows, enhancing professional training, systematizing medication dispensing and administration, and addressing home medication discharge challenges.

    Conclusions:

    • Implementing these strategies can significantly reduce medication errors in pediatric EDs.
    • A coordinated, multidisciplinary approach is essential for enhancing pediatric medication safety.

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