Prescribing errors in pediatric outpatient department at a tertiary care hospital in Malaysia

Jian Lynn Lee1

  • 1Department of Pharmacy, Hospital Tengku Ampuan Rahimah, Jalan Langat, 41200, Klang, Selangor Darul Ehsan, Malaysia. jianlynn83@yahoo.com.

Insights

Prescribing errors in pediatric outpatient departments are common, with ambiguous prescriptions and incorrect dosages being frequent issues. Prescriber experience significantly impacts error rates, potentially affecting children

Area of Science:

  • Pediatric pharmacology
  • Medication safety
  • Health services research

Background:

  • Prescribing errors in children are prevalent due to individualized dosing.
  • These errors pose significant risks to the pediatric population.
  • Understanding contributing factors is crucial for improving medication safety.

Purpose of the Study:

  • To determine the prevalence and types of prescribing errors in a Malaysian pediatric outpatient department.
  • To identify factors contributing to these prescribing errors.
  • To assess the potential clinical consequences of identified errors.

Main Methods:

  • Prospective, cross-sectional observational study.
  • Analysis of 250 new prescriptions (493 items) from a tertiary care hospital's pediatric outpatient clinic and pharmacy.
  • Descriptive statistics and logistic regression were employed.

Main Results:

  • 13% of prescriptions contained at least one error; 7.3% of all items were prescribed incorrectly.
  • Ambiguous prescriptions (61.1%) and unrecommended dose regimens (13.9%) were the most common errors.
  • Prescriptions written by house officers showed a significantly increased risk of error (OR 4.72).

Conclusions:

  • Prescriber experience is a key factor influencing pediatric prescribing errors.
  • A substantial proportion of errors were potentially significant or serious.
  • Interventions targeting prescriber education and prescription clarity are needed to enhance patient safety.

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