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X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
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Evaluation of a Pharmacist-Driven Pediatric Dose Rounding Protocol.

Shannon V Brown1, Richard Patterson1, Tamara Davidson1

  • 1Department of Pharmacy (SVB, RP, TD, NAR), Carilion Roanoke Memorial Hospital and Carilion Children's Hospital, Roanoke, VA.

The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG
|October 3, 2022
PubMed
Summary

A pharmacist-led dose rounding protocol significantly improved the administration of measurable medication volumes in pediatric patients. This initiative reduced medication errors and offered potential annual cost savings.

Keywords:
cost savingsdose roundingmedication errorspatient dischargepediatricspharmacyprescriptions

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Area of Science:

  • Pediatric Pharmacy Practice
  • Medication Safety
  • Pharmacoeconomics

Background:

  • Pediatric medication errors, particularly calculation and rounding errors, occur at three times the rate of adult populations.
  • Accurate medication dosing is critical for patient safety and treatment efficacy in children.

Purpose of the Study:

  • To evaluate the impact of a pharmacist-driven pediatric dose rounding protocol.
  • To assess changes in the administration of measurable medication volumes.
  • To determine potential cost savings associated with the protocol.

Main Methods:

  • A quasi-experimental study involving patients aged 18 years or younger receiving liquid medications.
  • Evaluation of measurable dose volumes pre- and post-protocol implementation.
  • Analysis of discharge prescriptions and cost implications.

Main Results:

  • The rate of measurable medication volumes increased from 72% to 93% post-protocol (p = 0.0001).
  • Pharmacist dose rounding affected 313 medications in the post-implementation group.
  • Estimated annual cost savings of approximately $1400 were identified.

Conclusions:

  • A pharmacist-driven dose rounding protocol effectively increased the administration of measurable medication volumes in pediatric patients.
  • The protocol contributes to enhanced medication safety and potential cost efficiencies.