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Published on: January 8, 2020
Patient Weight Should Be Included on All Medication Prescriptions.
Lisa Lubsch1,2, Katelin Kimler3, Nicole Passerrello4
1Southern Illinois University Edwardsville School of Pharmacy, Edwardsville, Illinois (LL).
Accurate patient weight is crucial for safe medication dosing, especially for children. Requiring weight on all prescriptions ensures pharmacists can verify doses, improving patient safety in both inpatient and outpatient settings.
Area of Science:
- Pharmacology
- Patient Safety
- Health Informatics
Background:
- Medication dosing frequently relies on patient weight for safety and efficacy.
- Inpatient settings mandate weight recording, unlike ambulatory settings where it's often omitted.
- Lack of weight data hinders community pharmacists' ability to verify weight-based doses.
Purpose of the Study:
- To highlight the importance of patient weight in medication prescription.
- To advocate for the mandatory inclusion of patient weight on all prescriptions.
- To improve medication safety and pharmacist's verification capabilities.
Main Methods:
- Review of current prescription practices in inpatient and ambulatory settings.
- Analysis of pharmacist's challenges in verifying weight-based doses without patient weight.
- Examination of recommendations from professional organizations like the Pediatric Pharmacy Association.
Main Results:
- Patient weight is inconsistently recorded in ambulatory prescriptions.
- Pharmacists face difficulties verifying weight-based doses without accurate patient weight data.
- Standard adult dosing allows for some error identification, unlike weight-based pediatric or adult doses.
Conclusions:
- Requiring patient weight (in kilograms) on all prescriptions is essential for both inpatient and outpatient care.
- Mandatory weight recording enhances pharmacists' ability to ensure safe and effective medication dosing.
- Implementing this standard improves patient safety, particularly for pediatric populations.
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