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[Therapeutic errors and dose measuring devices]

S García-Tornel, M L Torrent, J Sentís

    Anales Espanoles De Pediatria
    |June 1, 1982
    PubMed
    Summary
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    Home spoon sizes vary significantly, leading to potential medication errors when administering syrups. Syrups should include dosing meters, or healthcare providers should use syringes for accurate pediatric dosing.

    Area of Science:

    • Pharmacology
    • Pediatrics
    • Drug Administration

    Background:

    • Therapeutic errors can occur during medication administration, particularly with liquid formulations like syrups.
    • Inaccurate dosing devices, such as household spoons, contribute to variability in syrup administration.
    • Pediatric patients are especially vulnerable to dosage errors due to their smaller body size.

    Purpose of the Study:

    • To investigate the potential for therapeutic errors in syrup administration.
    • To assess the accuracy of common household spoons used for measuring syrup doses.
    • To evaluate the availability of dosing devices and concentration information on syrup products.

    Main Methods:

    • Measured the capacity of 158 household spoons, classifying them into table, tea, coffee, and miscellaneous groups.

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  • Compared measured spoon volumes to theoretical standard volumes (15 cc, 5 cc, 2.5 cc).
  • Analyzed syrup packaging for the presence of integrated dosing meters and explicit drug concentration (mg/cc) information.

    • Main Results:

    • Significant statistical differences were found between measured and theoretical volumes for table spoons.
    • Only 18% of analyzed syrup products included a dosing meter.
    • Approximately 88% of syrup products indicated drug concentration in mg/cc.

    Conclusions:

    • Household spoons are unreliable for accurate syrup dosing, increasing the risk of therapeutic errors.
    • The pharmaceutical industry should incorporate dosing meters into syrup products to enhance medication safety.
    • In the absence of integrated meters, oral syringes are recommended for precise pediatric syrup administration.