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Minimizing prescribing errors in infants and children

G N Fox1

  • 1Forest Oak Family Physicains, Sylvania, Ohio, USA.

American Family Physician
|March 1, 1996
PubMed
Summary
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Pediatric prescription errors pose significant risks to children. Implementing systematic prescribing processes, clear communication, and standardized dosage calculations can enhance medication safety for young patients.

Area of Science:

  • Pediatrics
  • Pharmacology
  • Patient Safety

Background:

  • Family physicians commonly prescribe medications for children, with antibiotics being frequently used.
  • Even minor prescription errors can lead to serious adverse events in a large pediatric population.
  • Factors contributing to errors include drug name, packaging, formulation variations (especially liquid concentrations), and human error.

Purpose of the Study:

  • To highlight the risks associated with pediatric prescribing in family medicine.
  • To recommend strategies for reducing medication errors in pediatric prescriptions.
  • To improve the safety and accuracy of medication orders for children.

Main Methods:

  • Review of common factors contributing to pediatric prescription errors.

Related Experiment Videos

  • Proposal of a systematic approach to minimize prescribing errors.
  • Emphasis on standardized pediatric dosage calculation techniques.

    • Main Results:

    • Prescription errors in pediatrics can have substantial adverse consequences due to high prescribing volumes.
    • Specific error sources identified include drug nomenclature, packaging, and multiple liquid concentrations.
    • Human factors in medication selection and prescribing are significant contributors.

    Conclusions:

    • A systematic approach involving distraction minimization and staff safety checks is recommended.
    • Consistent use of standard pediatric dosage calculation methods is crucial.
    • Clear prescription writing, avoiding abbreviations, specifying indications, and detailing administration schedules are vital for clarity and safety.