Decreasing errors in pediatric continuous intravenous infusions

Pediatric Critical Care Medicine

Volumn 7, Issue 3, 2006, Pages 225-230

  Lehmann, Christoph U ^a   Kim, George R ^a   Gujral, Renmeet ^b   Veltri, Michael A ^c   Clark, John S ^c   Miller, Marlene R ^d  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b CENTER FOR DRUG EVALUATION AND RESEARCH   (United States)

^c JOHNS HOPKINS HOSPITAL   (United States)

^d JOHNS HOPKINS CHILDREN S CENTER   (United States)

Author keywords

Computer assisted; Decision support systems; Drug therapy; Infusions; Medication errors, prevention and control

Indexed keywords

ADRENALIN; AMINOCAPROIC ACID; AMIODARONE; BICARBONATE; DOBUTAMINE; DOPAMINE; ESMOLOL; FENTANYL; FUROSEMIDE; GLYCERYL TRINITRATE; HEPARIN; HYDROMORPHONE; INSULIN; KETAMINE; LABETALOL; LIDOCAINE; MIDAZOLAM; MILRINONE; MORPHINE; NALOXONE; NICARDIPINE; NITROPRUSSIDE SODIUM; NORADRENALIN; OCTREOTIDE; PHENYLEPHRINE; PROSTAGLANDIN E1; TERBUTALINE; VASOPRESSIN;

CHILD; CHILD HEALTH CARE; CLINICAL RESEARCH; COMPUTER ANALYSIS; CONTINUING EDUCATION; DECISION SUPPORT SYSTEM; DOSE CALCULATION; DRUG INFUSION; EMERGENCY WARD; HOSPITAL PHARMACY; HUMAN; INFANT; INTENSIVE CARE UNIT; INTERNET; MEDICATION ERROR; NEWBORN; NEWBORN INTENSIVE CARE; ONCOLOGY; OPERATING ROOM; PATIENT CARE; PATIENT SAFETY; PEDIATRIC HOSPITAL; PRIORITY JOURNAL; REVIEW;

EID: 33646861388     PISSN: 15297535     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PCC.0000216415.12120.FF     Document Type: Article

References (31)

1. Kaushal R, Bates DW, Landrigan C, et al: Medication errors and adverse drug events in pediatric inpatients. JAMA 2001; 285:2114-2120
2. Barber N, Rawlins M, Dean Franklin B: Reducing prescribing error: competence, control, and culture. Qual Saf Health Care 2003; 12(Suppl 1):i29-i32
3. Lustig A: Medication error prevention by pharmacists: An Israeli solution. Pharm World Sci 2000; 22:21-25
4. Wong IC, Ghaleb MA, Franklin BD, et al: Incidence and nature of dosing errors in paediatric medications: A systematic review. Drug Saf 2004; 27:661-670
5. Worrell PJ, Hodson KE: Posology: The battle against dosage calculation errors. Nurse Educ 1989; 14:27-31
6. Calliari D: The relationship between a calculation test given in nursing orientation and medication errors. J Contin Educ Nurs 1995; 26:11-14
7. Hardman JG, Limbird LE, eds: Goodman and Gilman's The Pharmacological Basis of Therapeutics. Tenth ed. New York, McGraw-Hill, Medical Publishing Division, 2001, p 7
8. Coiera EW, Jayasuriya RA, Hardy J, et al: Communication loads on clinical staff in the emergency department. Med J Aust 2002; 176:415-418
9. Treluyer JM: Erreurs d'administration des médicaments par voie intraveineuse chez l'enfant. Arch Pediatr 2005; 12:924-926
10. Herout PM, Erstad BL: Medication errors involving continuously infused medications in a surgical intensive care unit. Crit Care Med 2004; 32:428-432
11. Calabrese AD, Erstad BL, Brandl K, et al: Medication administration errors in adult patients in the ICU. Intensive Care Med 2001; 27:1592-1598
12. Clauson KA, Seamon MJ, Clauson AS, et al: Evaluation of drug information databases for personal digital assistants. Am J Health Syst Pharm 2004; 1561:1015-1024
13. Bizovi KE, Beckley BE, McDade MC, et al: The effect of computer-assisted prescription writing on emergency department prescription errors. Acad Emerg Med 2002; 9:1168-1175
14. Wilson K, Sullivan M: Preventing medication errors with smart infusion technology. Am J Health Syst Pharm 2004; 61:177-183
15. O'Connell M, Cash J, Parker H, et al: Standard dose concentrations and smart pump technology reduce infusion errors in a pediatric hospital. Pediatr Crit Care Med 2004; 5:510
16. Leape LL: "Smart" pumps: A cautionary tale of human factors engineering. Crit Care Med 2005; 33:679-680
17. Rothschild JM, Keohane CA, Cook EF, et al: A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med 2005; 33:533-540
18. Joint Commission on Accreditation of Healthcare Organizations. Evaluating Safety and Quality Using the National Patient Safety Goals. Available online at http://www.jcaho.org/general+public/patient+safety/npsg+general+public.htm (Last accessed 12/1/2005)
19. Lehmann CU, Conner KG, Cox JM: Preventing provider errors: Online total parenteral nutrition calculator. Pediatrics 2004; 113:748-753
20. Lehmann CU, Veltri MA: Harriet Lane Infusion Calculator. Available online at http://dermatlas.med.jhmi.edu/drips/drips.cfm (Last accessed 11/30/2005)
21. McLeroy PA: The rule of six: Calculating intravenous infusions in a pediatric crisis situation. Hosp Pharm. 1994; 29:939-940, 943
22. Joint Commission on Accreditation of Healthcare Organizations. Transition Plan from Rule of 6. JCAHOnline, December 2004/January 2005. http://www.jcaho.org/about+us/news+letters/jcahonline/jo_01_05.htm (Last accessed 12/1/2005)
23. Gaffoor MI, Hilmas E, Mathews L, et al: Rule of Six vs. Standardized Concentrations: A National Survey of Factors Affecting Choice of Method. Poster. Society for Critical Care Medicine 34th Annual Congress, Jan 15-19, 2005, Phoenix, AZ. http://www.icudrips.org/ourpublications.html (Last accessed 12/1/2005)
24. Gaffoor MI, Hilmas E, Mathews L, et al: National Online Survey of Rule of Six Versus Standardized Concentrations. Presented at Pediatric Critical Care Colloquium, 2004. Abstract online at: http://www.icudrips.org/PCCMsurveyresults. pdf (Last accessed 12/1/2005)
25. ICUDrips.org. Our Opinion on the Rule of Six vs. Standardized Drips Debate. http://www.icudrips.org/opinion.html (Last accessed 12/1/2005)
26. Veronica L, Gunn C, Nechyba M, et al, eds: Harriet Lane Handbook: A Manual for Pediatric House Officers. 16th Edition. St. Louis, CV Mosby, 2002
27. Macromedia Coldfusion. Available online at http://www.macromedia.com/ software/coldfusion/ (Last accessed 12/1/2005)
28. Six Sigma: Definition of Tribal Knowledge. Available online at http://www.isixsigma.com/dictionary/Tribal_Knowledge-488.htm (Last accessed 12/1/2005)
29. Santell JP, Hicks R: Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf 2005; 31:348-353
30. Joint Commission on Accreditation of Healthcare Organizations. 2004 National Patient Safety Goals: Questions about Goal #3 (Medication Safety). http://www.jcaho.org/accredited+organizations/patient+safety/06_npsg_3_faq.pdf (Last accessed 12/1/2005)
31. Lehmann CU, Kim GR: Prevention of medication errors. Clin Perinatol 2005; 32:107-123, vii