Medication errors in children

Pediatric Drugs

Volumn 11, Issue 1, 2009, Pages 52-54

  Kozer, Eran ^a,b  

^a ASSAF HAROFEH MEDICAL CENTER   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

Author keywords

Children; Medication errors

Indexed keywords

AUTOMATION; CHILD SAFETY; CONFERENCE PAPER; CRITICALLY ILL PATIENT; MEDICAL ERROR; MEDICATION ERROR; PATIENT SAFETY; PHARMACIST; PRIORITY JOURNAL;

CHILD; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; MEDICAL ORDER ENTRY SYSTEMS; MEDICAL RECORDS SYSTEMS, COMPUTERIZED; MEDICATION ERRORS; PHARMACISTS; PHYSICIAN'S PRACTICE PATTERNS; PROFESSIONAL ROLE; QUALITY ASSURANCE, HEALTH CARE; RISK FACTORS;

EID: 58149347426     PISSN: 11745878     EISSN: None     Source Type: Journal    
DOI: 10.2165/0148581-200911010-00017     Document Type: Conference Paper

References (35)

1. Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. ADE Prevention Study Group. JAMA 1995; 274 (1): 29-34
2. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324 (6): 377-84
3. Phillips DP, Christenfeld N, Glynn LM. Increase in US medication-error deaths between 1983 and 1993. Lancet 1998; 351 (9103): 643-4
4. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press, 2000
5. Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA 1990; 263 (17): 2329-34
6. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001 Apr 25; 285 (16): 2114-20
7. Kozer E, Scolnik D, Macpherson A, et al. Variables associated with medication errors in pediatric emergency medicine. Pediatrics 2002; 110 (4): 737-42
8. Perlstein PH, Callison C, White M, et al. Errors in drug computations during newborn intensive care. Am J Dis Child 1979; 133 (4): 376-9
9. Glover ML, Sussmane JB. Assessing pediatrics residents' mathematical skills for prescribing medication: a need for improved training. Acad Med 2002; 77 (10): 1007-10
10. Kozer E, Scolnik D, Macpherson A, et al. The effect of an educational intervention on the incidence of prescribing errors in the pediatric emergency department: a prospective cohort study. Can J Clin Pharmacol 2006; 13 (3): e285-91
11. Rowe C, Koren T, Koren G. Errors by paediatric residents in calculating drug doses. Arch Dis Child 1998; 79 (1): 56-8
12. Kozer E, Scolnik D, Jarvis AD, et al. The effect of detection approaches on the reported incidence of tenfold errors. Drug Saf 2006; 29 (2): 169-74
13. Ross LM, Wallace J, Paton JY. Medication errors in a paediatric teaching hospital in the UK: five years operational experience. Arch Dis Child 2000; 83 (6): 492-7
14. Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. BMJ 2004; 329 (7478): E1321
15. Goldman RD, Scolnik D. Underdosing of acetaminophen by parents and emergency department utilization. Pediatr Emerg Care 2004; 20 (2): 89-93
16. Simon HK, Weinkle DA. Over-the-counter medications: do parents give what they intend to give? Arch Pediatr Adolesc Med 1997; 151 (7): 654-6
17. Greenberg R, Grossman Z, Goldstein L, et al. How much acetaminophen do paediatricians prescribe? A survey among Israeli paediatricians. J Clin Pharm Ther 2005; 30 (5): 443-6
18. Watson WA, Litovitz TL, Rodgers Jr GC, et al. 2004 Annual report of the American Association of Poison Control Centers Toxic Exposure Surveillance System. Am J Emerg Med 2005; 23 (5): 589-666
19. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA 1995; 274 (1): 35-43
20. Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med 2004; 351 (18): 1838-48
21. Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008 Mar 1; 336 (7642): 488-91
22. King WJ, Paice N, Rangrej J, et al. The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics 2003; 112 (3 Pt 1): 506-9
23. Potts AL, Barr FE, Gregory DF, et al. Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics 2004; 113 (1 Pt 1): 59-63
24. Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005; 293 (10): 1197-203
25. Ash JS, Gorman PN, Seshadri V, et al. Computerized physician order entry in US hospitals: results of a 2002 survey. J Am Med Inform Assoc 2004 Mar-Apr; 11(2): 95-9. Epub 2003 Nov 21
26. Kozer E, Scolnik D, Macpherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized controlled trial. Pediatrics 2005; 116 (6): 1299-302
27. Shah AN, Frush K, Luo X, et al. Effect of an intervention standardization system on pediatric dosing and equipment size determination: a crossover trial involving simulated resuscitation events. Arch Pediatr Adolesc Med 2003; 157 (3): 229-36
28. Leape LL, Cullen DJ, Clapp MD, et al. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA 1999; 282 (3): 267-70
29. Bayne T, Bindler R. Effectiveness of medication calculation enhancement methods with nurses. J Nurs Staff Dev 1997; 13 (6): 293-301
30. Fortescue EB, Kaushal R, Landrigan CP, et al. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics 2003; 111 (4 Pt 1): 722-9
31. Borel JM, Rascati KL. Effect of an automated, nursing unit-based drug-dispensing device on medication errors. Am J Health Syst Pharm 1995; 52: 1875-9
32. Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med 2005; 353: 329-31
33. Oren E, Shaffer ER, Guglielmo BJ. Impact of emerging technologies on medication errors and adverse drug events. Am J Health Syst Pharm. 2003 Jul 15; 60: 1447-58
34. Suresh G, Horbar JD, Plsek P, et al. Voluntary anonymous reporting of medical errors for neonatal intensive care. Pediatrics 2004; 113 (6): 1609-18
35. Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv 1995; 21 (10): 541-8