Pediatric antidepressant medication errors in a national error reporting database

Journal of Developmental and Behavioral Pediatrics

Volumn 31, Issue 2, 2010, Pages 129-136

  Rinke, Michael L ^a   Bundy, David G ^a,b   Shore, Andrew D ^c   Colantuoni, Elizabeth ^b,c   Morlock, Laura L ^c   Miller, Marlene R ^a,c,d  

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

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^d National Association of Children's Hospitals and Related Institutions   (United States)

Author keywords

Antidepressant; Medication error; MEDMARX; Pediatric; Psychiatry

Indexed keywords

ANTIDEPRESSANT AGENT;

ADOLESCENT; AMBULATORY CARE; ARTICLE; CHILD; DATA BASE; FEMALE; HOSPITALIZATION; HUMAN; MALE; MEDICATION ERROR; PEDIATRICS; PRESCHOOL CHILD; UNITED STATES;

ADOLESCENT; AMBULATORY CARE; ANTIDEPRESSIVE AGENTS; CHILD; CHILD, PRESCHOOL; DATABASES AS TOPIC; FEMALE; HOSPITALIZATION; HUMANS; MALE; MEDICATION ERRORS; PEDIATRICS; UNITED STATES;

EID: 76849107321     PISSN: 0196206X     EISSN: None     Source Type: Journal    
DOI: 10.1097/DBP.0b013e3181ce6509     Document Type: Article

References (30)

1. Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285: 2114-2120.
2. Kaushal R, Jaggi T, Walsh K, Fortescue EB, Bates DW. Pediatric medication errors: what do we know? What gaps remain? Ambul Pediatr. 2004;4:73-81.
3. McPhillips HA, Stille CJ, Smith D, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147:761-767.
4. Miller MR, Robinson KA, Lubomski LH, Rinke ML, Pronovost PJ. Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. Qual Saf Health Care. 2007;16:116-126.
5. Grasso BC, Rothschild JM, Genest R, Bates DW. What do we know about medication errors in inpatient psychiatry? Jt Comm J Qual Saf. 2003;29:391-400.
6. Institute of Medicine. Improving the Quality of Health Care for Mental and Substance-Use Conditions. Washington, DC: National Academies Press; 2006.
7. Jayaram G. Medication errors in psychiatric treatment: where do we go from here? Psychiatry. 2007;4:63-64.
8. Hunkeler EM, Fireman B, Lee J, et al. Trends in use of antidepressants, lithium, and anticonvulsants in Kaiser Permanente-insured youths, 1994-2003. J Child Adolesc Psychopharmacol. 2005;15:26-37.
9. Shatin D, Drinkard CR. Ambulatory use of psychotropics by employer-insured children and adolescents in a national managed care organization. Ambul Pediatr. 2002;2:111-119.
10. Zito JM, Safer DJ, dosReis S, et al. Psychotropic practice patterns for youth: a 10-year perspective. Arch Pediatr Adolesc Med. 2003;157:17-25.
11. Zito JM, Safer DJ, dosReis S, Gardner JF, Boles M, Lynch F. Trends in the prescribing of psychotropic medications to preschoolers. JAMA. 2000;283:1025-1030.
12. Kurian BT, Ray WA, Arbogast PG, Fuchs DC, Dudley JA, Cooper WO. Effect of regulatory warnings on antidepressant prescribing for children and adolescents. Arch Pediatr Adolesc Med. 2007; 161:690-696.
13. Libby AM, Brent DA, Morrato EH, Orton HD, Allen R, Valuck RJ. Decline in treatment of pediatric depression after FDA advisory on risk of suicidality with SSRIs. Am J Psychiatry. 2007;164:884-891.
14. Classen DC, Pestotnik SL, Evans RS, Burke JP. Computerized surveillance of adverse drug events in hospital patients. JAMA. 1991;266:2847-2851.
15. Bates DW, Leape LL, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8:289-294.
16. Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157:1569-1576.
17. Grasso BC, Genest R, Jordan CW, Bates DW. Use of chart and record reviews to detect medication errors in a state psychiatric hospital. Psychiatr Serv. 2003;54:677-681.
18. Ito H, Yamazumi S. Common types of medication errors on long-term psychiatric care units. Int J Qual Health Care. 2003; 15:207-212.
19. Rothschild JM, Mann K, Keohane CA, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry. 2007;29:156-162.
20. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110:186-195.
21. Santell JP, Hicks RW, McMeekin J, Cousins DD. Medication errors: experience of the United States Pharmacopeia (USP) MEDMARX reporting system. J Clin Pharmacol. 2003;43:760-767.
22. Santell JP, Hicks RW, Cousins DD. MEDMARX Data Report: A Chartbook of 2000-2004 Findings from Intensive Care Units and Radiological Services. Rockville, MD: The United States Pharmacopeia Center for the Advancement of Patient Safety; 2005.
23. National Coordinating Council for Medication Error Reporting and Prevention. [NCCMERP Web Site.] Available at: http://www.nccmerp.org. Accessed May 20, 2006.
24. National Institutes of Mental Health list of medications [NIMH Web Site]. Available at: http://www.nimh.nih.gov. Accessed June 24, 2008.
25. Thomas DR, Singh AC, Roberts GR. Tests of independence on two-way tables under cluster sampling: an evaluation. Int Stat Rev. 1996;64:295-311.
26. Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: making the case for full disclosure. Jt Comm J Qual Patient Saf. 2006;32:344-350.
27. Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15:208-213.
28. Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161:179-185.
29. Hobgood C, Tamayo-Sarver JH, Elms A, Weiner B. Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Pediatrics. 2005;116: 1276-1286.
30. Leape LL. Reporting of adverse events. N Engl J Med. 2002;347: 1633-1638.