메뉴 건너뛰기




Volumn 129, Issue 5, 2012, Pages 916-924

Tenfold medication errors: 5 Years' experience at a University-Affiliated Pediatric Hospital

Author keywords

10 fold medication error; Drug error; Patient safety; Pediatrics

Indexed keywords

ANTICOAGULANT AGENT; ANTIINFECTIVE AGENT; MORPHINE; NARCOTIC ANALGESIC AGENT;

EID: 84860559911     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2011-2526     Document Type: Article
Times cited : (90)

References (33)
  • 2
    • 0036791209 scopus 로고    scopus 로고
    • Variables associated with medication errors in pediatric emergency medicine
    • Kozer E, Scolnik D, Macpherson A, et al. Variables associated with medication errors in pediatric emergency medicine. Pediatrics. 2002;110(4):737-742
    • (2002) Pediatrics , vol.110 , Issue.4 , pp. 737-742
    • Kozer, E.1    Scolnik, D.2    Macpherson, A.3
  • 4
    • 0034149826 scopus 로고    scopus 로고
    • Improving medication administration error reporting systems. Why do errors occur?
    • spring
    • Wakefield BJ, Wakefield DS, Uden-Holman T. Improving medication administration error reporting systems. Why do errors occur? Ambul Outreach. 2000;(spring):16-20
    • (2000) Ambul Outreach , pp. 16-20
    • Wakefield, B.J.1    Wakefield, D.S.2    Uden-Holman, T.3
  • 6
    • 3242746673 scopus 로고    scopus 로고
    • Incidence and nature of dosing errors in paediatric medications: A systematic review
    • DOI 10.2165/00002018-200427090-00004
    • Wong IC, Ghaleb MA, Franklin BD, Barber N. Incidence and nature of dosing errors in paediatric medications: a systematic review. Drug Saf. 2004;27(9):661-670 (Pubitemid 38980451)
    • (2004) Drug Safety , vol.27 , Issue.9 , pp. 661-670
    • Wong, I.C.K.1    Ghaleb, M.A.2    Franklin, B.D.3    Barber, N.4
  • 7
    • 0842302570 scopus 로고    scopus 로고
    • Pediatric medication errors: What do we know? What gaps remain?
    • DOI 10.1367/1539-4409(2004)004<0073:PMEWDW>2.0.CO;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(1):73-81 (Pubitemid 38180876)
    • (2004) Ambulatory Pediatrics , vol.4 , Issue.1 , pp. 73-81
    • Kaushal, R.1    Jaggi, T.2    Walsh, K.3    Fortescue, E.B.4    Bates, D.W.5
  • 11
    • 0042131572 scopus 로고    scopus 로고
    • Prevention of medication errors in the pediatric inpatient setting
    • American Academy of Pediatrics Committee on Drugs;; American Academy of Pediatrics Committee on Hospital Care
    • Stucky ER; American Academy of Pediatrics Committee on Drugs;; American Academy of Pediatrics Committee on Hospital Care. Prevention of medication errors in the pediatric inpatient setting. Pediatrics. 2003; 112(2):431-436
    • (2003) Pediatrics , vol.112 , Issue.2 , pp. 431-436
    • Stucky, E.R.1
  • 13
  • 14
    • 0022446057 scopus 로고
    • Tenfold errors in administration of drug doses: A neglected iatrogenic disease in pediatrics
    • Koren G, Barzilay Z, Greenwald M. Tenfold errors in administration of drug doses: a neglected iatrogenic disease in pediatrics. Pediatrics. 1986;77(6):848-849 (Pubitemid 16066300)
    • (1986) Pediatrics , vol.77 , Issue.6 , pp. 848-849
    • Koren, G.1    Barzilay, Z.2    Greenwald, M.3
  • 15
    • 0033637240 scopus 로고    scopus 로고
    • Medication errors in a paediatric teaching hospital in the UK: Five years operational experience
    • 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):492-497
    • (2000) Arch Dis Child , vol.83 , Issue.6 , pp. 492-497
    • Ross, L.M.1    Wallace, J.2    Paton, J.Y.3
  • 16
    • 58149347426 scopus 로고    scopus 로고
    • Medication errors in children
    • Kozer E. Medication errors in children. Paediatr Drugs. 2009;11(1):52-54
    • (2009) Paediatr Drugs , vol.11 , Issue.1 , pp. 52-54
    • Kozer, E.1
  • 17
    • 79959796695 scopus 로고    scopus 로고
    • Opioid medication errors in pediatric practice: Four years' experience of voluntary safety reporting
    • Mc Donnell C. Opioid medication errors in pediatric practice: four years' experience of voluntary safety reporting. Pain Res Manag. 2011;16(2):93-98
    • (2011) Pain Res Manag , vol.16 , Issue.2 , pp. 93-98
    • Mc Donnell, C.1
  • 18
    • 70349108151 scopus 로고    scopus 로고
    • December Available at: Accessed July 2009
    • The National Coordinating Council for Medication Error Reporting and Preventions. NCC MERP: The first ten years - defining the problem and developing solutions. December 2005. Available at: http//www.nccmerp. org/pdf/ reportFinal2005-11-29.pdf. Accessed July 2009
    • (2005) NCC MERP: The First Ten Years - Defining the Problem and Developing Solutions
  • 19
    • 84860597197 scopus 로고    scopus 로고
    • The "five rights"
    • April 7, Available at: Accessed November 2009
    • Institute for Safe Medication Practices (ISMP) Canada Safety Bulletin. April 7, 1999. The "five rights." Available at: www.ismp.org/ Newsletters/acutecare/articles/19990407.asp. Accessed November 2009
    • (1999) Institute for Safe Medication Practices (ISMP) Canada Safety Bulletin
  • 21
    • 0032556180 scopus 로고    scopus 로고
    • Effect of computerized physician order entry and a team intervention on prevention of serious medication errors
    • Bates D, Leape L, Cullen D, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311-1316
    • (1998) JAMA , vol.280 , Issue.15 , pp. 1311-1316
    • Bates, D.1    Leape, L.2    Cullen, D.3
  • 22
    • 0023256955 scopus 로고
    • Medication error prevention by clinical pharmacists in two children's hospitals
    • Folli HL, Poole RL, Benitz WE, Russo JC. Medication error prevention by clinical pharmacists in two children's hospitals. Pediatrics. 1987;79(5):718-722 (Pubitemid 17087137)
    • (1987) Pediatrics , vol.79 , Issue.5 , pp. 718-722
    • Folli, H.L.1    Poole, R.L.2    Benitz, W.E.3    Russo, J.C.4
  • 24
    • 0036219335 scopus 로고    scopus 로고
    • Impact of a pediatric clinical pharmacist in the pediatric intensive care unit
    • Krupicka MI, Bratton SL, Sonnenthal K, Goldstein B. Impact of a pediatric clinical pharmacist in the pediatric intensive care unit. Crit Care Med. 2002;30(4):919-921 (Pubitemid 34297819)
    • (2002) Critical Care Medicine , vol.30 , Issue.4 , pp. 919-921
    • Krupicka, M.I.1    Bratton, S.L.2    Sonnenthal, K.3    Goldstein, B.4
  • 25
    • 0042338775 scopus 로고    scopus 로고
    • The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients
    • DOI 10.1542/peds.112.3.506
    • King WJ, Paice N, Rangrej J, Forestell GJ, Swartz R. The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics. 2003;112(3 pt 1):506-509 (Pubitemid 37082097)
    • (2003) Pediatrics , vol.112 , Issue.3 I , pp. 506-509
    • King, W.J.1    Paice, N.2    Rangrej, J.3    Forestell, G.J.4    Swartz, R.5
  • 26
    • 34247278164 scopus 로고    scopus 로고
    • Medication errors in paediatric care: A systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations
    • DOI 10.1136/qshc.2006.019950
    • 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(2): 116-126 (Pubitemid 46603618)
    • (2007) Quality and Safety in Health Care , vol.16 , Issue.2 , pp. 116-126
    • Miller, M.R.1    Robinson, K.A.2    Lubomski, L.H.3    Rinke, M.L.4    Pronovost, P.J.5
  • 27
    • 0037347323 scopus 로고    scopus 로고
    • Effect of an intervention standardization system on pediatric dosing and equipment size determination: A crossover trial involving simulated resuscitation events
    • Shah AN, Frush K, Luo X, Wears RL. 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):229-236 (Pubitemid 36343376)
    • (2003) Archives of Pediatrics and Adolescent Medicine , vol.157 , Issue.3 , pp. 229-236
    • Shah, A.N.1    Frush, K.2    Luo, X.3    Wears, R.L.4
  • 28
    • 33644699125 scopus 로고    scopus 로고
    • Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system
    • DOI 10.1542/peds.2005-1287
    • Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005;116(6):1506-1512 (Pubitemid 46056501)
    • (2005) Pediatrics , vol.116 , Issue.6 , pp. 1506-1512
    • Han, Y.Y.1    Carcillo, J.A.2    Venkataraman, S.T.3    Clark, R.S.B.4    Watson, R.S.5    Nguyen, T.C.6    Bayir, H.7    Orr, R.A.8
  • 29
    • 80755124712 scopus 로고    scopus 로고
    • Medication mathematics competency for bachelor of nursing students: Results and challenges of a first year screening test
    • Sander T, Cleary S. Medication mathematics competency for bachelor of nursing students: results and challenges of a first year screening test. Studies in Learning, Evaluation, Innovation and Development. 2004;1(1):45-52
    • (2004) Studies in Learning, Evaluation, Innovation and Development , vol.1 , Issue.1 , pp. 45-52
    • Sander, T.1    Cleary, S.2
  • 33
    • 0348216526 scopus 로고    scopus 로고
    • Methodology and rationale for the measurement of harm with trigger tools
    • Resar RK, Rozich JD, Classen D. Methodology and rationale for the measurement of harm with trigger tools. Qual Saf Health Care. 2003;12(suppl 2):ii39-ii45 (Pubitemid 37542038)
    • (2003) Quality and Safety in Health Care , vol.12 , Issue.SUPPL. 2
    • Resar, R.K.1    Rozich, J.D.2    Classen, D.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.