Assessment and analysis of outpatient medication errors related to pediatric prescriptions

Kassem, Amira B.; Saeed, Haitham; El-Bassiouny, Noha A.; Kamal, Marwa

doi:10.1016/j.jsps.2021.08.009

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…23,24 Various local studies have implicated pediatric medicine errors and need more attention for patient education. [25][26][27][28][29] Furthermore, the coronavirus period pushes all pharmacy leaders to establish a suitable remote area without close contact with patients, like virtually, to educate pediatrics and prevent drug-related problems. 30,31 Therefore, establishing a virtual pediatric counseling clinic was required.…”

Section: Assessment Needsmentioning

confidence: 99%

Virtual Pediatrics Medication Counseling Clinic: A New Initiative Project in Saudi Arabia

Alassadi,

Alzahrani,

Almutairi

et al. 2023

PTB Reports

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Objectives:The virtual pediatric medication counseling clinics were created to align with Saudi Vision2030. This topic aims to declare the virtual pediatric medicine education clinic services as a new initiative in the Kingdom of Saudi Arabia. Methods: This new project is driven by local and international virtual pharmaceutical care services. It was formulated from guidelines of pharmacy projects, the international business model, , and management institution guidelines for the new project. Project management professionals draft this initiative, consisting of several stages, from the initial until planning phases, execution, monitoring, and control stages. Results: Virtual pediatric medicine counseling clinics consist of medication history reviews, medication reconciliation, patient education, medication safety, research and development, and patient satisfaction. Furthermore, the risk management model description ensures the project's continuation. Besides, the monitoring and control of the services were declared. Finally, the analysis investigates the transition to the operation project through the closing project stage. Conclusion: Virtual pediatric medication counseling clinics are a new initiative in the general strategic plan with Saudi Vision 2030. Virtual pediatric medicine education clinic requires a clear vision, policy and procedures, and long-term patient service satisfaction. Virtual pediatric medication counseling clinics may be essential in developing an appropriate pharmacy professional plan focusing on patient care to achieve targeted therapeutic management, prevent drug-related problems, and avoid unnecessary costs.

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Section: Assessment Needsmentioning

confidence: 99%

Virtual Pediatrics Medication Counseling Clinic: A New Initiative Project in Saudi Arabia

Alassadi,

Alzahrani,

Almutairi

et al. 2023

PTB Reports

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“…Various studies have reported paediatric prescription errors among inpatients in tertiary care hospitals ( 10 ). However, the prevalence and characteristics of prescription errors in paediatric and neonatal outpatients in community-oriented primary care clinics are substantially lacking ( 8 , 11 ). Therefore, it is essential to investigate the prescription errors in paediatric outpatients in community settings.…”

Section: Introductionmentioning

confidence: 99%

A Survey of Prescription Errors in Paediatric Outpatients in Multi-Primary Care Settings: The Implementation of an Electronic Pre-Prescription System

Tan

Chen

et al. 2022

Front. Pediatr.

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BackgroundPrescription errors impact the safety and efficacy of therapy and are considered to have a higher impact on paediatric populations. Nevertheless, information in paediatrics is still lacking, particularly in primary care settings. There exists a need to investigate the prevalence and characteristics of prescription errors in paediatric outpatients to prevent such errors during the prescription stage.MethodsA cross-sectional study to evaluate paediatric prescription errors in multi-primary care settings was conducted between August 2019 and July 2021. Prescriptions documented within the electronic pre-prescription system were automatically reviewed by the system and then, potentially inappropriate prescriptions would be reconciled by remote pharmacists via a regional pharmacy information exchange network. The demographics of paediatric patients, prescription details, and types/rates of errors were assessed and used to identify associated factors for prescription using logistic regression.ResultsA total of 39,754 outpatient paediatric prescriptions in 13 community health care centres were reviewed, among which 1,724 prescriptions (4.3%) were enrolled in the study as they met the inclusion criteria. Dose errors were the most prevalent (27%), with the predominance of underdosing (69%). They were followed by errors in selection without specified indications (24.5%), incompatibility (12.4%), and frequency errors (9.9%). Among critical errors were drug duplication (8.7%), contraindication (.9%), and drug interaction (.8%) that directly affect the drug's safety and efficacy. Notably, error rates were highest in medications for respiratory system drugs (50.5%), antibiotics (27.3%), and Chinese traditional medicine (12.3%). Results of logistic regression revealed that specific drug classification (antitussives, expectorants and mucolytic agents, anti-infective agents), patient age (<6 years), and prescriber specialty (paediatrics) related positively to errors.ConclusionOur study provides the prevalence and characteristics of prescription errors of paediatric outpatients in community settings based on an electronic pre-prescription system. Errors in dose calculations and medications commonly prescribed in primary care settings, such as respiratory system drugs, antibiotics, and Chinese traditional medicine, are certainly to be aware of. These results highlight an essential requirement to update the rules of prescriptions in the pre-prescription system to facilitate the delivery of excellent therapeutic outcomes.

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Pediatric Medication Safety in the Emergency Department

et al. 2018

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Assessment and analysis of outpatient medication errors related to pediatric prescriptions

Cited by 3 publications

References 31 publications

Virtual Pediatrics Medication Counseling Clinic: A New Initiative Project in Saudi Arabia

Virtual Pediatrics Medication Counseling Clinic: A New Initiative Project in Saudi Arabia

A Survey of Prescription Errors in Paediatric Outpatients in Multi-Primary Care Settings: The Implementation of an Electronic Pre-Prescription System

Pediatric Medication Safety in the Emergency Department

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