Evaluation of the medication process in pediatric patients: a meta-analysis

Koumpagioti, Despina; Varounis, Christos; Kletsiou, Eleni; Nteli, Charalampia; Matziou, Vasiliki

doi:10.1016/j.jpedp.2014.01.005

Cited by 13 publications

(13 citation statements)

References 30 publications

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“…According to Ghaleb et al , in paediatrics, errors in the preparation of drug doses are most frequent . A meta‐analysis by Koumpagioti et al also showed that drug prescription errors and drug administration errors were significantly more common than dispensing errors . Our study confirms that steps should be taken to increase the professionals' awareness of these at‐risk stages of medication‐use system.…”

Section: Discussionmentioning

confidence: 99%

Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication‐use system

Atkinson

Bédard

Pelchat³

et al. 2016

Evaluation Clinical Practice

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Section: Discussionmentioning

confidence: 99%

Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication‐use system

Atkinson

Bédard

Pelchat³

et al. 2016

Evaluation Clinical Practice

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“…Une méta-analyse évaluant l'usage des médicaments en pédiatrie a noté que les erreurs de prescription et d'administration étaient les plus fréquentes, constituant ainsi les étapes vulnérables du circuit du médicament. L'analyse de 25 articles originaux concernant ces erreurs ont estimé les erreurs d'administration à 20,9 % de l'ensemble des administrations [13].…”

Section: Discussionunclassified

“…Le Conseil national de prévention et de coordination des rapports sur les erreurs médicamenteuses (the National Coordinating Council for Medication Error Reporting and Prevention) recommande aux institutions de santé de mettre en place ou d'améliorer leurs stratégies afin de diminuer les risques dus aux erreurs médicamenteuses [13]. Il recommande aussi [4] : • l'utilisation de systèmes intégrés et automatisés lors de l'administration qui réduisent les erreurs de transcription et améliore la précision au cours de cette étape ; • mettre en place une check-list qui doit être remplie immédiatement avant l'administration et qui regroupe les points suivants : le bon médicament, à la bonne dose, à la bonne personne, par la bonne voie, au bon dosage et au bon moment, avec la bonne documentation ; • mettre à la portée des informations facilement accessible sur les produits et dans des endroits les plus proches possibles des lieux d'administration des médicaments.…”

Section: Discussionunclassified

Évaluation des erreurs d’administration des médicaments injectables en néonatologie

Cherif

Sayadi

Hmida

et al. 2015

Annales Pharmaceutiques Françaises

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“…İlaç hataları reçeteleme, dağıtım, hazırlama, uygulama ve ilacın etkilerinin izlenmesi aşamalarının herhangi birinde meydana gelebilir (15) . Ancak yapı-lan çalışmalar ve bildirimler, hem erişkin hem de çocuk hastalarda en fazla hatanın hekimlerin ve hemşirelerin sorumlu olduğu reçeteleme ve uygulama aşamasında meydana geldiğini göstermektedir (11,16,17) . Merino ve ark.…”

Section: Tanımunclassified

Medication Errors and Reporting in Pediatrics

Gök¹,

Sarı²

2016

BUCH

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ÖZİlaç hataları, hasta güvenliğini tehdit eden ve maliyeti arttıran önemli bir sağlık sorunu olarak görülmektedir. Hatalar, ilaç hazırlamadan uygulamaya kadar pek çok aşamada meydana gelmektedir. Çocuklar kiloları, vücut yüzeyleri gibi gelişimsel özel-likleri ya da bazı ilaçların pediatrik formlarının olmaması nedeniyle daha sık ilaç hatasına maruz kalabilmektedirler. Ayrıca küçük çocukların ilaç yan etkilerini dillendirememeleri, ilaç hatalarının tespitini güçleştirmekte ve hatalardan zarar görmeleri-ne neden olmaktadır. Bu nedenle pediatrik popülasyonda ilaç hatalarının önlenmesi ayrı bir önem taşımaktadır. Hatalarının temelde iki önemli nedeni vardır; sistem faktörü ve insan faktörü. İnsan faktörü de ayrıntılı incelendiğinde asıl nedenin sisteme bağlı olduğu görülmektedir. İnsanlar doğası gereği hata yaparlar, amaç olabildiğince etkin sistemler geliştirerek hataları en aza indirmektir. Hatalarının önlenmesinde, hataların tanımlanması ve hata bildirimlerinin yapılması çok önemlidir. Hata bildirimleri, özellikle ramak kala hataların bildirilmesi kök neden analizi yapılmasına ve benzer hataların önlenmesine olanak sağlar. Ancak yapılan çalışmalar ilaç hataları-nın yeteri kadar bildirilmediğini göstermektedir.Anahtar kelimeler: Hata bildirimi, ilaç hataları, tıbbi hatalar, çocuk ABSTRACTMedication errors are major health problems that increase the cost and threaten patient safety. Medication errors, take place over several stages starting from the preparation of drugs up to pharmaceutical applications. Children may expose more frequently to medication errors, because of lack of pediatric formulations of some drugs and developmental characteristics of children such as body surface and weight. In addition, small children can not express their drug side effects which makes it difficult to determine the cause of the damage from medication errors and children become vulnerable to deleterious effects of the medication errors. Therefore, prevention of medication errors in a pediatric population is of particular importance. There are two main reasons for this fundamental error including factors related to the system, and human beings. Furthermore, when examined in detail, human factor also appears to be the main reason connected to the system. By their nature, human beings make errors, the aim is to develop effective systems to minimize errors as far as possible. For the prevention of errors, identifying, and reporting errors and bugs are very important. Error notifications, in particular the reporting of errors enables root cause analysis of near misses and allows prevention of similar mistakes. However, studies indicate that medication errors are not reported as it should be.

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Evaluation of the medication process in pediatric patients: a meta-analysis

Cited by 13 publications

References 30 publications

Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication‐use system

Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication‐use system

Évaluation des erreurs d’administration des médicaments injectables en néonatologie

Medication Errors and Reporting in Pediatrics

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