Intoxicaciones en menores de 7 años en España. Aspectos de mejora en la prevención y tratamiento

Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review

“…The remainder were from Saudi Arabia[55], Spain[38], UK[50, 53], Canada[56], Israel[44, 58, 60], France[41, 47, 66], Australia[30, 45], China[46] and South Korea[67]. Only one studied formal carers, i.e.…”

“…home health agency nurses[37]; all others investigated informal carers. Of the 35 that included informal carers, 15 included parents among other carers[18, 28–30, 39, 41, 42, 44, 52, 53, 55, 61, 62, 67, 68] and 18 studied only parents[38, 40, 43, 45–47, 49, 50, 54, 56–60, 63–66]. Moreover, the parent samples were mostly mothers, for example with over 90% mothers in 7 studies[28, 29, 53, 57, 61, 64, 65] and 78.3% in another[67].…”

“…While all studies focused on MAEs in the home, some (24) of the data collection took place elsewhere: in hospital (5)[39, 51, 54, 64, 68], specifically in emergency departments (9) [38, 40, 49, 55–57, 61, 62, 66], as well as medical centres (4)[44, 58, 63, 65], outpatient clinics (2)[29, 42], a home healthcare agency[37], a poisons centre[30] and other clinics/practices (2)[28, 43]. …”

“…The most common type of MAE was dosage errors, [28–30, 38–41, 44, 46, 47, 49, 51, 53–63, 65–68]. Omitted administration[28, 29, 37, 39, 50, 51, 66, 68] and wrong medication[30, 37, 43, 44, 46, 49, 61] were also common.…”

“…Three studies used clinical record review to determine the percentage of cases of poisoning caused by medication errors. One study found that 10% of cases of medication poisoning in children under seven were caused by dosage errors, although it is unclear whether all occurred at administration[38]. Another study found that in 15.9% cases of acute poisoning, including medication and other agents, there was an error in dosage of a medication and in 8.8% cases an incorrect drug was given by a member of the child's family[44].…”