Prescribing unlicensed and off‐label medicines in children

McDougall, Marilyn; Arenas-López, Sara

doi:10.1002/psb.119

Cited by 1 publication

(1 citation statement)

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“…Medication errors compromise the patient's confidence in the health care system [3], it may be committed by both experienced and inexperienced staff, including pharmacists, physicians, nurses, supportive personnel (e. g., pharmacy technicians), administrators, pharmaceutical manufacturers, patients and their caregivers) and others [4]. Medication errors cause more harm in children compared to adult counterparts [5][6] because most pediatric drug doses are calculated based on the age, body weight,body surface area and other clinical conditions. Majority of the drugs used in the children are an unlicensed and off-label and may lead to adverse drug events and sometimes death [7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Medication Errors in Pediatricinpatient Department of a Private Hospital

Nikhithasri

Ramya²,

Kishore

2017

Int J Curr Pharm Sci

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Objective: To assess the overall rate and incidence of medication errors in pediatric inpatients and to determine the importance of pharmacist participation in medication errors. Methods:A prospective observational study has been conducted in a 'private children's hospital' for 6 mo at Warangal, Telangana. Patients who are ≤18 y were considered. Data were collected from patient records, direct communication with the patient and their caregivers.Results: Among 400 patients with 2,461 medication orders, 1381(56%) errors were found. Patients were more exposed to AME (33.7) caused by the nursing staff, followed by PME-21.5, CME-0.6, DME-0.2 in incidence with the 95% CI. Conclusion:Pediatric patients are more exposed to administration errors and prescribing errors. Pediatricians and Pharmacists should develop effective programs for safe administration of medications, report medication errors, eliminate barriers in reporting medication errors, encourage a non-punitive reporting culture and create an environment of medication safety for all hospitalized pediatric patients.

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