Systematic Review of Medication Errors in Pediatric Patients

Ghaleb, Maisoon; Barber, Nick; Franklin, Bryony Dean; Yeung, V. W.; Khaki, Zahra F.; Wong, Ian C. K.

doi:10.1345/aph.1g717

Cited by 219 publications

(188 citation statements)

References 43 publications

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“…This observation is consistent with published data on medication errors in pediatric patients. 13,14 Incorrect dosage errors in pediatric surgery are a well-recognized problem as the frequent need for weight-adjusted dosing makes these patients particularly susceptible to this type of error. Our findings support the relationship between the type of surgical case and the incidence of medication errors/pre-errors.…”

Section: Resultsmentioning

confidence: 99%

Influences observed on incidence and reporting of medication errors in anesthesia

Cooper

DiGiovanni

Schultz

et al. 2012

Can J Anesth/J Can Anesth

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Background Medication errors are a common occurrence during the conduct of anesthesia (one in 113-450 patients). Several factors contribute to medication errors in anesthesia, including experience of the anesthesia provider, severity of comorbidities, and type of procedure. The inexperience of anesthesia providers-in-training also leads to increased error rates. This prospective observational study repeats and extends previous work by Webster et al. and Llewellyn et al. examining the role of comorbidities, type of case, and level of provider experience on the incidence of medication errors. Methods After Institutional Review Board review and exemption from informed consent, medication error reporting forms were attached to every anesthetic record during a six-month period. All providers were asked to return the forms for every anesthetic, on a strictly voluntary and anonymous basis, and to record the occurrence of medication errors. If providers indicated that a medication error had occurred, additional details about the event were obtained anonymously. Results There were 8,777 (83%) responses obtained in a review of 10,574 case forms. A medication error was reported in 35 forms, with an additional 17 forms indicating a medication pre-error or near miss, resulting in 52 (0.49%) errors/pre-errors or a reported incidence of 1:203 anesthetics. Most case types were observed to have a statistically significant increase in reported medication errors. Reported errors by type of anesthesia provider were categorized into anesthesia provider-in-training group and the experienced provider group. The anesthesia providerin-training group reported a twofold increase in the rate of errors, with the most frequently reported errors being incorrect dose and substitution.

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Section: Resultsmentioning

confidence: 99%

Influences observed on incidence and reporting of medication errors in anesthesia

Cooper

DiGiovanni

Schultz

et al. 2012

Can J Anesth/J Can Anesth

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show abstract

“…It was found that 15% of prescribing error in pediatric was due to "tenfold error," and this happened during dose calculation and transaction while using different units (milligrams instead of micrograms). [4,5] Different pediatric population are associated with higher risk of prescribing error like ill patients admitted to pediatric intensive care unit (PICU) and neonatal ICU, patients provided prescription with illegible handwriting at ambulatory care services. Authors found that several environmental and personal factors might associate with the risk of prescribing error such as years of experience, fatigue, and workload.…”

Section: Introductionmentioning

confidence: 99%

“…Chemotherapy, antiepileptic, antimicrobials, and analgesics are considered the top four categories that might be involved in MEs and cause patient harm or injury. [5] Analgesics (opioid and none opioid) are prone for MEs because of the nature of the medication and variety of weightbase dosing ranges. [16] Little is known about the incidence of all types of MEs in pediatric population Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of prescribing medication errors in a pediatric outpatient pharmacy

Sulaiman¹,

Al-Jeraisy²,

Alharbi³

et al. 2017

Int J Med Sci Public Health

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“…5 However, off-label prescriptions are not necessarily incorrect, 6 and may even be appropriate in certain clinical situations provided there is no alternative treatment, and when the likely benefits outweigh the potential risks, 7 such as when conventional treatments are unable to achieve control of the disease. The potential advantages of off-label prescribing, apart from the probable benefit to the individual patient, are that new therapeutic uses may be described, and data on the efficacy and safety of the drug being used in new settings may be collected.…”

Section: Pimecrolimus 2 Yearsmentioning

confidence: 99%