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Medication Error Prevention by Clinical Pharmacists in Two Children's Hospitals
Abstract
The purpose of this study was to record prospectively the frequency of and potential harm caused by errant medication orders at two large pediatric hospitals. The objective of the study was to assess the impact of pharmacist intervention in preventing potential harm. The study was conducted during a 6-month period. A total of 281 and 198 errors were detected at the institutions. The overall error rates for the two hospitals were 1.35 and 1.77 per 100-patient days, and 4.9 and 4.5 per 1,000 medication orders, respectively. Pediatric patients aged 2 years and less and pediatric intensive care unit patients received the greatest proportion of errant orders. Neonatal patients received the lowest rate of errant orders. The most common type of error was incorrect dosage, and the most prevalent type of error was overdosage. Antibiotics was the class of drugs for which errant orders were most common. Orders for theophylline, analgesics, and fluid and electrolytes, including hyperalimentation, were also frequently in error. In general, the error rate was greatest among physicians with the least training, but no physician group was error free. Involving pharmacists in reviewing drug orders significantly reduced the potential harm resulting from errant medication orders.
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Citations
Cited by
Bates, D. W. (1998) · JAMA · doi:10.1001/jama.280.15.1311 · Cited by 2,107
Medication Errors and Adverse Drug Events in Pediatric Inpatients
Kaushal, R. (2001) · JAMA · doi:10.1001/jama.285.16.2114 · Cited by 1,917
The Impact of Computerized Physician Order Entry on Medication Error Prevention
Bates, D. W., Teich, J. M., Lee, J., Seger, D., Kuperman, G. J., Ma'Luf, N., Boyle, D., & Leape, L. (1999) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1999.00660313 · Cited by 1,260
KRAS Mutation: From Undruggable to Druggable in Cancer
Huang, L., Guo, Z., Wang, F., & Fu, L. (2021) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-021-00780-4 · Cited by 1,127
Relationship between medication errors and adverse drug events
Bates, D. W., Boyle, D. L., Vliet, M. B. V., Schneider, J., & Leape, L. (1995) · Journal of General Internal Medicine · doi:10.1007/bf02600255 · Cited by 981
Metadata
- Authors
- Folli, H. L., Poole, R. L., Benitz, W. E., & Russo, J. C.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1987-05-01
- Volume
- 79
- Issue
- 5
- Pages
- 718-722
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1823647263
- Cited by
- 394
- References
- 0
- FWCI
- 8.20
- Type
- journal article
- Language
- en
- Open access
- closed
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- Folli, H. L., Poole, R. L., Benitz, W. E., & Russo, J. C. (1987). Medication Error Prevention by Clinical Pharmacists in Two Children's Hospitals. Pediatrics. https://doi.org/10.1542/peds.79.5.718
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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