ASSESSMENT OF MEDICATION ERRORS IN PEDIATRICINPATIENT DEPARTMENT OF A PRIVATE HOSPITAL
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 â€˜private childrens hospitalâ€™ for 6 mo at Warangal, Telangana. Patients who are â‰¤18 ywere considered. Data was collected from patient records, direct communication with patient and their care givers.
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
2. American society of hospital pharmacist. AHP: Statement on pharmaceutical care. Am J Hosp Pharm 1993;50:1720â€“3.
3. American society of hospital pharmacist. ASHP: Guidelines on preventing medication errors in thehospital. Am J Hospharm 1993;50:305-14.
4. Maisoon Abdullah Ghaleb, Nick Barber, Bryony Dean Franklin, Ian Chi Kei Wong. The incidence and nature of prescribing and medication administration errors in pediatric inpatients. Arch Dis Child 2010;95:113-8.
5. Marilyn McDougall, Sara Arenas-Lopez. Prescribing unlicensed and off-label medicines in children. BNF Children 2007;18:21â€“9.
6. Hugar SM, Suganya M, Vikneshan M, Kiran K. Medication errors and its implications in pediatric dentistry. Indian J Oral Sci 2014;5:27-32.
7. Majed I Al-Jeraisy, Menyfah Q Alanazi, Mostafa A Abolfotouh. Medication prescribing errors in a pediatric inpatient tertiary care setting in Saudi Arabia. BMC Res Notes 2011;4:294.
8. Rashed AN, Wong IC, Cranswick N. Risk factors associated with adverse drug reactions in hospitalized children: international multicentre study. Eur J Clin Pharmacol 2012;68:801-10.
9. Margarita Ruano, Elena Villamanan, Ester Perez. New technologies as a strategy to decrease medication errors: how do they affect adults and children differently? World J Pediatr 2016;12:28-34.
10. Michael A, Cimino, RPh MS. Assessing medication prescribing errors in pediatric intensive care units. Pediatr Crit Care Med 2004;5:124-32.
11. Savvato Karavasiliadou, Efstratios Athanasakis. An inside look into the factors contributing to medication errors in the clinical nursing practiceâ€. Health Sci J 2014;8:32-44.
12. Al Khaja KA, Al-Ansari TM, Sequeira RP. An evaluation of prescribing errors in primary care in Bahrain. Int J Clin Pharmacol Ther 2005;43:294-301.
13. KE Walsh, R Kaushal, JB Chessar. How to avoid pediatric medication errors: a userâ€™s guide to the literature. Arch Dis Child 2005;90:698â€“702.
14. Kenneth N Barker, Elizabeth A Flynn. Medication errors observed in 36 health care facilities. Archintern 2002;162:1897-903.
15. Lesar TS. Tenfold medication dose prescribing errors. Ann Pharmacother 2002;36:1833-9.
16. Marlene R Miller, Karen A Robinson, Lisa H Lubomski. Medication errors in pediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. Qual Saf Health Care 2007;16:116â€“26.
17. Folli HL, Poole RL, Benitz WE, Russo JC. Medication error prevention by clinical pharmacists in two children's hospitals. Pediatrics 1987;79:718-22.
18. Albara Alomari, Val Wilson, Patricia M Davidson, Joanne Lewis. Families, nurses and organizations contributing factors to medication administration error in pediatrics: a literature review. iPDc 2015;5:1-15.
19. Ghaleb MA, Barber N, Franklin BD. A systematic review of medication errors in pediatric patients. Ann Pharmacother 2006;40:1766-76.
20. Jost Kaufmann, Michael Laschat, Frank Wappler. Medication errors in pediatric emergencies. Dtsch ArzteblInt 2012;109:609âˆ’16.
21. Michael A Cimino, RPh MS, Mark S. Assessing medication prescribing errors in pediatric intensive care. Pediatr Crit Care Med 2004;5:124-32.
22. Kimland E, Nydert P, Odlind V. Paediatric drug use with afocus on off-label prescriptions at swedish hospitals-a nationwide study. Acta Paediatr 2012;101:772-8.
23. Danielle Taddeo MD, Maud Egedy MD, Jean-Yves Frappier MD. Adherence to treatment in adolescents. Paediatr Child Health 2008;13:1-14.
24. David W Bates, Deborah L Boyle, Martha B Vander Vliet. The relationship between medication errors and adverse drug events. J General Int Med 1995;10:199â€“205.
25. J McIntyre, S Conroy, An Avery, H Corns, I Choonara. Unlicensed and off label prescribing of drugs in general practice. Arch Dis Child 2000;83:498â€“501.
26. Gregory L Kearns, Susan M Abdel-Rahman, Pharm Ds. Developmental pharmacology drug disposition, action, and therapy in infants and children. N Engl J Med 2003;18:349.
27. Imtichoonara, Reagill Anthony Nunn. Drugtoxicity and surveillance in children. Br J Clin Pharmacol 1996;42:407â€“10.
28. Vincent Yeung. Clinical trials in children. Paediatric Drug Handling; 2007. p. 5.
29. Mansi Parihar, Gouriraopassi. Medical errors in pediatric practice. Indian Pediatrics 2008;45:586-9.
30. Mohammad Ali Cheragi, Human Manoocheri, Esmaeil Mohammadnejad. Types and causes of medication errors from nurse's viewpoint. Iran J Nurs Midwifery Res 2013;18:228â€“31.
31. Maria das Dores Graciano Silva, Mario Borges Rosa, Joaquim Antonio Cesar Mota. Concomitant prescribing and dispensing errors at a Brazilian hospital: a descriptive study. Clinics 2011;66:1691-7.