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A prospective observational study of medication errors in a pediatric emergency department.
Lalande, J; Vrignaud, B; Navas, D; Levieux, K; Herbreteau, B; Guillou, A; Gras-Le Guen, C; Launay, E.
Afiliación
  • Lalande J; Pediatric emergency department, University hospital of Nantes, Hôpital Mère-Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes cedex 1, France. Electronic address: jessica.lalande@chd-vendee.fr.
  • Vrignaud B; Pediatric emergency department, University hospital of Nantes, Hôpital Mère-Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes cedex 1, France.
  • Navas D; Pharmacy, University hospital of Nantes, 9, rue Bias, 44000 Nantes, France.
  • Levieux K; Pediatric emergency department, University hospital of Nantes, Hôpital Mère-Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes cedex 1, France.
  • Herbreteau B; Pharmacy, University hospital of Nantes, 9, rue Bias, 44000 Nantes, France.
  • Guillou A; Pharmacy, University hospital of Nantes, 9, rue Bias, 44000 Nantes, France.
  • Gras-Le Guen C; Pediatric emergency department, University hospital of Nantes, Hôpital Mère-Enfant, CHU de Nantes, quai Moncousu, 44093 Nantes cedex 1, France; Pharmacy, University hospital of Nantes, 9, rue Bias, 44000 Nantes, France; Pediatric department, University hospital NANTES, Hôpital Mère Enfant CHU NANTES
  • Launay E; Pharmacy, University hospital of Nantes, 9, rue Bias, 44000 Nantes, France; Pediatric department, University hospital NANTES, Hôpital Mère Enfant CHU NANTES, Quai Moncousu, 44093 Nantes Cedex 1, France.
Arch Pediatr ; 25(6): 355-358, 2018 Aug.
Article en En | MEDLINE | ID: mdl-30064711
We present a prospective, observational study evaluating the incidence of medication errors (ME) in a university hospital pediatric emergency department and describe their characteristics and determinants. A systematic analysis of the handwritten prescriptions was conducted by a clinician and pharmacist. Of 11,573 consecutively studied prescriptions in children under 15 years of age, the ME incidence was 0.9% (n=102). The incidence of errors found was statistically significantly higher in children older than 5 years (OR=2.05; P=0.026). There was no significant difference regarding the time of admission (P=0.544), the day of the week (P=0.940), or the affluence of people in attendance at the emergency department. The errors observed were all prescription errors. Most errors were related to analgesic (51%) and antibiotic (30%) treatments. No serious errors were reported. CONCLUSION: We found a low incidence of medication errors in this study. The validation of prescriptions by a senior multidisciplinary staff could contribute to limited medication errors. Measures should be continued to further reduce the incidence of drug errors by calling the attention of prescribers to the most common situations at risk of ME.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prescripciones de Medicamentos / Servicio de Urgencia en Hospital / Errores de Medicación Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Arch Pediatr Año: 2018 Tipo del documento: Article Pais de publicación: Francia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prescripciones de Medicamentos / Servicio de Urgencia en Hospital / Errores de Medicación Tipo de estudio: Incidence_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Arch Pediatr Año: 2018 Tipo del documento: Article Pais de publicación: Francia