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Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management

Medication errors represent one of the most common causes of adverse events in pediatrics and are widely reported in the literature. Despite the awareness that children are at increased risk for medication errors, little is known about the real incidence of the phenomenon. Most studies have focused...

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Autores principales: D'Errico, Stefano, Zanon, Martina, Radaelli, Davide, Padovano, Martina, Santurro, Alessandro, Scopetti, Matteo, Frati, Paola, Fineschi, Vittorio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795662/
https://www.ncbi.nlm.nih.gov/pubmed/35096903
http://dx.doi.org/10.3389/fmed.2021.814100
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author D'Errico, Stefano
Zanon, Martina
Radaelli, Davide
Padovano, Martina
Santurro, Alessandro
Scopetti, Matteo
Frati, Paola
Fineschi, Vittorio
author_facet D'Errico, Stefano
Zanon, Martina
Radaelli, Davide
Padovano, Martina
Santurro, Alessandro
Scopetti, Matteo
Frati, Paola
Fineschi, Vittorio
author_sort D'Errico, Stefano
collection PubMed
description Medication errors represent one of the most common causes of adverse events in pediatrics and are widely reported in the literature. Despite the awareness that children are at increased risk for medication errors, little is known about the real incidence of the phenomenon. Most studies have focused on prescription, although medication errors also include transcription, dispensing, dosage, administration, and certification errors. Known risk factors for therapeutic errors include parenteral infusions, oral fluid administration, and tablet splitting, as well as the off-label use of drugs with dosages taken from adult literature. Emergency Departments and Intensive Care Units constitute the care areas mainly affected by the phenomenon in the hospital setting. The present paper aims to identify the risk profiles in pediatric therapy to outline adequate preventive strategies. Precisely, through the analysis of the available evidence, solutions such as standardization of recommended doses for children, electronic prescribing, targeted training of healthcare professionals, and implementation of reporting systems will be indicated for the prevention of medication errors.
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spelling pubmed-87956622022-01-29 Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management D'Errico, Stefano Zanon, Martina Radaelli, Davide Padovano, Martina Santurro, Alessandro Scopetti, Matteo Frati, Paola Fineschi, Vittorio Front Med (Lausanne) Medicine Medication errors represent one of the most common causes of adverse events in pediatrics and are widely reported in the literature. Despite the awareness that children are at increased risk for medication errors, little is known about the real incidence of the phenomenon. Most studies have focused on prescription, although medication errors also include transcription, dispensing, dosage, administration, and certification errors. Known risk factors for therapeutic errors include parenteral infusions, oral fluid administration, and tablet splitting, as well as the off-label use of drugs with dosages taken from adult literature. Emergency Departments and Intensive Care Units constitute the care areas mainly affected by the phenomenon in the hospital setting. The present paper aims to identify the risk profiles in pediatric therapy to outline adequate preventive strategies. Precisely, through the analysis of the available evidence, solutions such as standardization of recommended doses for children, electronic prescribing, targeted training of healthcare professionals, and implementation of reporting systems will be indicated for the prevention of medication errors. Frontiers Media S.A. 2022-01-14 /pmc/articles/PMC8795662/ /pubmed/35096903 http://dx.doi.org/10.3389/fmed.2021.814100 Text en Copyright © 2022 D'Errico, Zanon, Radaelli, Padovano, Santurro, Scopetti, Frati and Fineschi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
D'Errico, Stefano
Zanon, Martina
Radaelli, Davide
Padovano, Martina
Santurro, Alessandro
Scopetti, Matteo
Frati, Paola
Fineschi, Vittorio
Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title_full Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title_fullStr Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title_full_unstemmed Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title_short Medication Errors in Pediatrics: Proposals to Improve the Quality and Safety of Care Through Clinical Risk Management
title_sort medication errors in pediatrics: proposals to improve the quality and safety of care through clinical risk management
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795662/
https://www.ncbi.nlm.nih.gov/pubmed/35096903
http://dx.doi.org/10.3389/fmed.2021.814100
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