A systematic approach to improving medication safety in a pediatric intensive care unit.

Autor: Dickinson CJ; Department of Pediatrics, University of Michigan Hospitals, MI, USA. chrisjd@umich.edu, Wagner DS, Shaw BE, Owens TA, Pasko D, Niedner MF
Jazyk: angličtina
Zdroj: Critical care nursing quarterly [Crit Care Nurs Q] 2012 Jan-Mar; Vol. 35 (1), pp. 15-26.
DOI: 10.1097/CNQ.0b013e31823c25dd
Abstrakt: Safety and quality improvement are major issues in children's hospitals. Improving pediatric medication safety often takes on a larger role in pediatric units than in adult units due to the larger size differences and dose ranges found in a pediatric intensive care unit. This article reviews the literature and our own experience at the CS Mott Children's Hospital, University of Michigan, to improve medication safety. The issues identified include (1) an effective pediatric medication safety governance structure within a larger hospital, (2) practice standardization strategies for physicians, nurses, and pharmacists, (3) use of pharmacy technicians as unit medication managers, which reduces medication costs and decreases nursing time spent hunting for medications, and (4) methods to improve the safety culture in a pediatric intensive care unit.
Databáze: MEDLINE