A systems‐centred approach to reducing medication error: Should pre‐hospital providers and emergency departments dose children by age during resuscitation?
Autor: | Andrew Tagg, Mieke Foster |
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Rok vydání: | 2019 |
Předmět: |
Resuscitation
medicine.medical_specialty Human error Medication error 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Humans Medication Errors Medicine 030212 general & internal medicine Dosing Child Survival rate Dose-Response Relationship Drug business.industry Australia Infant Newborn Infant Emergency department Harm Child Preschool Life support Pediatrics Perinatology and Child Health Emergency medicine Emergency Service Hospital business |
Zdroj: | Journal of Paediatrics and Child Health. 55:1299-1303 |
ISSN: | 1440-1754 1034-4810 |
DOI: | 10.1111/jpc.14626 |
Popis: | The high-risk, high-stress and high-stakes environment of out-of-hospital or emergency department paediatric resuscitation is prone to human error, and medication errors are common. This could be contributing to the difference in survival rate of resuscitation in the out-of-hospital versus inpatient setting. Medication for children during resuscitation requires estimation of the child's weight and calculation of the corresponding drug dose. Whilst both of these steps can lead to error, calculation errors (including 10-fold errors) are much more common and harmful than weight errors. Previous solutions aim to optimise each stage of the medication dosing process. Currently, Australian guidelines suggest using the highly inaccurate original advanced paediatric life support formula, weight = 2 × (age + 4), to dose medications in these settings. This means age is converted to weight, which is then converted to dose. There is no evidence that this is causing harm to patients. Therefore, it could be suggested that age could safely be converted straight to dose according to preset doses. This eliminates the need for any weight estimation or dose calculation, thus reducing the potential for error and harm. |
Databáze: | OpenAIRE |
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