Medication Dosing Safety for Pediatric Patients: Recognizing Gaps, Safety Threats, and Best Practices in the Emergency Medical Services Setting. A Position Statement and Resource Document from NAEMSP
| Autor: | John W Lyng, John D. Hoyle, Brian R. Moore, Matthew I. Harris, Mark X. Cicero, Marianne Gausche-Hill, Kathleen Adelgais |
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| Rok vydání: | 2020 |
| Předmět: |
Position statement
Emergency Medical Services Resource (biology) business.industry Best practice 030208 emergency & critical care medicine 030204 cardiovascular system & hematology Emergency Nursing medicine.disease 03 medical and health sciences 0302 clinical medicine Emergency Medicine Emergency medical services Medicine Humans Medical emergency Dosing business Child |
| Zdroj: | Prehospital emergency care. 25(2) |
| ISSN: | 1545-0066 |
| Popis: | Millions of patients receive medications in the Emergency Medical Services (EMS) setting annually, and dosing safety is critically important. The need for weight-based dosing in pediatric patients and variability in medication concentrations available in the EMS setting may require EMS providers to perform complex calculations to derive the appropriate dose to deliver. These factors can significantly increase the risk for harm when dose calculations are inaccurate or incorrect.We conducted a scoping review of the EMS, interfacility transport and emergency medicine literature regarding pediatric medication dosing safety. A priori, the authors identified four research topics: (1) what are the greatest safety threats that result in significant dosing errors that potentially result in harm to patients, (2) what practices or technologies are known to enhance dosing safety, (3) can data from other settings be extrapolated to the EMS environment to inform dosing safety, and (4) what impact could standardization of medication formularies have on enhancing dosing safety. To address these topics, 17 PICO (Patient, Intervention, Comparison, Outcome) questions were developed and a literature search was performed.After applying exclusion criteria, 70 articles were reviewed. The methods for the investigation, findings from these articles and how they inform EMS medication dosing safety are summarized here. This review yielded 11 recommendations to improve safety of medication delivery in the EMS setting.These recommendations are summarized in the National Association of EMS Physicians® position statement |
| Databáze: | OpenAIRE |
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