Interventions to reduce dosing errors in children: A systematic review of the literature

Conroy, Sharon, Sweis, Dimah, Planner, Claire, Yeung, Vincent, Collier, Jacqueline, Haines, Linda and Wong, Ian C. K. (2007) Interventions to reduce dosing errors in children: A systematic review of the literature. Drug Safety, 30 (12). pp. 1111-1125. ISSN 1179-1942

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Children are a particularly challenging group of patients when trying to ensure the safe use of medicines. The increased need for calculations, dilutions and manipulations of paediatric medicines, together with a need to dose on an individual patient basis using age, gestational age, weight and surface area, means that they are more prone to medication errors at each stage of the medicines management process. It is already known that dose calculation errors are the most common type of medication error in neonatal and paediatric patients. Interventions to reduce the risk of dose calculation errors are therefore urgently needed. A systematic literature review was conducted to identify published articles reporting interventions; 28 studies were found to be relevant. The main interventions foundwere computerised physician order entry (CPOE) and computer-aided prescribing. Most CPOE and computer-aided prescribing studies showed some degree of reduction in medication errors, with some claiming no errors occurring after implementation of the intervention. However, one study showed a significant increase in mortality after the implementation of CPOE. Further research is needed to investigate outcomes such as mortality and economics. Unit dose dispensing systems and educational/risk management programmes were also shown to reduce medication errors in children. Although it is suggested that ‘smart’ intravenous pumps can potentially reduce infusion errors in children, there is insufficient information to draw a conclusion because of a lack of research. Most interventions identified were US based, and since medicine management processes are currently different in different countries, there is a need to interpret the information carefully when considering implementing interventions elsewhere.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Allied Health Professions (former - to 2013)
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Participation (former - to 2013)
Faculty of Social Sciences > Research Groups > Developmental Science
Faculty of Social Sciences > Research Groups > Cognition, Action and Perception
Faculty of Social Sciences > Research Groups > Social Cognition Research Group
Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:13
Last Modified: 01 Feb 2024 02:12
DOI: 10.2165/00002018-200730120-00004

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