Does a Color-Coded Method for Measuring Acetaminophen Doses Reduce the Likelihood of Dosing Error?

Rand, Cynthia M.; Conn, Kelly M.; Crittenden, Crista N.; Halterman, Jill S.

doi:10.1001/archpedi.158.7.625

Cited by 8 publications

(4 citation statements)

References 7 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Child safety will be further enhanced by clear labeling and the development of simplified dosing methods, standardized drug concentrations, and standardized delivery devices. [78][79][80] Coughand-cold products that contain acetaminophen and ibuprofen should not be given to children because of the possibility that parents may unintentionally give their child simultaneous doses of an antipyretic and a coughand-cold medication that contains the same antipyretic. In addition, there is a lack of proven efficacy for this class of combination products for children.…”

Section: Instructions For Caregiversmentioning

confidence: 99%

Fever and Antipyretic Use in Children

Sullivan¹,

Farrar²

2011

Pediatrics

363

313

View full text Add to dashboard Cite

Fever in a child is one of the most common clinical symptoms managed by pediatricians and other health care providers and a frequent cause of parental concern. Many parents administer antipyretics even when there is minimal or no fever, because they are concerned that the child must maintain a “normal” temperature. Fever, however, is not the primary illness but is a physiologic mechanism that has beneficial effects in fighting infection. There is no evidence that fever itself worsens the course of an illness or that it causes long-term neurologic complications. Thus, the primary goal of treating the febrile child should be to improve the child's overall comfort rather than focus on the normalization of body temperature. When counseling the parents or caregivers of a febrile child, the general well-being of the child, the importance of monitoring activity, observing for signs of serious illness, encouraging appropriate fluid intake, and the safe storage of antipyretics should be emphasized. Current evidence suggests that there is no substantial difference in the safety and effectiveness of acetaminophen and ibuprofen in the care of a generally healthy child with fever. There is evidence that combining these 2 products is more effective than the use of a single agent alone; however, there are concerns that combined treatment may be more complicated and contribute to the unsafe use of these drugs. Pediatricians should also promote patient safety by advocating for simplified formulations, dosing instructions, and dosing devices.

show abstract

Section: Instructions For Caregiversmentioning

confidence: 99%

Fever and Antipyretic Use in Children

Sullivan¹,

Farrar²

2011

Pediatrics

363

313

View full text Add to dashboard Cite

show abstract

“…• Leadership: The AAP, along with appropriate pediatric organizations and government agencies, should work to develop standardized, lowliteracy health messages for child health promotion. [68][69][70][71][72][73][74] • Dissemination: The AAP, as well as federal and state health agencies, should provide public access to timely, low-literacy health information for all children and parents.…”

Section: Health Systemsmentioning

confidence: 99%

Health Literacy and Child Health Promotion: Implications for Research, Clinical Care, and Public Policy

et al. 2009

View full text Add to dashboard Cite

The nation's leading sources of morbidity and health disparities (eg, preterm birth, obesity, chronic lung disease, cardiovascular disease, type 2 diabetes, mental health disorders, and cancer) require an evidence-based approach to the delivery of effective preventive care across the life course (eg, prenatal care, primary preventive care, immunizations, physical activity, nutrition, smoking cessation, and early diagnostic screening). Health literacy may be a critical and modifiable factor for improving preventive care and reducing health disparities. Recent studies among adults have established an independent association between lower health literacy and poorer understanding of preventive care information and poor access to preventive care services. Children of parents with higher literacy skills are more likely to have better outcomes in child health promotion and disease prevention. Adult studies in disease prevention have suggested that addressing health literacy would be an efficacious strategy for reducing health disparities. Future initiatives to reduce child health inequities should include health-promotion strategies that meet the health literacy needs of children, adolescents, and their caregivers.

show abstract

“…Any physician caring for children should remember how critical it is to take the time to explain the appropriate use (ie, formulation, dose and dosing interval) of acetaminophen to caregivers. Child safety and medication efficacy will be further enhanced by the development of simplified weight-based dosing methods and standardized delivery devices (10). To promote proper dosing and child safety, we are advocating clear labelling of weight-based dosing instructions and encourage Health Canada to require manufacturers to make available in Canada a single concentration of acetaminophen liquid formulation for both infants and children.…”

mentioning

confidence: 99%