Pediatric Medication Safety in Adult Community Hospital Settings: A Glimpse Into Nationwide Practice

Abstract

Pediatric medication safety infrastructure shows variations within the sites surveyed. Our results indicate that certain deficiencies are more widespread than others, providing opportunities for targeted, but hospital-specific interventions.

Graduating Pediatric Residents Entering the Hospital Medicine Workforce, 2006–2015

“…Hospitalists working at community hospitals may experience several unique opportunities and challenges, including limited pediatric-specific equipment and skills among non-hospitalist colleagues, increased needs to advocate to administration for child health, and needs to address pediatric safety and quality improvement in adult-oriented settings. 15,17,18 PHM fellowship training can provide valuable skills for addressing these opportunities, provided that there is flexibility in the fellowship curricula to support training across the structurally diverse hospitals where children receive hospital care. 19 Relative to residents entering subspecialty fellowships, we found that residents' family situation, geographic location preferences, and level of educational debt were strongly associated with decisions to enter PHM.…”

Nurses adverse events report adding safety to pediatric nursing

“…35 However, at the international level, the most frequent AEs in Pediatrics are those related to medication. 10,15,30,32,38 In this study, they present high percentages of occurrence, with product or drug prescription errors, product or drug administration errors and incorrectly filled or illegible prescriptions standing out. On the other hand, according to the nurses' perception, the AEs that occur more frequently are those with the highest percentage of recording.…”

“…29 Medication errors are the most prevalent and reported in the different care settings. 10,15,[30][31][32] In association with AE Report, several measures have been taken to prevent the occurrence of Errors in this population, which deserve attention: the adaptation of clinical guidelines, use of the double-check method, 33 trigger tools, 9 barcode systems, [30][31] among others. In this sense it was elaborated a study which objective was to describe Nurses' Adherence to Adverse Events Reporting and the Factors associated with it in a Pediatric setting.…”

Polypharmacy, Dosing Trends, and Drug-Drug Interaction Patterns After High-Level Limb Amputation Surgery

“…Several fields in medicine have specialized medication dosing considerations owing to distinction in physiology 11–13 and developmental status (maternal-fetal care 14 ), patient size (pediatric 15,16 and bariatric 17–19 medicine), age (geriatrics 20 ), and cases of particular organ dysfunction (e.g., hepatology and nephrology). Whole fields first started by taking note of case reports, then accruing further laboratory evidence, before abstracting out operationalized framing considerations for practitioners such as “pediatric dosing” (pediatrics), “consider select agent redosing” (bariatric surgery), and “start low, go slow” (geriatrics).…”

“…Listing of All Type "X" (Avoid Combination) Postoperative Drug-Drug Interactions Citalopram-escitalopram Linezolid-OxyCODONE ALPRAZolam-OLANZapine Metoclopramide-OLANZapine Celecoxib-ibuprofen Linezolid-sertraline Linezolid-OxyCODONE DiazePAM-MetroNIDAZOLE Metoclopramide-QUEtiapine ALPRAZolam-OLANZapine Enoxaparin-rivaroxaban ClonazePAM-OLANZapine Linezolid-sertraline Amiodarone-QUEtiapine Ibuprofen-naproxen AtorvaSTATin-gemfibrozil Ibuprofen-meloxicam Metoclopramide-prochlorperazine Methadone-QUEtiapine CarBAMazepine-NIFEdipine (pediatric 15,16 and bariatric [17][18][19] medicine), age (geriatrics 20 ), and cases of particular organ dysfunction (e.g., hepatology and nephrology). Whole fields first started by taking note of case reports, then accruing further laboratory evidence, before abstracting out operationalized framing considerations for practitioners such as "pediatric dosing" (pediatrics), "consider select agent redosing" (bariatric surgery), and "start low, go slow" (geriatrics).…”