Standard concentrations of high-alert drug infusions across paediatric acute care

Irwin, Danica; Vaillancourt, Régis; Dalgleish, Dale; Thomas, Margot; Grenier, Sylvain; Wong, Elaine; Wright, Mary Beth; Sears, Margaret; Doherty, Dermot; Gaboury, Isabelle

doi:10.1093/pch/13.5.371

Cited by 22 publications

(25 citation statements)

References 13 publications

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“…There are several studies supported the standardized fixed drug concentration to use them regularly. [16][17][18][19][20] The authors revised all key elements of medication administration safety, and they suggested several solutions to overcome all gap and weak point with the devices. For instance, use premixed fixed concentration medication use electronic smart infusion The lowest scores items 104 Nurses are notified whenever first dose or stat medications are delivered to the unit when they are not otherwise available on the unit (e.g., in an ADC).…”

Section: Discussionmentioning

confidence: 99%

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makka, Saudi Arabia: Medication Administration

Alomi¹,

Khayat²,

Baljoon³

et al. 2017

JPPCM

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Objective: To explore the national survey of hospital medication safety practice during mass gathering (Hajj -2016) Results: The survey distributed to sixteen hospitals, the response rate, was eleven hospitals (68.75%). The total score of all ISMP-self assessment of medication safety was 3.39 +/-0.51 (67.68 %) with CI (3.2-3.6) P< 0.05. The medication administration included two domains; drug standardization, storage, and distribution with scores 3.54 (71.8%), Medication devices acquisition, Use, and monitoring with scores 2.97 (59.4%). The highest score will all section was Antidotes for medications with guidelines use readily available 4.8 (96%). The lowest score was all electronic infusion pump full functionality to intercept and prevent wrong dose/wrong infusion rate errors 2.33 (46.6%). Conclusion: The standardized medication process during administration including ready-made preparations, fixed drug concentration, and standardized medication devices required during mass gathering Hajj period. The annual survey of medication administration safety with practical tools is potential to prevent any drug-related errors will create medication safety culture and avoid burden mistakes on health care system during mass gathering Hajj period in Makka, Saudi Arabia.

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Section: Discussionmentioning

confidence: 99%

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makka, Saudi Arabia: Medication Administration

Alomi¹,

Khayat²,

Baljoon³

et al. 2017

JPPCM

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show abstract

“…a combination of any of the previous themes; n = 18). [100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116][117] A detailed summary of each individual study included in the review is presented in Table 2.…”

Section: Overview Of Included Studiesmentioning

confidence: 99%

Interventions to reduce medication errors in neonatal care: a systematic review

Nguyen

Mosel

Grzeskowiak

2017

Therapeutic Advances in Drug Safety

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Background: Medication errors represent a significant but often preventable cause of morbidity and mortality in neonates. The objective of this systematic review was to determine the effectiveness of interventions to reduce neonatal medication errors. Methods: A systematic review was undertaken of all comparative and noncomparative studies published in any language, identified from searches of PubMed and EMBASE and referencelist checking. Eligible studies were those investigating the impact of any medication safety interventions aimed at reducing medication errors in neonates in the hospital setting. Results: A total of 102 studies were identified that met the inclusion criteria, including 86 comparative and 16 noncomparative studies. Medication safety interventions were classified into six themes: technology (n = 38; e.g. electronic prescribing), organizational (n = 16; e.g. guidelines, policies, and procedures), personnel (n = 13; e.g. staff education), pharmacy (n = 9; e.g. clinical pharmacy service), hazard and risk analysis (n = 8; e.g. error detection tools), and multifactorial (n = 18; e.g. any combination of previous interventions). Significant variability was evident across all included studies, with differences in intervention strategies, trial methods, types of medication errors evaluated, and how medication errors were identified and evaluated. Most studies demonstrated an appreciable risk of bias. The vast majority of studies (>90%) demonstrated a reduction in medication errors. A similar median reduction of 50-70% in medication errors was evident across studies included within each of the identified themes, but findings varied considerably from a 16% increase in medication errors to a 100% reduction in medication errors. Conclusion: While neonatal medication errors can be reduced through multiple interventions aimed at improving the medication use process, no single intervention appeared clearly superior. Further research is required to evaluate the relative cost-effectiveness of the various medication safety interventions to facilitate decisions regarding uptake and implementation into clinical practice.

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“…La estandarizació n del tratamiento intravenoso y la centralizació n de su preparació n en los servicios de farmacia de los hospitales constituyen una primera aproximació n clave para mejorar este proceso, ya que minimiza la manipulació n de la medicació n en las plantas y los consiguientes riesgos asociados 38,39 .…”

Section: Las Bombas De Infusió N Inteligentes No Son Inteligentes Porunclassified

Bombas de infusión inteligentes: luces y sombras de una tecnología en desarrollo

et al. 2011

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Standard concentrations of high-alert drug infusions across paediatric acute care

Abstract: SCs were successfully instituted with computer support, in lieu of 'smart pumps,' across multiple critical care units in a paediatric institution. The initial program is being expanded to 40 continuous infusion drugs, plus paediatric advanced life support bolus medications.

Cited by 22 publications

References 13 publications

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makka, Saudi Arabia: Medication Administration

National Survey of Hospital Medication Safety Practice during Mass Gathering (Hajj-2016) in Makka, Saudi Arabia: Medication Administration

Interventions to reduce medication errors in neonatal care: a systematic review

Bombas de infusión inteligentes: luces y sombras de una tecnología en desarrollo

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