US Poison Control Center Calls for Infants 6 Months of Age and Younger

Kang, A. Min; Brooks, Daniel E.

doi:10.1542/peds.2015-1865

Cited by 12 publications

(9 citation statements)

References 11 publications

(6 reference statements)

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“…13,19,83 Overdosing medications is problematic given concerns related to drug toxicity and side effects, but underdosing can also have serious implications, including lack of therapeutic effect and symptom relief as well as potential contributions to antibiotic drug resistance. 2,4,8,80,83,153,154 Many caregivers are unaware that use of nonstandard kitchen spoons for dose measurement should be avoided because kitchen spoons vary widely in size and shape. 14,23,155,156 Caregiver use of kitchen spoons is associated with higher rates of dosing errors 50,155,157,158 ; although a teaspoon is considered to be equivalent to 5 mL, kitchen teaspoons have been found to measure between 2 and 9 mL.…”

Section: Role Of Liquid Formulations In Home Medication Errors In Chi...mentioning

confidence: 99%

Preventing Home Medication Administration Errors

2022

Pediatric Clinical Practice Guidelines &Amp; Policies

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Policy statements from the American Academy of Pediatrics benefit from expertise and resources of liaisons and internal (AAP) and external reviewers. However, policy statements from the American Academy of Pediatrics may not reflect the views of the liaisons or the organizations or government agencies that they represent.The guidance in this statement does not indicate an exclusive course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be appropriate.All policy statements from the American Academy of Pediatrics automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time.

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Section: Role Of Liquid Formulations In Home Medication Errors In Chi...mentioning

confidence: 99%

Preventing Home Medication Administration Errors

2022

Pediatric Clinical Practice Guidelines &Amp; Policies

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Section: Role Of Liquid Formulations In Home Medication Errors In Childrenmentioning

confidence: 99%

“…197 Although rates of adverse events related to cough/cold medication in children have decreased after these efforts, caregivers of young children continue to use these products. 8,28,192…”

Section: Otc Medicationsmentioning

confidence: 99%

Preventing Home Medication Administration Errors

et al. 2021

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Medication administration errors that take place in the home are common, especially when liquid preparations are used and complex medication schedules with multiple medications are involved; children with chronic conditions are disproportionately affected. Parents and other caregivers with low health literacy and/or limited English proficiency are at higher risk for making errors in administering medications to children in their care. Recommended strategies to reduce home medication errors relate to provider prescribing practices; health literacy–informed verbal counseling strategies (eg, teachback and showback) and written patient education materials (eg, pictographic information) for patients and/or caregivers across settings (inpatient, outpatient, emergency care, pharmacy); dosing-tool provision for liquid medication measurement; review of medication lists with patients and/or caregivers (medication reconciliation) that includes prescription and over-the-counter medications, as well as vitamins and supplements; leveraging the medical home; engaging adolescents and their adult caregivers; training of providers; safe disposal of medications; regulations related to medication dosing tools, labeling, packaging, and informational materials; use of electronic health records and other technologies; and research to identify novel ways to support safe home medication administration.

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“…17,18 More than 70,000 children present to U.S. emergency departments each year with accidental overdoses, 19 most caused by parent or caregiver administration errors. 2,[20][21][22][23][24] No comparable national-level data are available about underdosing, but this has also been found to be a common problem in smallscale studies. 2,22,25,26 In administering children's medications, parents must operationalize instructions about dose, route, and frequency, as well as additional issues unique to children such as weight-based dosing, age-based thresholds and contraindications, and liquid medications.…”

Section: Background and Significancementioning

confidence: 99%

Health IT Usability Focus Section: Adapting EHR-Based Medication Instructions to Comply with Plain Language Guidance—A Randomized Experiment

et al. 2017

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Objective Patient instructions are generally written by clinicians. However, clinician-centered language is challenging for patients to understand; in the case of pediatric medication instructions, consequences can be serious. Using examples of clinician-written medication instructions from an electronic health record, we conducted an experiment to determine whether parental misinterpretations would be reduced by instructions that followed best practices for plain language. Methods We selected examples of dosing instructions from after-visit summaries in a commercial electronic health record. A demographically diverse sample of parents and adult caregivers was recruited from an online panel to participate in an English-language experiment, in which they received a comprehension questionnaire with either original after-visit summary instructions or instructions revised to comply with federal and other sources of plain-language guidance. Results Nine-hundred and fifty-one respondents completed the experiment; 50% were women, the mean age was 36 years, and 38% had less than a 4-year college education. The revisions were associated with an 8 percentage point increase in correct answers overall (from 55% to 63%, p< 0.001), although revisions were not equally effective for all instructions. Health literacy and health numeracy were strong and independent predictors of comprehension. Overall, mistakes on comprehension questions were common, with respondents missing an average of 41% (6.1 of 15) of questions. Conclusion In this experimental study, a relatively simple intervention of revising text was associated with a modest reduction in frequency of misinterpretations of medication instructions. As a supplement to more intensive high-touch interventions, revising electronic health record output to replace complex language with patient-centered language in an automated fashion is a potentially scalable solution that could reduce medication administration errors by parents.

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US Poison Control Center Calls for Infants 6 Months of Age and Younger

Cited by 12 publications

References 11 publications

Preventing Home Medication Administration Errors

Preventing Home Medication Administration Errors

Preventing Home Medication Administration Errors

Health IT Usability Focus Section: Adapting EHR-Based Medication Instructions to Comply with Plain Language Guidance—A Randomized Experiment

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