A prospective observational study of medication errors in a pediatric emergency department

2018 ◽  
Vol 25 (6) ◽  
pp. 355-358 ◽  
Author(s):  
J. Lalande ◽  
B. Vrignaud ◽  
D. Navas ◽  
K. Levieux ◽  
B. Herbreteau ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Medication Errors ◽  
Prospective Observational Study ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

Factors Associated With Medication Errors in the Pediatric Emergency Department

2011 ◽  
Vol 27 (4) ◽  
pp. 290-294 ◽  
Author(s):  
Mònica Vilà-de-Muga ◽  
Laura Colom-Ferrer ◽  
Mariona Gonzàlez-Herrero ◽  
Carles Luaces-Cubells
Keyword(s):  
Emergency Department ◽  
Medication Errors ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Factors Associated

scholarly journals Deferred consent model for an observational study in a pediatric emergency department

2021 ◽  
Vol 47 (2) ◽  
Author(s):  
Sam Armstrong ◽  
Patrick Holland ◽  
Natalie Yanchar ◽  
Dafydd Davies ◽  
Karin Wallace
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Deferred Consent

.

scholarly journals Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department

BMJ ◽  
2004 ◽  
Vol 329 (7478) ◽  
pp. 1321 ◽  
Author(s):  
Eran Kozer ◽  
Winnie Seto ◽  
Zulfikaral Verjee ◽  
Chris Parshuram ◽  
Sohail Khattak ◽  
...  
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Medication Errors ◽  
Prospective Observational Study ◽  
Paediatric Emergency Department ◽  
Paediatric Emergency

scholarly journals Effect of a Resident Physician Educational Program on Pediatric Emergency Department Pharmacy Interventions and Medication Errors

2013 ◽  
Vol 18 (1) ◽  
pp. 53-62
Author(s):  
Megan E. Foster ◽  
Donald E. Lighter ◽  
Ashok V. Godambe ◽  
Brandon Edgerson ◽  
Randy Bradley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medication Errors ◽  
Educational Program ◽  
Adverse Drug Events ◽  
Pediatric Emergency ◽  
Resident Physician ◽  
Pediatric Emergency Department ◽  
Chi Square ◽  
Statistical Process ◽  
Pharmacy Interventions

PURPOSE To determine the effects of a resident physician educational program in a pediatric emergency department (ED) on pharmacy interventions and medication errors, particularly dose adjustments, order clarifications, and adverse drug events (ADE). METHODS The ED pharmacist recorded all interventions and medication errors on weekdays from 3 to 11 pm during a 9-month period, consisting of a preobservational (Quarter 1), observational (Quarter 2), and interventional (Quarter 3) phases. Program implementation occurred in Quarter 3, with an initial 3-hour lecture during the ED orientation, followed by daily patient case discussions. Weekly interventions and errors were analyzed using statistical process control u-chart analyses. Chi-square analyses of independence were also performed. Resident and ED staff feedback on the program was obtained through anonymous internet-based surveys. RESULTS A total of 3507 interventions were recorded during the 9-month period. Chi-square approximation and interval estimation of odds ratio showed a statistically significant decrease between Quarters 1 and 3 in the number of dose adjustments (95% confidence interval [CI], 0.324–0.689) and order clarifications (95% CI, 0.137 to 0.382) after initiation of the program. The decline in ADE, while not as substantial (95% CI, 0.003 to 1.078), still achieved a level of significance (90% CI, 0.006 to 0.674). Survey results were positive toward the program. CONCLUSIONS The implementation of a resident physician educational program in our pediatric ED significantly decreased the number of medication errors, increased resident physician awareness of the potential for errors, and increased ED pharmacist utilization.

Antipsychiatric Medication Errors in Children Boarded in a Pediatric Emergency Department

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Usha Sethuraman ◽  
Nirupama Kannikeswaran ◽  
Ahmad Farooqi ◽  
Kimone Richards ◽  
James Chamberlain
Keyword(s):  
Emergency Department ◽  
Medication Errors ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

Digital Axillary and Non-Contact Infrared Thermometers for Children

2016 ◽  
Vol 27 (2) ◽  
pp. 180-190 ◽  
Author(s):  
Ilaria Franconi ◽  
Carmen La Cerra ◽  
Anna Rita Marucci ◽  
Cristina Petrucci ◽  
Loreto Lancia
Keyword(s):  
Emergency Department ◽  
Body Temperature ◽  
Observational Study ◽  
Temperature Measurement ◽  
Pediatric Emergency ◽  
Mean Difference ◽  
Pediatric Emergency Department ◽  
Altman Plot ◽  
Bland Altman Plot ◽  
Body Temperature Measurement

Axillary digital thermometers (ADTs) and non-contact (infrared) forehead thermometers (NCIFTs) are commonly used in pediatric settings, where an incorrect body temperature measurement may delay treatments or lead to incorrect diagnoses and therapies. Several studies comparing ADT or NCIFT with other methods have found conflicting results. To investigate whether ADT and NCIFT can be used interchangeably, a comparative observational study was conducted involving 205 children aged 0 to 14 years who were consecutively admitted to the pediatric emergency department. The Bland–Altman plot illustrated agreement between the two methods. A total of 217 pairs of measurements were compared; axillary measurements showed average values significantly higher than forehead measurements (37.52°C and 37.12°C; t = 7.42, p = .000), with a mean difference of 0.41°C between the two methods (range = −1.80 and +2.40). In this setting and population, ADT and NCIFT cannot be used interchangeably.

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