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MEDICATION ERRORS IN CHILDREN AND PREVENT STRATEGIES |
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รหัสดีโอไอ | |
Creator | Ploypan Pothisuntorn |
Title | MEDICATION ERRORS IN CHILDREN AND PREVENT STRATEGIES |
Publisher | Faculty of pharmacy, Silpakorn University |
Publication Year | 2562 |
Journal Title | Thai Bulletin of Pharmaceutical Sciences |
Journal Vol. | 14 |
Journal No. | 2(July-December)2019 |
Page no. | 105-118 |
Keyword | medication errors, pediatrics, prevention |
URL Website | https://www.tci-thaijo.org/index.php/TBPS |
ISSN | 2586-8659 |
Abstract | Medication errors in children are three times as serious as those in adults. The most common error that has been frequently found is taking/giving wrong daily doses. The physiological growth of pediatrics affects treatment doses, resulting in doctors having to perform a weight-based calculation for each individual, which may lead to dose miscalculations. Other factors that contribute to medication errors among pediatrics include the use of medical formulations that are not designed for use by children; a lack of experience in diagnosing children; transcription errors by non-physicians; and pediatric medications being specified to the decimal point, making it difficult to administer exact dosages. Strategies that may decrease errors include utilizing computerized physician order entry systems and clinical decision support systems; changing prescribing behavior; preparing drug formulations specifically for children; using automated pharmaceutical machines; having clinical pharmacists within pediatric wards; using barcode systems and new technology for nursing administration; and improving communication with parents about the correct way to administer medicine. In the future, new technologies will inevitably be used to improve the safe dispensing of medicine to treat pediatric patients. Therefore, supportive policies by national healthcare organizations and hospitals are crucial. |