کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6085514 1589145 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Administration of Emergency MedicineMedication Errors in the Management of Anaphylaxis in a Pediatric Emergency Department
ترجمه فارسی عنوان
اداره خطاهای پزشکی اضطراری در مدیریت آنافیلاکسی در بخش اورژانس کودکان
کلمات کلیدی
آنافیلاکسی، خطاهای دارو، فرم سفارش استاندارد پزشکی اضطراری کودکان،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

BackgroundDespite the publication of recent guidelines for anaphylaxis management, many studies show that physicians are still not at ease with the management of anaphylaxis.ObjectivesTo evaluate the rate and severity of medication errors before and after implementation of a standard order form for anaphylaxis management.MethodsA before-and-after study was conducted. All children <18 years of age presenting to a tertiary care pediatric hospital Emergency Department with anaphylaxis between September 2007 and November 2010 were included. Patients were divided into two groups according to intervention (Pre and Post). Intervention consisted of the implementation of a standard order form (SOF) for anaphylaxis management. The post-intervention group was further sub-divided into SOF+ (when the SOF was used) and SOF− (when the SOF was not used).ResultsA total of 96 medical charts were reviewed. There were 31 patients in Pre and 65 in Post (29 in SOF+ and 36 in SOF−). A total of 243 drugs were ordered. Thirty-five percent (85/243) of these orders contained at least one medication error. Fifty-five percent (47/85) were dosage errors. The rate of medication errors was the same between Pre and Post (60% vs. 59%, p = 0.95). However, the rate of dosage errors was significantly reduced when the SOF was used (21% in SOF+ vs. 50% in Pre, p = 0.02 and 21% in SOF+ vs. 50% in SOF−, p = 0.02).ConclusionsMedication errors in the management of anaphylaxis were frequent. Use of an SOF significantly reduced the rate of dosage errors.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 45, Issue 3, September 2013, Pages 419-425
نویسندگان
, , , , , , , , , ,