Pediatric Medication Safety in the Emergency Department
Author:
Benjamin Lee1, Frush Karen2, Shaw Kathy3, Shook Joan E.4, Snow Sally K.5, Wright Joseph, Adirim Terry, Agus Michael S.D., Callahan James, Gross Toni, Lane Natalie, Lee Lois, Mazor Suzan, Mahajan Prashant, Timm Nathan, Joseph Madeline, Alade Kiyetta, Amato Christopher, Avarello Jahn T., Baldwin Steven, Barata Isabel A., Berg Kathleen, Brown Kathleen, Bullard-Berent Jeffrey, Dietrich Ann Marie, Friesen Phillip, Gerardi Michael, Heins Alan, Holtzman Doug K., Homme Jeffrey, Horeczko Timothy, Ishimine Paul, Lam Samuel, Long Katharine, Mayz Kurtis, Mehta Sanjay, Mellick Larry, Ojo Aderonke, Paul Audrey Z., Pauze Denis R., Pearson Nadia M., Perina Debra, Petrack Emory, Rayburn David, Rose Emily, Russell W. Scott, Ruttan Timothy, Saidinejad Mohsen, Sanders Brian, Simpson Joelle, Solari Patrick, Stoner Michael, Valente Jonathan H., Wall Jessica, Wallin Dina, Waseem Muhammad, Whiteman Paula J., Woolridge Dale, Young Tiffany, Foresman-Capuzzi Joyce, Johnson Rose, Martin Heather, Milici Justin, Brandt Cam, Nelson Nicholas, , ,
Affiliation:
1. Department of Emergency Medicine, St Joseph Mercy Ann Arbor, Ypsilanti, Michigan; 2. Department of Pediatrics, School of Medicine, Duke University, Durham, North Carolina; 3. Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; 4. Section of Emergency Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, Texas; and 5. Retired; Former Trauma Program Director, Cook Children's Medical Center, Fort Worth, Texas
Abstract
Pediatric patients cared for in emergency departments (EDs) are at high risk of medication errors for a variety of reasons. A multidisciplinary panel was convened by the Emergency Medical Services for Children program and the American Academy of Pediatrics Committee on Pediatric Emergency Medicine to initiate a discussion on medication safety in the ED. Top opportunities identified to improve medication safety include using kilogram-only weight-based dosing, optimizing computerized physician order entry by using clinical decision support, developing a standard formulary for pediatric patients while limiting variability of medication concentrations, using pharmacist support within EDs, enhancing training of medical professionals, systematizing the dispensing and administration of medications within the ED, and addressing challenges for home medication administration before discharge.
Publisher
American Academy of Pediatrics (AAP)
Subject
Pediatrics, Perinatology, and Child Health
Cited by
43 articles.
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