PMID- 31758886
OWN - NLM
STAT- MEDLINE
DCOM- 20200826
LR  - 20200826
IS  - 1668-3501 (Electronic)
IS  - 0325-0075 (Linking)
VI  - 117
IP  - 6
DP  - 2019 Dec 1
TI  - Voluntary and anonymous reporting of medication errors in patients admitted to 
      the Department of Pediatrics.
PG  - e592-e597
LID - 10.5546/aap.2019.eng.e592 [doi]
AB  - OBJECTIVE: To assess reports of medication errors in hospitalized children to 
      establish their frequency, causes, and adverse events(AEs). METHODS: Prospective 
      study of medication errors reported at the Neonatal Intensive Care Unit (NICU), 
      Pediatric Clinic (PC), and Pediatric intensive Care Unit (PICU). Ambulatory 
      Pediatrics reports and incomplete data were excluded. Related variables were 
      evaluated. RESULTS: Out of 989 errors reported in Department of Pediatrics, 401 
      (41 %) corresponded to medication errors. Of these, 353 (88 %) reached patients 
      and 48 (12 %) were quasi-errors; 42 % occurred in the morning; 24 %, in the 
      afternoon; 17 %, in the morning and afternoon, and 17 %, in the night; 
      differences were not significant (p = 0.18). Dosing errors were the most common 
      ones, 118 (33.4 %). In total, 160 reports (45 %) corresponded to prescription 
      errors; 149 (42 %), to administration errors; and 44 (2.5 %), to dispensing 
      errors. Dosing errors were more common in prescriptions (p < 0.05). The highest 
      number of errors was reported at the NICU, 179 (50 %); compared to 91 (25.5 %) at 
      the PC and 83 (24.5 %) at the PICU. A total of 91 AEs were reported (22.5 %); 
      most were mild, 53 (58 %), or moderate, 31 (34 %). The NICU reported 53 AEs (58 
      %); the PICU, 25 (27 %); and the DCP, 18 (19.7 %). No deaths occurred. 
      CONCLUSION: The rate of medication errors reported in hospitalized children was 
      41 %. Dosing errors were the most common ones. A total of 91 AEs were reported; 
      most were mild (58 %); the highest number was reported at the NICU (58 %).
CI  - Sociedad Argentina de Pediatria.
FAU - Ceriani Cernadas, Jose M
AU  - Ceriani Cernadas JM
AD  - Comite de Seguridad del Paciente, Hospital Italiano de Buenos Aires. 
      jose.ceriani@hospitalitaliano.org.ar.
AD  - Servicio de Neonatologia, Departamento de Pediatria, Hospital Italiano de Buenos 
      Aires.
FAU - Bogado, Luz
AU  - Bogado L
AD  - Comite de Seguridad del Paciente, Hospital Italiano de Buenos Aires.
FAU - Espinola Rolon, Fidencia
AU  - Espinola Rolon F
AD  - Comite de Seguridad del Paciente, Hospital Italiano de Buenos Aires.
FAU - Galletti, Maria F
AU  - Galletti MF
AD  - Servicio de Neonatologia, Departamento de Pediatria, Hospital Italiano de Buenos 
      Aires.
LA  - eng
LA  - spa
PT  - Journal Article
PT  - Observational Study
TT  - Reporte voluntario y anonimo de errores de medicacion en pacientes hospitalizados 
      en un Departamento de Pediatria.
PL  - Argentina
TA  - Arch Argent Pediatr
JT  - Archivos argentinos de pediatria
JID - 0372460
SB  - IM
MH  - Child
MH  - Hospitals/standards/*statistics & numerical data
MH  - Humans
MH  - Infant, Newborn
MH  - Intensive Care Units, Neonatal/standards/*statistics & numerical data
MH  - Intensive Care Units, Pediatric/standards/*statistics & numerical data
MH  - Medication Errors/*statistics & numerical data
MH  - Prospective Studies
OTO - NOTNLM
OT  - adverse events
OT  - hospitalization
OT  - medication errors
OT  - pediatrics
OT  - selfreporting
COIS- The authors report no conflicts of interest in this work.
EDAT- 2019/11/24 06:00
MHDA- 2020/08/28 06:00
CRDT- 2019/11/24 06:00
PHST- 2019/01/03 00:00 [received]
PHST- 2019/07/05 00:00 [accepted]
PHST- 2019/11/24 06:00 [entrez]
PHST- 2019/11/24 06:00 [pubmed]
PHST- 2020/08/28 06:00 [medline]
AID - 10.5546/aap.2019.eng.e592 [doi]
PST - ppublish
SO  - Arch Argent Pediatr. 2019 Dec 1;117(6):e592-e597. doi: 10.5546/aap.2019.eng.e592.