Prescribing errors in a pediatric emergency department

Michael L. Rinke, Margaret Moon, John S. Clark, Shawna Mudd, Marlene R. Miller

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

OBJECTIVES: To determine the frequency, prescriber, and type of prescribing errors in written in-house orders and ambulatory prescriptions in a pediatric emergency department (PED). METHODS: A 17-day retrospective chart review and a 6-month retrospective ambulatory prescription review in a PED for medications with weight-based dosing. Orders and prescriptions were checked for prescriber identification number, route, weight-based target dose in milligrams per kilogram, frequency, correct dosing, and drug allergies. Narcotics were excluded from the prescription analysis. RESULTS: Forty-seven (12.5%) of 377 in-house orders and 37 (19.4%) of 191 individual charts contained at least 1 error: 4 (1.1%) orders contained an incorrect dose, 41 (10.8%) were written incorrectly, and 2 (0.5%) contained an incorrect dose and were written incorrectly. Thirty (4.3%) of 696 ambulatory prescriptions contained 1 error: 14 (2.0%) contained an incorrect dose, and 16 (2.3%) were written incorrectly. Pediatric postgraduate year-3 residents had the highest in-house order incorrect dose error rate (1 of 29 orders or 3.5%), and ED pediatric postgraduate year-2 residents had the highest ambulatory prescription incorrect dose error rate (6 of 66 prescriptions or 9.1%). Pediatric ED attending physicians had the highest error rates for writing orders and prescriptions incorrectly, 25% (3 of 12) and 9.7% (3 of 31), respectively. Antibiotics, analgesics, and narcotics were most often involved in errors. CONCLUSIONS: Prescribing errors are common in both written in-house orders and ambulatory prescriptions in a PED. Targeting safety interventions toward groups with less practice in prescribing pediatric doses and reeducating groups on safe medication writing techniques could decrease this error rate.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalPediatric Emergency Care
Volume24
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Fingerprint

Prescriptions
Hospital Emergency Service
Pediatrics
Narcotics
A 17
Drug Hypersensitivity
Weights and Measures
Anti-Bacterial Agents
Physicians
Safety

Keywords

  • Medication errors
  • Prescription

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Nursing(all)
  • Emergency Medicine

Cite this

Prescribing errors in a pediatric emergency department. / Rinke, Michael L.; Moon, Margaret; Clark, John S.; Mudd, Shawna; Miller, Marlene R.

In: Pediatric Emergency Care, Vol. 24, No. 1, 01.2008, p. 1-8.

Research output: Contribution to journalArticle

Rinke, Michael L. ; Moon, Margaret ; Clark, John S. ; Mudd, Shawna ; Miller, Marlene R. / Prescribing errors in a pediatric emergency department. In: Pediatric Emergency Care. 2008 ; Vol. 24, No. 1. pp. 1-8.
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