Abstract：
OBJECTIVE:To measure the difference in prescribing error rates between 2 clinics, 1 with a system in place to reduce errors and 1 with no such system; to determine variables that affect the likelihood of prescription errors. METHODS:This was a retrospective study at 2 university-based general pediatric clinics utilizing the same electronic medical record (EMR) system. Clinic 1 employed pharmacists who provided daily prescription review, provider feedback and education, and EMR customization to decrease errors. Clinic 2 had no systems in place for reducing prescribing errors. Prescriptions written by resident physicians over 2 months were identified and reviewed. RESULTS:A total of 1361 prescriptions were reviewed, 40.7% from clinic 1 and 59.3% from clinic 2. Errors were found in 201 prescriptions (14.8%). Clinics 1 and 2 had error rates of 11% and 17.5%, respectively (P = .0012). The odds of a prescription error at clinic 2 were 1.7 times the odds of a prescription error at clinic 1. Logistic regression identified clinic, nonpediatric resident, liquid dose forms, and younger patient age as significant predictors of prescription errors. Half of the errors could have been prevented with consistent use of a custom medication list within the EMR. CONCLUSIONS:We found 37% fewer prescribing errors in a clinic with systems in place for prescribing error detection and prevention. Pediatric clinics should explore systematic procedures for identifying, resolving, and providing education about prescribing errors to reduce patient risk.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Condren M,Honey BL,Carter SM,Ngo N,Landsaw J,Bryant C,Gillaspy Sdoi
10.1016/j.acap.2014.03.018subject
Has Abstractpub_date
2014-09-01 00:00:00pages
485-90issue
5eissn
1876-2859issn
1876-2867pii
S1876-2859(14)00101-6journal_volume
14pub_type
杂志文章abstract：OBJECTIVE:(1) To describe coparenting among adolescent mothers and the biological fathers of their children. (2) To examine the effects of coparenting on young children's social-emotional development and whether these effects vary by father's residence status, parental education, and child characteristics. METHODS:Sec...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2012.07.007
更新日期：2012-11-01 00:00:00
abstract：OBJECTIVE:Guidelines recommend closer outpatient follow-up for exclusively breastfed newborns, especially those with pronounced weight loss, because of increased risk of hyperbilirubinemia and dehydration that might require readmission. Our objective was to determine how feeding method and weight loss are associated wi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.11.005
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To determine the proportion of abstracts submitted to the 2010 Pediatric Academic Societies (PAS) meeting that were exclusively qualitative, and to examine whether these abstracts were more or less likely than all others to be designated as platform, poster, or publish only. METHODS:The database of abstracts...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.01.007
更新日期：2013-03-01 00:00:00
abstract：OBJECTIVE:The demand for global health electives among medical students and residents has grown substantially, yet perspectives of international hosts are not well documented. This study aimed to assess how host country supervising clinical preceptors perceive learners on short-term global health electives of up to 6 w...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.11.002
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The role of a hospitalist differs in a community hospital (CH) compared to a university/children's hospital. Residents are required to practice in a variety of relevant clinical settings, but little is known about current trends regarding pediatric resident training in different hospital settin...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.10.006
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:Hispanic parents in the United States are disproportionately affected by low health literacy and limited English proficiency (LEP). We examined associations between health literacy, LEP, and liquid medication dosing errors in Hispanic parents. METHODS:Cross-sectional analysis of data from a multisite randomi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.10.001
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To develop a clinical score to predict appendicitis among older, male children who present to the emergency department with suspected appendicitis. METHODS:Patients with suspected appendicitis were prospectively enrolled at 9 pediatric emergency departments. A total of 2625 patients enrolled; a subset of 961...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.11.014
更新日期：2017-04-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2018.02.009
更新日期：2018-08-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.acap.2017.11.002
更新日期：2018-03-01 00:00:00
abstract：OBJECTIVE:An innovative low-cost parenting intervention, implemented through health services in Jamaica showed benefits to children's cognitive development at 18 months and parent's attitudes concerning childcare. We assessed the impact of the intervention on child and parent outcomes at 6 years of age. METHODS:A clus...
journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2021-01-09 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.03.005
更新日期：2021-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2010.06.004
更新日期：2010-09-01 00:00:00
abstract：:Education, like clinical medicine, should be based on the most current evidence in the field. Unfortunately, medical educators can be overwhelmed by the sheer volume and range of resources for this literature. This article provides an overview of 15 articles from 2016 that the authors consider the top articles in the ...
journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2018.01.015
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Validated questionnaires help community pediatric services to identify emotional and behavioral problems (EBPs). This study assesses the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire (SDQ) for the identification of EBPs in adolescents (13 to 14years old) an...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.12.008
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To develop and validate a computable phenotype algorithm for identifying patient populations with sickle cell disease. METHODS:In this retrospective study we used electronic health record data from the Children's Hospital of Wisconsin to develop a computable phenotype algorithm for sickle cell disease. The a...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.12.005
更新日期：2017-04-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.04.009
更新日期：2020-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.02.014
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Parent knowledge about developmental disabilities (DDs) may facilitate access to DD care; however, parents may vary in their knowledge and familiarity with common DDs. This study aimed to assess racial/ethnic and language differences in low-income families' familiarity, knowledge, and personal experience with...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.06.011
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.008
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2016.01.013
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:Incorporating culturally sensitive care into well-child visits may help address pediatric preventive care disparities faced by racial and ethnic minorities, families with limited English proficiency, and immigrants. We explored parents' perspectives about the extent to which their children's pediatric care is...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.12.007
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVE:Youth involvement in extracurricular activities may help prevent smoking and drinking initiation. However, the relative roles of types of extracurricular activity on these risks are unclear. Therefore, we examined the association between substance use and participation in team sports with a coach, other sport...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.02.002
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:To determine which of the 21 general pediatrics milestone subcompetencies are most difficult to assess using traditional methodologies and which are best suited to simulation-based assessment. METHODS:We surveyed 2 samples: pediatric simulation experts and pediatric program directors. Respondents were asked ...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.09.007
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVE:Since the introduction of resident work-hour standards, pediatric residency programs have struggled to preserve robust continuity clinic experiences. Many programs have resorted to more flexible approaches to resident scheduling. We know little regarding the impact of such changes. We compared 2 continuity cl...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2009.11.002
更新日期：2010-03-01 00:00:00
abstract：BACKGROUND:Limited English proficiency (LEP) is a known barrier to preventive care. Children from families with LEP face socioeconomic circumstances associated with increased odds of developmental delays and decreased participation in early care and education programs. Little is known about developmental surveillance a...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.12.007
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:To identify the proportion of patients previously diagnosed with apparent life-threatening events (ALTE) who would meet criteria for brief resolved unexplained events (BRUE) and to identify rates of adverse outcomes in subgroups: ALTE not meeting criteria for BRUE, lower-risk BRUE, and higher-risk ALTE. METH...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.08.001
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:A parent-child relational framework was used as a method to train pediatric residents in basic knowledge and observation skills for the assessment of child development. Components of the training framework and its preliminary validation as an alternative to milestone-based approaches are described. METHODS:P...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.09.005
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To determine if parents' self-efficacy in communicating with their child's pediatrician is associated with African American mothers' disclosure of psychosocial concerns during pediatric primary care visits. METHODS:Self-identified African American mothers (n = 231) of children 2 to 5 years were recruited fro...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2014.03.002
更新日期：2014-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2011.05.001
更新日期：2011-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2015.03.008
更新日期：2015-07-01 00:00:00
