Abstract:
OBJECTIVE:The objective of this study was to assess the prevalence and characteristics of medication errors in pediatric and neonatal inpatients and to measure the impact of interventions to reduce medication errors. METHODS:A preintervention and postintervention cross-sectional study was conducted of a sample of prescriptions that were ordered by physicians and medications that were administered by nurses to patients at the NICU, PICU, and general pediatric settings at the Hospital Italiano de Buenos Aires Department of Pediatrics in 2002 and 2004. Number and type of errors, time shift on which they occurred, and whether they had any kind of adverse event on the patient were recorded. Medication errors were stratified according to physicians' and nurses' status. Several interventions, including incorporating a positive safety culture without a punitive management of errors and specific prescribing and drug-administration recommendations were implemented between the 2 phases of the study. RESULTS:A total of 590 prescriptions and 1174 drug administrations for 95 patients in the first phase of the study and 1144 prescriptions with 1588 drug administrations for 92 patients in the second phase were evaluated. The prevalence of medication error rate in the second phase was 7.3% (199 of 2732) and 11.4% (201 of 1764) in the first phase. The risk difference was -4.1%. CONCLUSIONS:The development of a program mainly centered on the promotion of a cultural change in the approach to medical errors can effectively diminish medication errors in neonates and children.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Otero P,Leyton A,Mariani G,Ceriani Cernadas JM,Patient Safety Committee.doi
10.1542/peds.2008-0014subject
Has Abstractpub_date
2008-09-01 00:00:00pages
e737-43issue
3eissn
0031-4005issn
1098-4275pii
122/3/e737journal_volume
122pub_type
杂志文章,多中心研究相关文献
PEDIATRICS文献大全abstract:OBJECTIVE:To assess the apparent increase in the diagnosis of Lemierre syndrome (LS) and other Fusobacterium necrophorum infections at a large children's hospital. Infections with F necrophorum ranged from peritonsillar abscess to potentially fatal LS. LS is an oropharyngeal infection characterized by septic thrombophl...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.112.5.e380
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To provide reference data for ambulatory blood pressure monitoring (ABPM) and to determine the influence of age, sex, and race on these values. METHODS:ABPM was performed on 300 healthy, normotensive boys and girls between the ages of 10 and 18 years, including 160 boys and 140 girls, of whom 149 were white ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-08-01 00:00:00
abstract::Trypanosoma cruzi, the causing agent of Chagas disease, can be transmitted to the offspring of infected pregnant women, thus being an epidemiologically important way of parasite transmission in humans. In addition, the migration of infected women from endemic areas to nonendemic countries may export this parasite infe...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2016-3719
更新日期:2018-04-01 00:00:00
abstract::Cases of ophthalmia neonatorum diagnosed at Grady Memorial Hospital 1967-1973 were reviewed. Of 302 cases 43 could be diagnosed as gonococcal, 86 chlamydial, 3 gonococcal and chlamydial, 31 staphylococcal, and 5 chemical. Silver nitrate prophylaxis was routinely employed. Gonococcal cases peaked during the third quart...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1976-06-01 00:00:00
abstract:OBJECTIVES:Clinical evidence indicates newborn critical congenital heart disease (CCHD) screening through pulse oximetry is lifesaving. In 2011, CCHD was added to the US Recommended Uniform Screening Panel for newborns. Several states have implemented or are considering screening mandates. This study aimed to estimate ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2013-0332
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Children with medical complexity (CMC) comprise only 6% of the pediatric population, account for ∼40% of pediatric health care spending, and provide an important opportunity for cost saving. Savings in this group can have an important impact on pediatric health care costs. The objective of thi...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1542/peds.2019-2401
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Gastric acidity is a major nonimmune defense mechanism against infections. The objective of this study was to investigate whether ranitidine treatment in very low birth weight (VLBW) infants is associated with an increased risk of infections, necrotizing enterocolitis (NEC), and fatal outcome....
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2011-0796
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:We describe patient characteristics and postoperative morbidity and mortality rates for patients with Down syndrome undergoing congenital heart disease surgery. METHODS:This retrospective cohort study used the Society of Thoracic Surgeons Congenital Heart Surgery Database to compare patient characteristics a...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2009-3245
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVE:To assess whether weight-related teasing predicts the development of binge eating, unhealthy weight control behaviors, and frequent dieting among male and female adolescents. METHODS:A prospective study was conducted with an ethnically and socioeconomically diverse sample of 2516 adolescents who completed su...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-1242
更新日期:2006-02-01 00:00:00
abstract::Achieving the ambitious reduction in global neonatal mortality targeted in the Sustainable Development Goals and Every Newborn Action Plan will require reducing geographic disparities in newborn deaths through targeted implementation of evidence-based practices. Helping Babies Survive, a suite of educational programs ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2020-016915J
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Premature infants have bradycardia and/or desaturation events due to apnea of prematurity that resolve as the infants mature. Despite American Academy of Pediatrics guidelines recommending a standard "event-free" period before discharge, length of observation in our Intensive Care Nursery was variable. By Ju...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-0861
更新日期:2020-02-01 00:00:00
abstract::Indomethacin decreases cerebral blood flow velocity and blood flow in the preterm infant. The duration of this negative effect has not been established. Cerebral blood flow velocity was evaluated in 24 preterm infants with symptomatic patent ductus arteriosus before and during the first 12 hours after a single intrave...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::To assess the effects of muscle relaxation on the critically ill ventilated neonate, pancuronium bromide was administered for a 12-hour period to ten low-birth-weight neonates (960 to 2,000 gm) of 26 to 34 weeks gestation, all whom required mechanical ventilation and were studied within 48 hours of birth (six to 39 ho...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1981-05-01 00:00:00
abstract:BACKGROUND:Late preterm infant mortality is higher than that for term newborns. The association between weight for gestational age (WGA) category and late preterm mortality has not been well described. OBJECTIVES:Our objectives for this research were as follows: (1) to compare neonatal and infant mortality rates of SG...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-3288
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:In 2011, the Neonatal Resuscitation Program (NRP) added consideration of continuous positive airway pressure (CPAP) for spontaneously breathing infants with labored breathing or hypoxia in the delivery room (DR). The objective of this study was to determine if DR-CPAP is associated with symptomatic pneumotho...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2019-0756
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:Computed tomography is commonly used in the diagnosis of pediatric lung disease. Although the radiation is not negligible, the yield has never been studied. METHODS:Clinical and imaging data were collected for all children who underwent chest computed tomography, as part of the diagnostic process. Cases were...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2008-2694
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:This study examined the factors that affect children's receipt of recommended well-child and dental visits using nationally representative data. METHODS:We analyzed the Child Public Use File of the 1999 National Survey of America's Families, including 35 938 children who were younger than 18 years. Bivariate...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.110.6.e73
更新日期:2002-12-01 00:00:00
abstract::To find out whether there is any relationship between the ventilatory response to hypoxia and the sudden infant death syndrome (SIDS), we studied the effects of mild induced hypoxia (PIO2, 120 mm Hg = 17% oxygen) in 16 infants aged 2 weeks to 6 months. Eight had recurrent apneic spells (apnea group) (five had aborted ...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract::A group of 198 children were followed from age 2 through first grade to see how consistent their behavior was across time and across settings. Measures of child behavior in the home were obtained when the children were ages 2, 4, and 5. Classroom behavior was ascertained when the children were in nursery school, kinde...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1977-06-01 00:00:00
abstract::Mortality and incidence, complexity, and severity of early childhood neurodevelopmental disability are reported for two cohorts of preterm infants of 500 through 1250 g birth weight. Comparing 1978-1979 (cohort 1) and 1988-1989 (cohort 2), 1-year survival improved from 82 (36%) of 226 to 197 (67%) of 291. Cohort 1 sur...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::The efficacy and safety of flunisolide aerosol were studied in 46 steroid-independent children with asthma inadequately controlled by nonsteroid drugs. This was a double-blind, placebo-controlled, parallel study lasting eight weeks. Patients were randomly assigned either flunisolide by inhalation, 0.5 mg twice a day, ...
journal_title:Pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1982-03-01 00:00:00
abstract::Global developmental delay and intellectual disability are relatively common pediatric conditions. This report describes the recommended clinical genetics diagnostic approach. The report is based on a review of published reports, most consisting of medium to large case series of diagnostic tests used, and the proporti...
journal_title:Pediatrics
pub_type: 杂志文章,评审
doi:10.1542/peds.2014-1839
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:Pyogenic granuloma is a common, acquired, vascular tumor of the skin in children, often ulcerates or bleeds, and is commonly localized to the face. The treatment of choice has been surgical removal, either by excision or shave, followed by electrocautery. The site, young age of the patient, and the inherent n...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.99.3.368
更新日期:1997-03-01 00:00:00
abstract:BACKGROUND:Recent children's health surveys have documented a high prevalence of emotional, developmental, and behavioral problems among children. Data from the 2003 National Survey of Children's Health provide new insights into these problems and their association with family function and community participation. Thes...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2005-2606
更新日期:2006-06-01 00:00:00
abstract::A summary of the author's experience with 1,000 hyperactive children treated in a private practice over a period of 10 years is presented. Of 1,000 children entering the office, 872 were treated with stimulants for more than 6 months. Of these 872 children, 137 (16%) were considered as treatment failures; 735 (84%) ha...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
abstract:OBJECTIVE:The purpose of this work was to investigate whether using a muscle relaxant would improve intubation conditions in infants, thereby decreasing the incidence and duration of hypoxia and time and number of attempts needed to successfully complete the intubation procedure. PATIENTS/METHODS:This was a prospectiv...
journal_title:Pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1542/peds.2006-0590
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To identify psychosocial factors that place adolescents at risk for participation in tobacco promotions, and to further investigate the hypothesis that psychosocial vulnerabilities have an indirect effect on smoking initiation among youth by way of involvement with tobacco promotions. METHODS:Data were from...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.111.2.402
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:Although invasive pneumococcal disease is infrequent in cystic fibrosis (CF), it is recommended that all patients with CF receive pneumococcal immunization. As part of a comprehensive program to immunize our clinic population, we obtained preimmunization anti-pneumococcal antibody levels. We hypothesized that...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.108.4.e62
更新日期:2001-10-01 00:00:00
abstract::An 8 1/2-year-old girl presented with a long history of seizures, growth retardation, muscle weakness, gait disturbance, and hearing loss. Her evaluation revealed chronic moderate renal failure (serum creatinine 2.2 mg/dL), severe hypocalcemia (5 mg/dL), hyperphosphatemia (8.1 mg/dL), hypomagnesemia (1.5 mg/dL), incre...
journal_title:Pediatrics
pub_type: 杂志文章
doi:
更新日期:1987-03-01 00:00:00
abstract:OBJECTIVE:To investigate the relationship between cognitive delay (CD) and behavior problems between ages 9 months and 5 years, while adjusting for covariates related to CD. METHODS:Data were from 4 waves of the Early Childhood Longitudinal Study, Birth Cohort (n = 8000). Children were classified as typically developi...
journal_title:Pediatrics
pub_type: 杂志文章
doi:10.1542/peds.2014-0259
更新日期:2014-09-01 00:00:00