Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.


OBJECTIVE:Medication errors are common among pediatric patients and in emergency departments (EDs). Such errors may lead to prolonged hospitalization, unnecessary diagnostic tests and treatments, and death. The objective of this study was to determine whether the use of a structured order sheet reduces the incidence of medication errors in a pediatric ED. METHODS:The study was a randomized, controlled study that was conducted in a tertiary care pediatric hospital. Eighteen days were randomized into 2 study groups: days during which the regular blank order sheets were used and days during which preprinted, formatted, order sheets were used. All patients' charts from these days were reviewed by 2 medical students, who extracted demographic, clinical, and therapeutic data into a database. Two pediatric emergency physicians, blinded to the form used, reviewed the database and independently decided whether an error had occurred and the severity of the error. RESULTS:Within the study period, there were 2157 visits to the ED. A total of 2058 (95.4%) charts were available for review. A total of 411 (52.2%) orders for drugs in the ED were ordered on the regular form, and 376 (47.8%) were given on the new form. Drug errors were identified in 68 (16.6%) orders when the regular form was used and in 37 (9.8%) of the orders on the new form. Using the new form was associated with a significant reduction in the risk for an error (odds ratio: 0.55; 95% confidence interval: 0.34-0.90). CONCLUSIONS:The use of a preprinted structured order form significantly reduces medication errors among pediatric patients in the ED.






Kozer E,Scolnik D,MacPherson A,Rauchwerger D,Koren G




Has Abstract


2005-12-01 00:00:00














  • The infant development, environment, and lifestyle study: effects of prenatal methamphetamine exposure, polydrug exposure, and poverty on intrauterine growth.

    abstract:OBJECTIVE:Methamphetamine use among pregnant women is an increasing problem in the United States. Effects of methamphetamine use during pregnancy on fetal growth have not been reported in large, prospective studies. We examined the neonatal growth effects of prenatal methamphetamine exposure in the multicenter, longitu...


    pub_type: 杂志文章,多中心研究


    authors: Smith LM,LaGasse LL,Derauf C,Grant P,Shah R,Arria A,Huestis M,Haning W,Strauss A,Della Grotta S,Liu J,Lester BM

    更新日期:2006-09-01 00:00:00

  • Perinatal information systems for quality improvement: visions for today.

    abstract::Today clinical information is used for a multitude of purposes beyond patient care documentation including quality review and improvement processes, allocation of resources, budgetary and long-term planning, productivity measurement, and justification to payers for services provided. Providers in perinatal medicine ar...


    pub_type: 杂志文章,评审


    authors: Slagle TA

    更新日期:1999-01-01 00:00:00

  • From the American Academy of Pediatrics: Technical report--Secondhand and prenatal tobacco smoke exposure.

    abstract::Secondhand tobacco smoke (SHS) exposure of children and their families causes significant morbidity and mortality. In their personal and professional roles, pediatricians have many opportunities to advocate for elimination of SHS exposure of children, to counsel tobacco users to quit, and to counsel children never to ...


    pub_type: 杂志文章


    authors: Best D,Committee on Environmental Health.,Committee on Native American Child Health.,Committee on Adolescence.

    更新日期:2009-11-01 00:00:00

  • Birth weight and hearing impairment in norwegians born from 1967 to 1993.

    abstract:OBJECTIVES:To estimate the association between birth weight and hearing impairment among Norwegians born between 1967 and 1993, taking other pregnancy-related conditions into consideration. METHODS:A cohort study was conducted of all Norwegian live births from 1967 to 1993 (n = 1 548 429) linking information of the Me...


    pub_type: 杂志文章


    authors: Nafstad P,Samuelsen SO,Irgens LM,Bjerkedal T

    更新日期:2002-09-01 00:00:00

  • Outpatient Rehabilitation for Medicaid-Insured Children Hospitalized With Traumatic Brain Injury.

    abstract:OBJECTIVES:To describe the prevalence of postdischarge outpatient rehabilitation among Medicaid-insured children hospitalized with a traumatic brain injury (TBI) and to identify factors associated with receipt of services. METHODS:Retrospective cohort of children <21 years, hospitalized for a TBI between 2007 and 2012...


    pub_type: 杂志文章


    authors: Jimenez N,Symons RG,Wang J,Ebel BH,Vavilala MS,Buchwald D,Temkin N,Jaffe KM,Rivara FP

    更新日期:2016-06-01 00:00:00

  • Gross and fine motor development in 45,X and 47,XXX girls.

    abstract::Neuromuscular deficits have been described in 47,XXY and 47,XYY boys, but gross and fine motor development of girls with sex chromosome aneuploidy has not been extensively studied. Twenty-one propositae 8 to 19 years of age, identified through newborn screening to be 45,X, 47,XXX, or 45,X mosaic, and 11 control girls ...


    pub_type: 杂志文章


    authors: Salbenblatt JA,Meyers DC,Bender BG,Linden MG,Robinson A

    更新日期:1989-10-01 00:00:00

  • Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007.

    abstract:OBJECTIVES:The reported increasing prevalence of autism spectrum disorder (ASD) and attendant health and family impact make monitoring of ASD prevalence a public health priority. METHODS:The prevalence of parent-reported diagnosis of ASD among US children aged 3 to 17 years was estimated from the 2007 National Survey ...


    pub_type: 杂志文章


    authors: Kogan MD,Blumberg SJ,Schieve LA,Boyle CA,Perrin JM,Ghandour RM,Singh GK,Strickland BB,Trevathan E,van Dyck PC

    更新日期:2009-11-01 00:00:00

  • Weight teasing and disordered eating behaviors in adolescents: longitudinal findings from Project EAT (Eating Among Teens).

    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...


    pub_type: 杂志文章


    authors: Haines J,Neumark-Sztainer D,Eisenberg ME,Hannan PJ

    更新日期:2006-02-01 00:00:00

  • Evaluation and Referral for Developmental Dysplasia of the Hip in Infants.

    abstract::Developmental dysplasia of the hip (DDH) encompasses a wide spectrum of clinical severity, from mild developmental abnormalities to frank dislocation. Clinical hip instability occurs in 1% to 2% of full-term infants, and up to 15% have hip instability or hip immaturity detectable by imaging studies. Hip dysplasia is t...


    pub_type: 杂志文章,评审


    authors: Shaw BA,Segal LS,SECTION ON ORTHOPAEDICS.

    更新日期:2016-12-01 00:00:00

  • Fatal and nonfatal farm injuries to children and adolescents in the United States.

    abstract::Agriculture is the second most dangerous occupation in the United States, and unlike other occupations, children make up a significant portion of the work force. This study presents national data on the morbidity and mortality due to farm injuries to children and adolescents less than or equal to 19 years of age. Data...


    pub_type: 杂志文章


    authors: Rivara FP

    更新日期:1985-10-01 00:00:00

  • Neonatal hyperbilirubinemia and risk of autism spectrum disorders.

    abstract:OBJECTIVE:To investigate the association between neonatal hyperbilirubinemia and autism spectrum disorders (ASD). METHODS:We conducted a large case-control study nested within the cohort of singleton term infants born between 1995 and 1998 at a northern California Kaiser Permanente hospital. Case subjects (n = 338) we...


    pub_type: 杂志文章


    authors: Croen LA,Yoshida CK,Odouli R,Newman TB

    更新日期:2005-02-01 00:00:00

  • Superiority of oral agar and phototherapy combination in the treatment of neonatal hyperbilirubinemia.

    abstract:OBJECTIVE:To determine the value of oral agar in the treatment of neonatal hyperbilirubinemia and to compare it with two other treatment modalities: phototherapy alone and phototherapy plus oral agar. METHODS:Two hundred eight jaundiced full-term newborns were divided into four groups. They were given either photother...


    pub_type: 临床试验,杂志文章


    authors: Caglayan S,Candemir H,Aksit S,Kansoy S,Asik S,Yaprak I

    更新日期:1993-07-01 00:00:00

  • Use and yield of chest computed tomography in the diagnostic evaluation of pediatric lung disease.

    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...


    pub_type: 杂志文章


    authors: Schneebaum N,Blau H,Soferman R,Mussaffi H,Ben-Sira L,Schwarz M,Sivan Y

    更新日期:2009-08-01 00:00:00

  • The increasing number of children using psychiatric services: analysis of a cumulative psychiatric case register.

    abstract::Psychosocial problems of children have received increasing attention in the pediatric literature, but it remains unclear to what extent psychiatric services are available and used for the treatment of these problems. This paper examines the utilization of psychiatric services by children over an 18-year period in Monr...


    pub_type: 杂志文章


    authors: Roghmann KJ,Babigian HM,Goldberg ID,Zastowny TR

    更新日期:1982-11-01 00:00:00

  • Disparities for LGBTQ and Gender Nonconforming Adolescents.

    abstract:OBJECTIVES:To identify patterns of childhood adversity in a sample of adolescents and assess disparities in these experiences for lesbian, gay, bisexual, transgender, and questioning adolescents and by level of gender nonconformity. METHOD:By using the cross-sectional, statewide, anonymous 2016 Minnesota Student Surve...


    pub_type: 杂志文章


    authors: Baams L

    更新日期:2018-05-01 00:00:00

  • Rapid, needle-free delivery of lidocaine for reducing the pain of venipuncture among pediatric subjects.

    abstract:OBJECTIVES:The purpose of this study was to determine the optimal configuration of an investigational, single-use, needle-free, drug system (ALGRX 3268) that delivers powdered lidocaine into the epidermis for the rapid production of local anesthesia among pediatric subjects undergoing venipuncture. METHODS:Children 3 ...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Migdal M,Chudzynska-Pomianowska E,Vause E,Henry E,Lazar J

    更新日期:2005-04-01 00:00:00

  • Thyroid screening for early discharged infants.

    abstract:OBJECTIVE:As neonatal discharge before 24 hours of life becomes commonplace, the rejection of congenital hypothyroidism (CH) screening specimens obtained too early has created the need for numerous additional tests. We sought to determine whether the specimens obtained before 24 hours could be used safely. METHODS:Dur...


    pub_type: 杂志文章


    authors: Saslow JG,Post EM,Southard CA

    更新日期:1996-07-01 00:00:00

  • Etiologies of NICU deaths.

    abstract:BACKGROUND AND OBJECTIVES:Infant mortality is an indicator of overall societal health, and a significant proportion of infant deaths occur in NICUs. The objectives were to identify causes of death and to define potentially preventable factors associated with death as areas for quality improvement efforts in the NICU. ...


    pub_type: 杂志文章


    authors: Jacob J,Kamitsuka M,Clark RH,Kelleher AS,Spitzer AR

    更新日期:2015-01-01 00:00:00

  • Youth tobacco product use in the United States.

    abstract:BACKGROUND:Noncigarette tobacco products are increasingly popular among youth, especially cigarette smokers. Understanding multiple tobacco product use is necessary to assess the effects of tobacco products on population health. This study examines multiple tobacco product use and associated risk factors among US youth...


    pub_type: 杂志文章,多中心研究


    authors: Lee YO,Hebert CJ,Nonnemaker JM,Kim AE

    更新日期:2015-03-01 00:00:00

  • Parent health and functioning 13 months after infant or child NICU/PICU death.

    abstract:BACKGROUND:After a child's death, parents may experience depression, posttraumatic stress disorder (PTSD), and increased risk for cancers, diabetes, psychiatric hospitalization, and suicide. Racial/ethnic differences are unknown. This longitudinal study investigated health and functioning of Hispanic, black, and white ...


    pub_type: 杂志文章


    authors: Youngblut JM,Brooten D,Cantwell GP,del Moral T,Totapally B

    更新日期:2013-11-01 00:00:00

  • Validity of Newborn Clinical Assessment to Determine Gestational Age in Bangladesh.

    abstract:BACKGROUND:Gestational age (GA) is frequently unknown or inaccurate in pregnancies in low-income countries. Early identification of preterm infants may help link them to potentially life-saving interventions. METHODS:We conducted a validation study in a community-based birth cohort in rural Bangladesh. GA was determin...


    pub_type: 杂志文章


    authors: Lee AC,Mullany LC,Ladhani K,Uddin J,Mitra D,Ahmed P,Christian P,Labrique A,DasGupta SK,Lokken RP,Quaiyum M,Baqui AH,Projahnmo Study Group.

    更新日期:2016-07-01 00:00:00

  • Neisseria meningitidis bacteremia in children: quantitation of bacteremia and spontaneous clinical recovery without antibiotic therapy.

    abstract::The relationship between the magnitude of bacteremia due to Neisseria meningitidis and the clinical diagnosis was determined for 43 children who had fever in the presence or absence of focal signs of infection. Bacteremia was quantitated by the previously described procedure using heparinized blood (0.2 to 1.0 mL). Ad...


    pub_type: 杂志文章


    authors: Sullivan TD,LaScolea LJ Jr

    更新日期:1987-07-01 00:00:00

  • Recommendations for Prevention and Control of Influenza in Children, 2016-2017.

    abstract::The purpose of this statement is to update recommendations for the routine use of seasonal influenza vaccine and antiviral medications for the prevention and treatment of influenza in children. The AAP recommends annual seasonal influenza immunization for everyone 6 months and older, including children and adolescents...


    pub_type: 杂志文章,实务指引



    更新日期:2016-10-01 00:00:00

  • Evolution in the recognition of infantile hypertrophic pyloric stenosis.

    abstract:PURPOSE:To analyze changes in the clinical condition at presentation and methods of establishing the diagnosis of infantile hypertrophic pyloric stenosis (IHPS). METHODS:Retrospective review of patients who underwent pyloromyotomy (PM) for suspected IHPS at two institutions from 1969 through 1994 was performed. For th...


    pub_type: 杂志文章


    authors: Hulka F,Campbell TJ,Campbell JR,Harrison MW

    更新日期:1997-08-01 00:00:00

  • Patent Ductus Arteriosus of the Preterm Infant.

    abstract::Postnatal ductal closure is stimulated by rising oxygen tension and withdrawal of vasodilatory mediators (prostaglandins, nitric oxide, adenosine) and by vasoconstrictors (endothelin-1, catecholamines, contractile prostanoids), ion channels, calcium flux, platelets, morphologic maturity, and a favorable genetic predis...


    pub_type: 杂志文章,评审


    authors: Hamrick SEG,Sallmon H,Rose AT,Porras D,Shelton EL,Reese J,Hansmann G

    更新日期:2020-11-01 00:00:00

  • International Variability in Gastrointestinal Decontamination With Acute Poisonings.

    abstract:BACKGROUND AND OBJECTIVES:Identifying international differences in the management of acute pediatric poisonings may help improve the quality of care. The objective of this study was to assess the international variation and appropriateness of gastrointestinal decontamination (GID) procedures performed in children and a...


    pub_type: 杂志文章,多中心研究


    authors: Mintegi S,Dalziel SR,Azkunaga B,Prego J,Arana-Arri E,Acedo Y,Martinez-Indart L,Benito J,Kuppermann N,Pediatric Emergency Research Networks (PERN) Poisoning Working Group.

    更新日期:2017-08-01 00:00:00

  • Research ethics in the MySpace era.

    abstract::Social networking web sites are popular among adolescents and may represent a new venue for conducting adolescent health research. Conducting research by using social networking web sites raises several concerns, including the social value of this research, fair subject selection, confidentiality, privacy, and informe...


    pub_type: 杂志文章,评审


    authors: Moreno MA,Fost NC,Christakis DA

    更新日期:2008-01-01 00:00:00

  • Delayed cord clamping in very preterm infants reduces the incidence of intraventricular hemorrhage and late-onset sepsis: a randomized, controlled trial.

    abstract:OBJECTIVE:This study compared the effects of immediate (ICC) and delayed (DCC) cord clamping on very low birth weight (VLBW) infants on 2 primary variables: bronchopulmonary dysplasia (BPD) and suspected necrotizing enterocolitis (SNEC). Other outcome variables were late-onset sepsis (LOS) and intraventricular hemorrha...


    pub_type: 杂志文章,随机对照试验


    authors: Mercer JS,Vohr BR,McGrath MM,Padbury JF,Wallach M,Oh W

    更新日期:2006-04-01 00:00:00

  • Considering complementary and alternative medicine alternatives in cases of life-threatening illness: applying the best-interests test.

    abstract::In this article we explore decision-making about treatment when a child faces a life-threatening illness but conventional treatment presents substantial risk and uncertain benefit. When is it acceptable for parents to decide to use complementary and alternative medicine as an alternative, rather than a complement, to ...


    pub_type: 杂志文章


    authors: Gilmour J,Harrison C,Asadi L,Cohen MH,Aung S,Vohra S

    更新日期:2011-11-01 00:00:00

  • Pulse oxygen saturation levels and arterial oxygen tension values in newborns receiving oxygen therapy in the neonatal intensive care unit: is 85% to 93% an acceptable range?

    abstract:OBJECTIVE:Our aim was to define the relationship of PaO(2) and pulse oxygen saturation values during routine clinical practice and to evaluate whether pulse oxygen saturation values between 85% and 93% were associated with PaO(2) levels of <40 mmHg. METHODS:Prospective comparison of PaO(2) and pulse oxygen saturation ...


    pub_type: 杂志文章


    authors: Castillo A,Sola A,Baquero H,Neira F,Alvis R,Deulofeut R,Critz A

    更新日期:2008-05-01 00:00:00