Impact of clinical pharmacist interventions in reducing paediatric prescribing errors

Archives of Disease in Childhood
Cecilia M Fernandez-LlamazaresMaría Sanjurjo-Sáez

Abstract

To assess the impact of pharmacist intervention in reducing prescribing errors in paediatrics, and to analyse the clinical significance and reasons behind the errors detected. Cross-sectional epidemiological study analysing the activities of the paediatric pharmacist in a maternity and children's hospital with 180 paediatric beds, between January 2007 and December 2009. The following variables were analysed: impact of the pharmacist's recommendation on patient care, reason for the intervention, clinical significance, type of negative outcome associated with the medication, acceptance rate, medication involved, intervention detection date and observations. A total of 1475 interventions in medical orders for 14,713 paediatric patients were recorded (40 (2.9%) extremely significant interventions and 155 (11.1%) very significant interventions). There were 1357 prescribing errors, 833 of which were dosing errors. 2.2% of the errors detected were potentially fatal (30 cases) and 14.3% (194 cases) were clinically serious. The main reason for interventions was detection of a dosage between 1.5 and 10 times higher than that recommended. The overall rate of acceptance of the pharmacist's suggestions was 94.3%. The pharmacist carried out ...Continue Reading

Citations

May 28, 2013·International Journal of Clinical Pharmacy·Cecilia M Fernández-LlamazaresConcha Álvarez-del-Vayo
Jan 23, 2016·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A LerouxP Bédard
Nov 17, 2012·Pharmacological Research : the Official Journal of the Italian Pharmacological Society·Cecilia M Fernández-LlamazaresEsteban Valverde
Nov 2, 2015·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·M T Esqué RuizJ Figueras Aloy
Jul 16, 2014·Seizure : the Journal of the British Epilepsy Association·A P MurphyR Appleton
Apr 23, 2015·European Journal of Pediatrics·Corina GlanzmannPriska Vonbach
Oct 9, 2014·PloS One·Hesty Utami RamadaniatiJeffery David Hughes
Jan 1, 2013·Health Services Insights·Daniel R Neuspiel, Melissa M Taylor
Oct 28, 2018·International Journal of Clinical Pharmacy·Mar Saavedra-MitjansJean-François Bussières
Oct 17, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Silvia Manrique-RodríguezCecilia M Fernández-Llamazares
Jun 24, 2017·The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG·Lea S Eiland
Nov 9, 2019·BMC Medical Informatics and Decision Making·Kristin R MeltonEric Kirkendall
Apr 25, 2020·International Journal of Clinical Pharmacy·Lina Mohammad NaseralallahShane Ashley Pawluk
Mar 25, 2017·The Journal of Pediatric Pharmacology and Therapeutics : JPPT : the Official Journal of PPAG·Lauren E KellyMartin Offringa
Jun 20, 2018·European Journal of Pediatrics·Aaron DrovandiTherése Kairuz
Jul 2, 2016·International Journal of Clinical Pharmacy·Ji-Min HanJu-Yeun Lee

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