Reducing prescribing errors in hospitalized children on the ketogenic diet.

Benjamin I Siegel; Meredith Johnson; Thomas E Dawson; Emily Kurzen; Philip J Holt; David S Wolf; Evan W Orenstein

Study

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

Siegel BI, Johnson M, Dawson TE, et al. Pediatr Neurol. 2020;115:42-47.

View more articles from the same authors.

Pediatric patients are at high risk for medication errors. This study found that a clinical decision support alert could effectively reduce orders for carbohydrate-containing medications in pediatric patients on ketogenic diets without increasing alert burden.

PubMed citation

Available at

Related Resources From the Same Author(s)

Optimizing situation awareness to reduce emergency transfers in hospitalized children.

October 20, 2021

Culture of safety: impact on improvement in infection prevention process and outcomes.

February 3, 2021

State policies for prescription drug monitoring programs and adverse opioid-related hospital events.

September 9, 2020

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Inequities in quality and safety outcomes for hospitalized children with intellectual disability.

March 16, 2022

Reported clinical incidents of children with intellectual disability: a qualitative analysis.

June 15, 2022

An initiative to reduce insulin-related adverse drug events in a children's hospital.

February 16, 2022

September 15, 2021

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

Performance-based payment incentives increase burden and blame for hospital nurses.

February 16, 2011

Making communication and resolution programmes mission critical in healthcare organisations.

November 11, 2020

Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture.

September 2, 2020

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

Assessing frequency and risk of weight entry errors in pediatrics.

February 15, 2017

Supporting a psychiatric hospital culture of safety.

November 21, 2012

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

Association between parent comfort with English and adverse events among hospitalized children.

November 11, 2020

Impact of pharmacist interventions on medication errors in hospitalized pediatric patients: a systematic review and meta-analysis.

October 14, 2020

Lessons learned in implementing a chronic opioid therapy management system.

December 21, 2022

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Improving shared situation awareness for high-risk therapies in hospitalized children.

January 19, 2022

Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study.

May 11, 2022

Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error.

March 31, 2021

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017.

September 23, 2020

Medication order errors at hospital admission among children with medical complexity

July 8, 2020

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

A nurse-driven system for improving patient quality outcomes.

April 12, 2006

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

Reducing pediatric emergency department prescription errors.

June 22, 2022

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

Understanding the peer, manager, and system influence on patient safety.

February 10, 2021

A multisite study of interprofessional teamwork and collaboration on general medical services.

November 25, 2020

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.

August 26, 2020

Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey.

March 3, 2021

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.

September 2, 2020

Family safety reporting in hospitalized children with medical complexity.

July 20, 2022

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.

February 2, 2022

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training.

September 22, 2021

Fall prevention with the Smart Socks System reduces hospital fall rates.

September 7, 2022

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Diagnostic error in the pediatric hospital: a narrative review.

February 9, 2022

The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis.

February 3, 2021

Reducing pediatric medication errors: children are especially at risk for medication errors.

May 18, 2005

Increasing physician reporting of diagnostic learning opportunities.

December 23, 2020

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.

April 20, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.

December 9, 2020

Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey.

September 2, 2020

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA.

June 24, 2020

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.

March 8, 2023

Preventing medication errors in pediatric anesthesia: a systematic scoping review.

November 9, 2022

Pediatric trainee perspectives on the decision to disclose medical errors.

March 30, 2022

Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial.

January 18, 2023

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Race, postoperative complications, and death in apparently healthy children.

August 12, 2020

Implementing universal suicide risk screening in a pediatric hospital.

August 18, 2021

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

December 2, 2015

Body mass index category and adverse events in hospitalized children.

July 27, 2022

Disclosing medical errors: prioritising the needs of patients and families.

July 5, 2023

Aligning patient safety and stewardship: a harm reduction strategy for children.

December 22, 2021

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room.

July 28, 2021

Call to action: addressing pediatric fall safety in ambulatory environments.

December 1, 2021

Building a program of expanded peer support for the entire health care team: no one left behind.

October 13, 2021

Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review.

September 16, 2020

Health care-associated infections among critically ill children in the US, 2013-2018.

October 28, 2020

Disparities in adverse event reporting for hospitalized children.

August 3, 2022

Journal Article

Study

Patient Safety Innovations

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

April 7, 2022

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

November 11, 2020

Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment.

January 26, 2022

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.

January 20, 2021

High-reliability organisation principles implemented in dentistry.

July 27, 2022

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

Sitters as a patient safety strategy to reduce hospital falls: a systematic review.

February 26, 2020

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

SAFER Care: improving caregiver comprehension of discharge instructions.

March 31, 2021

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.

September 30, 2020

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

Reducing medication errors for adults in hospital settings.

December 15, 2021

Automated identification of diagnostic labelling errors in medicine.

June 8, 2022

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

Strategies to reduce errors associated with 2-component vaccines.

December 2, 2020

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.

July 27, 2022

Key potentially inappropriate drugs in pediatrics: the KIDs list.

June 24, 2020

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.

March 10, 2021

Related Resources

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme.

December 21, 2022

Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review.

September 7, 2022

Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics.

November 3, 2021

Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.

November 18, 2020

Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review.

July 1, 2020

WebM&M Cases

Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing

June 24, 2020

National trends in the safety performance of electronic health record systems from 2009 to 2018.

June 17, 2020

WebM&M Cases

Life-Threatening Infant Overdose of Sodium Chloride

May 27, 2020

Improving timely recognition and treatment of sepsis in the pediatric ICU.

May 27, 2020

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.

May 20, 2020

Medication reconciliation improvement utilizing process redesign and clinical decision support.

January 29, 2020

Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.

December 18, 2019

Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting.

August 21, 2019

The MedSafer Study: a controlled trial of an electronic decision support tool for deprescribing in acute care.

July 31, 2019

Stand-alone artificial intelligence for breast cancer detection in mammography: comparison with 101 radiologists.

March 27, 2019

Evaluation of an electronic dosing calculator to reduce pediatric medication errors.

February 20, 2019

Systematic review of computerized prescriber order entry and clinical decision support.

February 6, 2019

Cranky comments: detecting clinical decision support malfunctions through free-text override reasons.

January 16, 2019

Identifying electronic health record usability and safety challenges in pediatric settings.

November 28, 2018

AI can't replace doctors. But it can make them better.

October 31, 2018

The gap in electronic drug information resources: a systematic review.

September 12, 2018

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system.

June 20, 2018

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis.

May 23, 2018

Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study.

April 18, 2018

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.

February 28, 2018

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.

January 17, 2018

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer.

January 10, 2018

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.

November 22, 2017

See More About The Topic

Hospitals

Information Professionals

Pediatrics

Medication Errors/Preventable Adverse Drug Events

Computerized Decision Support

Reducing prescribing errors in hospitalized children on the ketogenic diet.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Reducing prescribing errors in hospitalized children on the ketogenic diet.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site