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PSNet: Patient Safety Network
Journal Article
Study

Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU.

Procaccini D, Rapaport R, Petty BG, et al. Jt Comm J Qual Patient Saf. 2020;46(12):706-714.

The use of PRN (“as needed”) medications is a common source of medication errors. The authors describe the implementation of staff education and a pediatric intensive care unit (PICU) order set (with predefined PRN orders), which led to increased compliance with Joint Commission medication management standards. The related editorial discusses how investment in human factors and ergonomics can contribute to healthcare quality and safety improvements.