- Study
- Published April 2001
Medication errors and adverse drug events in pediatric inpatients.
- Classic
Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.
-
Topics
Resource Type
Approach to Improving Safety
- Clinical Pharmacist Involvement
- Computerized Provider Order Entry (CPOE)
- Computerized Decision Support
Safety Target
Setting of Care
Clinical Area
Target Audience
Error Types
Origin/Sponsor
-
Cite
Copy Citation:
Download Citation File:
This prospective cohort study aimed to describe the epidemiology of medication errors by determining prevalence rates, comparing them to existing rates in adult hospitals, and analyzing the major error types captured. Using data from nearly 11,000 medication orders, investigators reported a 5.7% medication error rate and less than 2% adverse drug event (ADE) rate—findings similar to those in adult settings. The rate of potential ADEs, however, was higher in this study population. Results include detailed description of the error types, the point at which the error occurred in the medication administration process, and the severity of the events. The authors discuss potential areas for intervention, such as computerized provider order entry (CPOE) with decision support and greater collaboration with clinical pharmacists.
Related Resources
Journal Article › Review
Tolley CL, Forde NE, Coffey KL, et al. J Am Med Inform Assoc. 2018;25:575-584.
Journal Article › Study
Risk factors for adverse events in emergency department procedural sedation for children.
Bhatt M, Johnson DW, Chan J, et al; Sedation Safety Study Group of Pediatric Emergency Research Canada (PERC). JAMA Pediatr. 2017;171:957-964.
Journal Article › Study
Lobaugh LMY, Martin LD, Schleelein LE, Tyler DC, Litman RS. Anesth Analg. 2017;125:936-942.
Journal Article › Study
The trigger tool as a method to measure harmful medication errors in children.
Maaskant JM, Smeulers M, Bosman D, et al. J Patient Saf. 2018;14:95-100.
Journal Article › Study
Patregnani JT, Spaeder MC, Lemon V, Diab Y, Klugman D, Stockwell DC. Jt Comm J Qual Patient Saf. 2015;41:108-114.
Journal Article › Study
Effects of CPOE on provider cognitive workload: a randomized crossover trial.
Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.
Journal Article › Study
Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital.
Doherty C, Mc Donnell C. Pediatrics. 2012;129:916-924.
Journal Article › Review
Strategies to reduce medication errors in pediatric ambulatory settings.
Mehndiratta S. J Postgrad Med. 2012;58:47-53.
Patient Safety Primer
Patient Safety Primer
Patient Safety Primer
Journal Article › Study
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
Newspaper/Magazine Article
Perioperative medication errors: uncovering risk from behind the drapes.
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS. Patient Saf Advis. 2018;15(4).
Journal Article › Study
Atkinson MK, Schuster MA, Feng JY, Akinola T, Clark KL, Sommers BD. JAMA Netw Open. 2018;1:e185658.
Journal Article › Review
Prevention of perioperative medication errors.
Nanji K. UpToDate. January 4, 2019.
Journal Article › Study
Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Hosp Pediatr. 2019;9:1-5.
Journal Article › Review
Systematic review of computerized prescriber order entry and clinical decision support.
Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Am J Health Syst Pharm. 2018;75:1909-1921.
Journal Article › Commentary
Bates DW, Singh H. Health Aff (Milwood). 2018;37:1736-1743.
Journal Article › Study
Identifying electronic health record usability and safety challenges in pediatric settings.
Ratwani RM, Savage E, Will A, et al. Health Aff (Millwood). 2018;37:1752-1759.
Journal Article › Study
Sutherland JJ, Morrison RD, McNaughton CD, et al. JAMA Netw Open. 2018;1:e184196.
Journal Article › Review
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Journal Article › Study
Keers RN, Plácido M, Bennett K, Clayton K, Brown P, Ashcroft DM. PLoS One. 2018;13:e0206233.
Journal Article › Study
Bowdle TA, Jelacic S, Nair B, et al. Br J Anaesth. 2018;121:1338-1345.
Journal Article › Review
Direct oral anticoagulants: a review of common medication errors.
Barr D, Epps QJ. J Thromb Thrombolysis. 2019;47:146-154.