MEDICATION DOSING ERRORS IN PEDIATRIC PATIENTS TREATED BY EMERGENCY MEDICAL SERVICES

MEDICATION DOSING ERRORS IN PEDIATRIC PATIENTS TREATED BY EMERGENCY MEDICAL SERVICES
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DOI:
10.3109/10903127.2011.614043
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发表时间:
2012-01-01
影响因子:
2.4
通讯作者:
Fales, William D.
Fales, William D.
中科院分区:
医学3区
文献类型:
--
作者:
Hoyle, John D., Jr.;Davis, Alan T.;Fales, William D.

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背景。高达 17.8% 的住院儿童出现药物剂量错误。描述紧急医疗服务 (EMS) 护理人员的儿科用药错误的数据有限。研究表明,护理人员很少会遇到儿科患者。客观的。描述 EMS 治疗儿童的药物剂量错误特征。方法。我们研究了年龄与体重适当剂量偏差 20% 的患者,该剂量是根据院前病历中患者报告的体重或使用 Broselow-Luten 胶带 (BLT) 确定的。我们研究了儿童常用的六种 EMS 药物的使用错误:沙丁胺醇、阿托品、葡萄糖、苯海拉明、肾上腺素和纳洛酮。结果。共有 5,547 名年龄在
Bakground. Medication dosing errors occur in up to 17.8% of hospitalized children. There are limited data to describe pediatric medication errors by emergency medical services (EMS) paramedics. It has been shown that paramedics have infrequent encounters with pediatric patients. Objective. To characterize medication dosing errors in children treated by EMS. Methods. We studied patients aged = 20% deviation from the weight-appropriate dose, as determined by the patient's reported weight in the prehospital medical record or by use of the Broselow-Luten tape (BLT). We studied errors in administering six EMS medications commonly given to children: albuterol, atropine, dextrose, diphenhydramine, epinephrine, and naloxone. Results. There were 5,547 children aged