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Sabblah GT, van Hunsel F, Taxis K, Duwiejua M, Seaneke SK, van Puijenbroek E. Medication errors by caregivers in the homes of children discharged from a pediatric department in Ghana. Ther Adv Drug Saf 2024; 15:20420986231225850. [PMID: 38293565 PMCID: PMC10823839 DOI: 10.1177/20420986231225850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Accepted: 12/24/2023] [Indexed: 02/01/2024] Open
Abstract
Background Medication errors (MEs) by caregivers at home are a cause of morbidity and mortality, shortly after discharge from the hospital. Objectives The objective of this study was to determine the rate and types of MEs at the homes of children discharged from a hospital in Ghana and to explore the factors associated with these errors. Design This was a cross-sectional study of infants and children discharged from the hospital to review medication administration practices. Methods Caregivers of children discharged from the hospital after at least 24 hours of admission were interviewed at their homes about medication administration practices. The study assessed potential harm associated with MEs made by caregivers using the Harm Associated with Medication Error Classification tool. The Least Absolute Shrinkage and Selection Operator regression were used to identify the variables associated with MEs. Results A total of 95 children (mean age: 28.6 months, 52.6% female) and their caregivers were included. Overall, 65 (68.4%) children experienced one or more MEs. Out of a total of 232 medications reviewed, 102 (44.0%) (95% CI: 37.6-50.4) were associated with a ME. The top two errors, wrong time errors and errors in the frequency of dosing were, 45.1% and 21.6%, respectively. Understanding the information on the disease condition being treated and the medicines dispensed was associated with committing fewer MEs. The number of medicines prescribed was associated with a higher likelihood of MEs. Out of 102 MEs, 48 (47.1%) were assessed as posing potentially no harm, 26 (25.5%) minor harm, 15 (14.7%) moderate harm, and 13 (12.8%) serious harm to the patients. Importantly, none of the MEs were assessed as posing potentially severe or life-threatening harm to the patients. Conclusion MEs in children following discharge are high, and systems should be developed to prevent these errors.
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Affiliation(s)
- George Tsey Sabblah
- Food and Drugs Authority, P.O. Box CT 2783, Cantonments, Accra, Ghana
- PharmacoTherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Antonius Deusinglaan 1, 9713 AV Groningen, The Netherlands
| | - Florence van Hunsel
- Netherlands Pharmacovigilance Centre Lareb, ‘s-Hertogenbosch, The Netherlands
| | - Katja Taxis
- PharmacoTherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands
| | - Mahama Duwiejua
- School of Pharmacy, College of Health Sciences, University of Ghana, Legon, Ghana
| | | | - Eugène van Puijenbroek
- PharmacoTherapy, Epidemiology and Economics, Groningen Research Institute of Pharmacy, University of Groningen, Groningen, The Netherlands
- Netherlands Pharmacovigilance Centre Lareb, ‘s-Hertogenbosch, The Netherlands
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Samuels-Kalow ME, Tassone R, Manning W, Cash R, Davila-Parrilla L, Hayes BD, Porter S, Camargo CA. Analysis of a Medication Safety Intervention in the Pediatric Emergency Department. JAMA Netw Open 2024; 7:e2351629. [PMID: 38214929 PMCID: PMC10787317 DOI: 10.1001/jamanetworkopen.2023.51629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/13/2024] Open
Abstract
Importance Strategies to reduce medication dosing errors are crucial for improving outcomes. The Medication Education for Dosing Safety (MEDS) intervention, consisting of a simplified handout, dosing syringe, dose demonstration and teach-back, was shown to be effective in the emergency department (ED), but optimal intervention strategies to move it into clinical practice remain to be described. Objective To describe implementation of MEDS in routine clinical practice and associated outcomes. Design, Setting, and Participants This mixed-methods interrupted time series study of MEDS was conducted April 2021 to December 2022 in an academic pediatric ED using a hybrid type 1 design. Parents and guardians of children aged 90 days to 11.9 years who were discharged with acetaminophen, ibuprofen, or both were eligible for inclusion in the quantitative portion. Clinicians from a diversity of role groups (attending physician, resident, and nurse) were eligible for the qualitative portion. Exposures The study was conducted in 5 stages (baseline, intervention 1, washout, intervention 2, and sustainability phases). The 2 intervention phases taught clinical staff the MEDS intervention using different implementation strategies. During the intervention 1 phase, in-depth interviews were conducted until thematic saturation was reached; results were analyzed using thematic analysis. Interviews informed intervention 2 phase interventions. Main Outcomes and Measures The primary outcome was any error (defined as dosing or frequency error) at a 48- to 72-hour follow-up phone call. Results There were 256 participants (median [IQR] child age, 1.7 [3.0-7.0] years; median [IQR] parent and guardian age, 36.0 [31.0-41.0] years; 200 females among parents and guardians [78.1%]) who consented and completed follow-up. At baseline, 44 of 68 participants (64.7%) made an error compared with 34 of 65 participants (52.3%) during intervention 1, 31 of 63 participants (49.X%) during intervention 2, and 34 of 60 participants (57.X%) during sustainability. After adjustment for language and health literacy, the adjusted odds ratio for error during the combined intervention phases was 0.52 (95% CI, 0.28-0.97) compared with baseline. Conclusions and Relevance This study found that both MEDS intervention phases were associated with decreased risk of error and that some improvement was sustained without active intervention. These findings suggest that attempts to develop simplified, brief interventions may be associated with improved medication safety for children after discharge from the ED.
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Affiliation(s)
- Margaret E Samuels-Kalow
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Randall Tassone
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - William Manning
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Rebecca Cash
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Laura Davila-Parrilla
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
- Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico
| | - Bryan D Hayes
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
| | - Stephen Porter
- Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio
| | - Carlos A Camargo
- Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston
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Loehfelm AM, Maxfield HA, Wallace LS. Do pediatric oral suspension acetaminophen and ibuprofen product labeling and online resources facilitate intended use? EXPLORATORY RESEARCH IN CLINICAL AND SOCIAL PHARMACY 2023; 12:100360. [PMID: 38054192 PMCID: PMC10694735 DOI: 10.1016/j.rcsop.2023.100360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 10/02/2023] [Accepted: 10/31/2023] [Indexed: 12/07/2023] Open
Abstract
Background Caregivers often have difficulty administering pediatric medications which frequently results in increased dosing error risk. Objective We examined health literacy characteristics of pediatric over-the-counter (OTC) oral suspension acetaminophen and ibuprofen instructional materials and dosing instruments. Methods We conducted a descriptive analysis of dosing instructions, measuring syringe characteristics, and internet-based resources among a sample of OTC pediatric oral suspension acetaminophen and ibuprofen products (n = 14). Results All products included Drug Facts Panels, employed consistent abbreviation use, and stated measuring dosage with syringe provided. However, oral syringe dosing increment markings did not match box or bottle dosing charts. Most products had supplemental English-language internet-based content resources available. Conclusions While OTC pediatric oral suspension acetaminophen and ibuprofen products labeling included key drug fact elements, there were inconsistencies between medication dosing chart labeling guidelines and oral syringe dosing increments/markings. It is vital that oral dosing syringes are clearly marked to match product dosing chart labeling s as a means of potentially reducing caregiver dosing errors.
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Affiliation(s)
- Alexis M. Loehfelm
- , West Virginia School of Osteopathic Medicine, United States of America
| | - Hunter A. Maxfield
- The Ohio State University, 400 N Lee Street, Lewisburg, WV 24901, United States of America
| | - Lorraine S. Wallace
- The Ohio State University, College of Medicine, Department of Biomedical Education and Anatomy, 260 Meiling Hall, 370 W. 9 Avenue, Columbus, OH 43210, United States of America
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Abidi S, Talegaonkar S, Notani S, Pradhan V, Pokharkar V, Popli H, Walsh J, Salunke S. Stepping into small shoes: Gaining user perspective on appropriate administration devices for paediatric medication in India. Eur J Pharm Biopharm 2023; 191:247-258. [PMID: 37689319 DOI: 10.1016/j.ejpb.2023.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 09/04/2023] [Accepted: 09/06/2023] [Indexed: 09/11/2023]
Abstract
A cross sectional pan-India study about use of administration devices for paediatric oral and inhalation medicines was conducted with a diverse pool of participants of various age groups. Via 634 respondents from more than 15 states in India, this study has identified the administration devices commonly used by parents/caregivers for children 0 to 18 years and by children over 10 years. It has provided insights on device ease of use, challenges faced and recommendations to facilitate the correct use of administration devices for paediatric oral and inhalation medicines. Ethics approval (DPSRU-BREC/2020/A/008)) was obtained from the Biomedical Research Ethics Committee of Delhi Pharmaceutical Sciences and Research University. The survey was completed by parents only (n = 514) and jointly by both parents and children (n = 120). The mean age of the child was 7.2 ± 4.96 years. 72% of the respondents reported that an oral medicine had been taken recently, 6.3% reported that an inhaled medicine had been taken and the remaining 21.9% reported that both an oral and inhaled medicine had been taken. The use of measuring cup was most prevalent followed by household spoons. The mean of the score for ease of use was found to be highest 4.6 ± 0.50 for oral syringe and lowest (3.8 ± 0.76) for measuring cups. The majority of them found the oral device easy to use. Difficulties were reported mostly for measuring cups and household spoons and were related to a lack of user instructions and measuring difficulties. The respondents who found the device easy to use had mostly received clear instructions from healthcare professionals. Compared to oral devices, there were very limited responses for inhalation devices (n = 175/634). Nebulisers with facemasks were most frequently used followed by manually actuated Metered dose inhalers with and without spacer. The mean of the ease-of-use score for dry powder inhalers was found to be highest (4.2 ± 0.37) followed by mist inhalers (4.0 ± 0) and manually actuated pressurised metered dose inhalers (4.0 ± 0.71). The nebulisers with facemask were reported to be difficult to use by most of the respondents despite receiving clear instructions from healthcare professionals. The study findings add evidence to the understudied area of user experiences and perspectives on administration devices for oral and inhalation medicines in India. It highlights a need for initiatives to improve the usability, availability, and affordability of administration devices for children in India. Awareness on the importance of proper use of devices needs to be raised and sustained about the existence of affordable administration devices.
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Affiliation(s)
- Saba Abidi
- School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University (DPSRU), MB Road, New Delhi 110017, India
| | - Sushama Talegaonkar
- School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University (DPSRU), MB Road, New Delhi 110017, India; Society for Paediatric Medicines and Healthcare Initiative (PMHI), Institute of Chemical Technology, Nathalal Parekh Marg, Matunga East, Mumbai 400019, India
| | - Soniya Notani
- European Paediatric Formulation Initiative (EuPFI), University College London School of Pharmacy, 29-39 Brunswick Square, London WC1N 1AX, United Kingdom
| | - Varsha Pradhan
- Society for Paediatric Medicines and Healthcare Initiative (PMHI), Institute of Chemical Technology, Nathalal Parekh Marg, Matunga East, Mumbai 400019, India
| | - Varsha Pokharkar
- Society for Paediatric Medicines and Healthcare Initiative (PMHI), Institute of Chemical Technology, Nathalal Parekh Marg, Matunga East, Mumbai 400019, India; Department of Pharmaceutics, Bharati Vidyapeeth Deemed University Poona College of Pharmacy, Pune, India
| | - Harvinder Popli
- School of Pharmaceutical Sciences, Delhi Pharmaceutical Sciences and Research University (DPSRU), MB Road, New Delhi 110017, India; Society for Paediatric Medicines and Healthcare Initiative (PMHI), Institute of Chemical Technology, Nathalal Parekh Marg, Matunga East, Mumbai 400019, India
| | - Jennifer Walsh
- European Paediatric Formulation Initiative (EuPFI), University College London School of Pharmacy, 29-39 Brunswick Square, London WC1N 1AX, United Kingdom; Jenny Walsh Consulting Ltd., BioCity Nottingham, Pennyfoot Street, Nottingham NG11GF, United Kingdom
| | - Smita Salunke
- European Paediatric Formulation Initiative (EuPFI), University College London School of Pharmacy, 29-39 Brunswick Square, London WC1N 1AX, United Kingdom.
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Mira JJ, Ballester P, Gil-Hernández E, Sambrano Valeriano L, Álvarez Gómez E, Olier Garate C, Márquez Ruiz Á, Acedo Torrecilla M, Arroyo Rodríguez A, Hidalgo Galache E, Navas Gutiérrez P, Pérez-Jover V, Lorenzo Martínez S, Carrillo Murcia I, Fernández Peris C, Sánchez-García A, Vicente Ripoll MA, Cobos Vargas Á, Pérez-Pérez P, Guilabert Mora M. Safe Care and Medication Intake Provided by Caregivers at Home: Reality Care Study Protocol. Healthcare (Basel) 2023; 11:2190. [PMID: 37570430 PMCID: PMC10419200 DOI: 10.3390/healthcare11152190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 07/29/2023] [Accepted: 07/31/2023] [Indexed: 08/13/2023] Open
Abstract
JUSTIFICATION Providing care to patients with several conditions and simultaneously taking several medications at home is inexorably growing in developed countries. This trend increases the chances of home caregivers experiencing diverse errors related with medication or care. OBJECTIVE To determine the effectiveness of four different educational solutions compared to the natural intervention (absence of intervention) to provide a safer care at home by caregivers. METHOD Prospective, parallel, and mixed research study with two phases. Candidates: Home-based caregivers caring a person with multiple comorbid conditions or polymedication who falls into one of the three profiles of patients defined for the study (oncology, cardiovascular, or pluripathological patients). First phase: Experts first answered an online survey, and then joined together to discuss the design and plan the content of educational solutions directed to caregivers including the identification of medication and home care errors, their causes, consequences, and risk factors. Second phase: The true experiment was performed using an inter- and intrasubject single-factor experimental design (five groups: four experimental groups against the natural intervention (control), with pre- and post-intervention and follow-up measures) with a simple random assignment, to determine the most effective educational solution (n = 350 participants). The participants will be trained on the educational solutions through 360 V, VR, web-based information, or psychoeducation. A group of professionals called the "Gold Standard" will be used to set a performance threshold for the caring or medication activities. The study will be carried out in primary care centers, hospitals, and caregivers' associations in the Valencian Community, Andalusia, Madrid, and Murcia. EXPECTED RESULTS We expect to identify critical elements of risk management at home for caregivers and to find the most effective and optimal educational solution to reduce errors at home, increasing caregivers' motivation and self-efficacy whilst the impact of gender bias in this activity is reduced. TRIAL REGISTRATION Clinical Trial NCT05885334.
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Affiliation(s)
- José Joaquín Mira
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain; (P.B.); (E.G.-H.); (A.S.-G.)
| | - Pura Ballester
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain; (P.B.); (E.G.-H.); (A.S.-G.)
- Departamento Farmacología, Universidad Católica de San Antonio de Murcia, 30107 Murcia, Spain
| | - Eva Gil-Hernández
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain; (P.B.); (E.G.-H.); (A.S.-G.)
| | | | | | - Clara Olier Garate
- Hospital Universitario Fundación Alcorcón, 28922 Alcorcón, Spain; (C.O.G.); (S.L.M.)
| | | | | | | | | | | | - Virtudes Pérez-Jover
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
| | | | - Irene Carrillo Murcia
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
| | - César Fernández Peris
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
| | - Alicia Sánchez-García
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, 03550 Sant Joan d’Alacant, Spain; (P.B.); (E.G.-H.); (A.S.-G.)
| | - María Asunción Vicente Ripoll
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
| | | | - Pastora Pérez-Pérez
- Unidad Territorial II. Provincia San Juan de Dios de España, 41005 Sevilla, Spain;
| | - Mercedes Guilabert Mora
- Departamento Psicología de la Salud, Universidad Miguel Hernández, 03202 Elche, Spain; (V.P.-J.); (I.C.M.); (C.F.P.); (M.A.V.R.); (M.G.M.)
- Health District Alicante-Sant Joan, 03013 Alicante, Spain
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Abstract
PURPOSE OF REVIEW Health literacy influences how children and families participate in their medical care, use health services, and overall health outcomes. Health literacy is underexplored in pediatric dermatology. In this scoping review, we provide examples of how limited health literacy can be a barrier to patient care in pediatric dermatology and how to mitigate its effects. RECENT FINDINGS Limited health literacy is associated with worse health outcomes, decreased medication adherence, and decreased use of the healthcare system versus those with adequate health literacy. Materials created to help patients understand their medical conditions and treatment options often are written at a reading level far above that of the average patient and caregiver. Given the reading level of patient-facing materials, those with limited health literacy are more susceptible to medication administration errors, with omissions or incorrect dosing being most frequent to occur. There is limited research about how skills related to health literacy, including numeracy and electronic health literacy, can be addressed in pediatric dermatology. SUMMARY Health literacy impacts patient care, treatment, and adherence in pediatric dermatology. This article gives examples of how to address common challenges in the pediatric dermatology clinic and presents areas for further research and improvement.
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Affiliation(s)
| | | | - Carrie C Coughlin
- Division of Dermatology, Departments of Medicine and Pediatrics, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA
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de Dios JG, López-Pineda A, Juan GMP, Minagorre PJA, Guilabert M, Pérez-Jover V, Carrillo I, Mira JJ. Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home. BMC Pediatr 2023; 23:380. [PMID: 37525101 PMCID: PMC10391897 DOI: 10.1186/s12887-023-04106-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Accepted: 06/02/2023] [Indexed: 08/02/2023] Open
Abstract
PURPOSE This study aimed to identify the perceptions and attitudes of pediatricians and parents/caregivers regarding medication errors at home, and to compare the findings from the two populations. METHODS This was a cross-sectional survey study. We designed a survey for working pediatricians and another one for parents or caregivers of children aged 14 years and younger. The survey's questions were designed to assess provider and parental opinions about the difficulty faced by parents providing medical treatment, specific questions on medication errors, and on a possible intervention program aimed at preventing pediatric medication errors. Pediatrician and parent responses to matching questions in both surveys were compared. RESULTS The surveys were administered in Spain from 2019 to 2021. In total, 182 pediatricians and 194 families took part. Most pediatricians (62.6%) and families (79.3%) considered that managing medical treatment was not among the main difficulties faced by parents in caring for their children. While 79.1% of pediatricians thought that parents consulted the internet to resolve doubts regarding the health of their children, most families (81.1%) said they consulted healthcare professionals. Lack of knowledge among parents and caregivers was one of the causes of medication errors most frequently mentioned by both pediatricians and parents. Most pediatricians (95.1%) said they would recommend a program designed to prevent errors at home. CONCLUSIONS Pediatricians and families think that medical treatment is not among the main difficulties faced by parents in caring for their children. Most pediatricians said they would recommend a medication error reporting and learning system designed for families of their patients to prevent medication errors that might occur in the home environment.
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Grants
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
- GV/2019/040 Ministry of innovation, universities, science and society of Valencia Region
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Affiliation(s)
- Javier González de Dios
- Pharmacology, Pediatrics and Organic Chemistry, Miguel Hernandez University, San Juan de Alicante, Spain
- Paediatrics Department, General University Hospital of Alicante, Alicante, Spain
- Institute of Health and Biomedical Research of Alicante, Alicante Spain General University Hospital of Alicante, Alicante, Spain
| | - Adriana López-Pineda
- Clinical Medicine Department, Miguel Hernández University, San Juan de Alicante, Spain
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, San Juan de Alicante, Spain
- Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), San Juan de Alicante, Spain
| | | | - Pedro J Alcalá Minagorre
- Paediatrics Department, General University Hospital of Alicante, Alicante, Spain
- Institute of Health and Biomedical Research of Alicante, Alicante Spain General University Hospital of Alicante, Alicante, Spain
| | - Mercedes Guilabert
- Health Psychology Department, Miguel Hernandez University, Elche, Spain.
| | - Virtudes Pérez-Jover
- Institute of Health and Biomedical Research of Alicante, Alicante Spain General University Hospital of Alicante, Alicante, Spain
- Health Psychology Department, Miguel Hernandez University, Elche, Spain
| | - Irene Carrillo
- Health Psychology Department, Miguel Hernandez University, Elche, Spain
| | - José Joaquín Mira
- Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, San Juan de Alicante, Spain
- Health Psychology Department, Miguel Hernandez University, Elche, Spain
- Alicante-Sant Joan d'Alacant Health Department, San Juan de Alicante, Spain
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Naseralallah L, Stewart D, Azfar Ali R, Paudyal V. An umbrella review of systematic reviews on contributory factors to medication errors in healthcare settings. Expert Opin Drug Saf 2022; 21:1379-1399. [DOI: 10.1080/14740338.2022.2147921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Lina Naseralallah
- School of Pharmacy, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom
| | - Derek Stewart
- Clinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar
| | - Ruba Azfar Ali
- School of Pharmacy, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom
| | - Vibhu Paudyal
- School of Pharmacy, College of Medical and Dental Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom
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Saito J, Nakamura H, Walsh J, Yamatani A, Salunke S. A Survey to Understand Parent/Caregiver and Children's Views on Devices Used for the Administration of Oral Pediatric Medicines in Japan. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9020196. [PMID: 35204916 PMCID: PMC8869804 DOI: 10.3390/children9020196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 01/31/2022] [Accepted: 02/02/2022] [Indexed: 11/22/2022]
Abstract
Administration devices are crucial for the correct dosing of medicines to children. In countries outside Japan, oral droppers and syringes are reported to be preferred for the administration of oral liquid medicines to neonates and infants, whilst spoons and cups are more frequently used for older children. However, in Japan the majority of oral medicines are powders and the use of dosing devices in each pediatric age group is not well known. This study was performed as an observational anonymous questionnaire survey on devices for oral medicines in children aged 10 to less than 18 years and parents/caregivers on behalf of children aged from birth to less than 18 years. The results from 336 respondents showed that powders were most frequently prescribed in children aged less than 10 years old followed by liquids. Unlike previous reports, droppers were most frequently used in patients less than 12 months old, while household spoons were most frequently used in older children. Oral syringes were perceived as easy to use, which was in line with previous studies. Further cross-regional multi-countries study for establishment the guidelines on the choice of device will be needed.
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Affiliation(s)
- Jumpei Saito
- Department of Pharmacy, National Center for Child Health and Development, Tokyo 157-8535, Japan;
- Correspondence: ; Tel.: +81-3-3416-0181
| | - Hidefumi Nakamura
- Department of Research and Development Supervision, National Center for Child Health and Development, Tokyo 157-8535, Japan;
| | - Jennifer Walsh
- Jenny Walsh Consulting Ltd., BioCity Nottingham, Pennyfoot Street, Nottingham NG1 1GF, UK;
| | - Akimasa Yamatani
- Department of Pharmacy, National Center for Child Health and Development, Tokyo 157-8535, Japan;
| | - Smita Salunke
- School of Pharmacy, University College London, 29-39 Brunswick Square, London WC1N 1AX, UK;
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