Mi-Ae You1, Su-Min Nam, Youn-Jung Son. 1. 1PhD, RN, PNPBC, Assistant Professor, College of Nursing, Ajou University, Suwon, Republic of Korea 2MPH, RN, Doctoral Candidate, College of Nursing, Ajou University, Suwon, Republic of Korea 3PhD, RN, CCAPN, Professor, Department of Nursing, College of Medicine, Soonchunhyang University, Cheonan, Republic of Korea.
Abstract
BACKGROUND: Medication administration errors are the most common type of error in pediatric medicine. Preventing medication errors is an important part of ensuring safe and quality patient care for pediatric patients. Few studies have described this issue from the perspective of the parents of pediatric patients. PURPOSE: This study describes parents' administration of medication to their children at home and the understanding of these parents of adverse drug events (ADEs). METHODS: A cross-sectional survey design was used to gather data from 179 parents of pediatric patients at two pediatric units at a hospital and three children's daycare centers in Korea. Data were collected from July to August 2012 using a self-reported questionnaire. RESULTS: Participants reported administering antipyretics (94.4%), decongestants (89.4%), and antibiotics (77.7%) to their children at home. The major source of medication information was instruction sheets. Parents more commonly used dosing cups (43.6%) and droppers (32.9%) when administering liquid medication to children. Furthermore, 12.3% of the children experienced ADEs. Only 48% of the participants were provided information on ADEs, 15.1% were unsure about the recommended dosage, and 11.2% were unsure of the recommended method for administering the medication. Analysis of variance and post hoc tests showed that level of parental education and monthly income each had a significant impact on participant understanding of ADEs. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This study suggests that parents should be educated about ways to avoid common medication errors in children. In addition, in the case of low-income families, home visits should be carried out to understand how to reduce home medication errors and provide drug-related information to parents. Strategies are needed to reduce pediatric home medication errors and minimize ADEs and to provide medication information to parents.
BACKGROUND: Medication administration errors are the most common type of error in pediatric medicine. Preventing medication errors is an important part of ensuring safe and quality patient care for pediatric patients. Few studies have described this issue from the perspective of the parents of pediatric patients. PURPOSE: This study describes parents' administration of medication to their children at home and the understanding of these parents of adverse drug events (ADEs). METHODS: A cross-sectional survey design was used to gather data from 179 parents of pediatric patients at two pediatric units at a hospital and three children's daycare centers in Korea. Data were collected from July to August 2012 using a self-reported questionnaire. RESULTS:Participants reported administering antipyretics (94.4%), decongestants (89.4%), and antibiotics (77.7%) to their children at home. The major source of medication information was instruction sheets. Parents more commonly used dosing cups (43.6%) and droppers (32.9%) when administering liquid medication to children. Furthermore, 12.3% of the children experienced ADEs. Only 48% of the participants were provided information on ADEs, 15.1% were unsure about the recommended dosage, and 11.2% were unsure of the recommended method for administering the medication. Analysis of variance and post hoc tests showed that level of parental education and monthly income each had a significant impact on participant understanding of ADEs. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This study suggests that parents should be educated about ways to avoid common medication errors in children. In addition, in the case of low-income families, home visits should be carried out to understand how to reduce home medication errors and provide drug-related information to parents. Strategies are needed to reduce pediatric home medication errors and minimize ADEs and to provide medication information to parents.
Authors: James A Feinstein; Hannah Friedman; Lucas E Orth; Chris Feudtner; Allison Kempe; Sadaf Samay; Allison B Blackmer Journal: JAMA Netw Open Date: 2021-08-02
Authors: M Marano; F Rossi; L Ravà; M Khalil Ramla; M Pisani; G Bottari; L Genuini; G Zampini; J Nunziata; A Reale; M A Barbieri; F Celeani; M Di Nardo; C Cecchetti; F Stoppa; A Villani; M Raponi; S Livadiotti; G Pontrelli Journal: Ital J Pediatr Date: 2021-06-02 Impact factor: 2.638