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Potential Medication Dosing Errors in Outpatient Pediatrics

To determine the prevalence of potential dosing errors of medication dispensed to children for 22 common medications. Using automated pharmacy data from 3 health maintenance organizations (HMOs), we randomly selected up to 120 children with a new dispensing prescription for each drug of interest, gi...

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Bibliographic Details
Published in:The Journal of pediatrics 2005-12, Vol.147 (6), p.761-767
Main Authors: McPhillips, Heather A., Stille, Christopher J., Smith, David, Hecht, Julia, Pearson, John, Stull, John, DeBellis, Kristin, Andrade, Susan, Miller, Marlene, Kaushal, Rainu, Gurwitz, Jerry, Davis, Robert L.
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Language:English
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Summary:To determine the prevalence of potential dosing errors of medication dispensed to children for 22 common medications. Using automated pharmacy data from 3 health maintenance organizations (HMOs), we randomly selected up to 120 children with a new dispensing prescription for each drug of interest, giving 1933 study subjects. Errors were defined as potential overdoses or potential underdoses. Error rate in 2 HMOs that use paper prescriptions was compared with 1 HMO that uses an electronic prescription writer. Approximately 15% of children were dispensed a medication with a potential dosing error: 8% were potential overdoses and 7% were potential underdoses. Among children weighing
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2005.07.043