High-alert medications for pediatric patients: an international modified Delphi study

被引:27
|
作者
Maaskant, Jolanda M. [1 ]
Eskes, Anne [2 ,4 ]
van Rijn-Bikker, Petra [3 ]
Bosman, Diederik [1 ]
van Aalderen, Wim [1 ]
Vermeulen, Hester [2 ,4 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Emma Childrens Hosp, NL-1100 DE Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Qual Assurance & Proc, NL-1100 DE Amsterdam, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Dept Clin Pharm, NL-1100 DE Amsterdam, Netherlands
[4] Amsterdam Sch Hlth Profess, Dept Nursing, Amsterdam, Netherlands
关键词
children; harm; high-alert; medication safety; pediatrics; ADVERSE DRUG EVENTS; NEONATAL INTENSIVE-CARE; ORDER ENTRY; HOSPITALIZED-PATIENTS; ERRORS; SAFETY; EPIDEMIOLOGY; CHEMOTHERAPY; PREVENTION; STRATEGIES;
D O I
10.1517/14740338.2013.825247
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: The available knowledge about high-alert medications for children is limited. Because children are particularly vulnerable to medication errors, a list of high-alert medication specifically for children would help to develop effective strategies to prevent patient harm. Therefore, we conducted an international modified Delphi study and validated the results with reports on medication incidents in children based on national data. Objective: The objective of this study was to generate an internationally accepted list of high-alert medications for a pediatric inpatient population from birth to 18-years old. Results: The rating panel consisted of 34 experts from 13 countries. In total, 14 medications and 4 medication classes were included with the predefined level of consensus of 75%. The high-alert medications were: amiodarone, digoxin, dopamine, epinephrine, fentanyl, gentamycin, heparine, insulin, morphine, norepinephrine, phenytoin, potassium, propofol and tacrolimus. The high-alert medication classes included in the final list were: chemotherapeutic drugs, immunosuppressive medications, lipid/total parenteral nutrition and opioids. Conclusion: An international group of experts defined 14 medications and 4 medication classes as high-alert for children. This list might be helpful as a starting point for individual hospitals to develop their own high-alert list tailored to their unique situation.
引用
收藏
页码:805 / 814
页数:10
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