Department of Pediatrics, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, USA.
Healthcare Policy and Research, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, USA.
Arch Dis Child. 2019 Jun;104(6):596-599. doi: 10.1136/archdischild-2018-315175. Epub 2018 Aug 28.
Medication-related errors are among the most common medical errors, and studies have shown that the paediatric population is particularly vulnerable. Errors can occur during any step in the medication process. This review article seeks to highlight new advancements in the field of paediatric medication safety at each stage of the medication process, from ordering and transcribing to medication dispensing and administration. We will focus on interventions that are increasingly widely used, such as computerised provider order entry with clinical decision support, barcoding technologies and safe medication administration through technologies pumps (SMART pumps), as well as innovative mobile application devices and workflow management systems that are being piloted at single institutions. By highlighting what is new in paediatric medication safety, as well as the gaps that remain, we hope to continue to foster focus on this critically important area in order to create the safest possible environment for children.
药物相关错误是最常见的医疗错误之一,研究表明,儿科人群尤其容易受到影响。错误可能发生在药物治疗过程的任何一个步骤中。这篇综述文章旨在强调药物治疗过程各个阶段儿科药物安全领域的新进展,从医嘱下达和转录到药物分发和管理。我们将重点介绍越来越广泛使用的干预措施,如具有临床决策支持的计算机化医嘱录入、条形码技术以及通过智能输液泵(SMART 泵)进行安全药物管理,以及正在单个机构试点的创新移动应用设备和工作流程管理系统。通过强调儿科药物安全领域的新进展和仍然存在的差距,我们希望继续关注这一极其重要的领域,为儿童创造尽可能安全的环境。