Document Detail

Liquid medication dosing errors in children: role of provider counseling strategies.
MedLine Citation:
PMID:  24767779     Owner:  NLM     Status:  In-Data-Review    
OBJECTIVE: To examine the degree to which recommended provider counseling strategies, including advanced communication techniques and dosing instrument provision, are associated with reductions in parent liquid medication dosing errors.
METHODS: Cross-sectional analysis of baseline data on provider communication and dosing instrument provision from a study of a health literacy intervention to reduce medication errors. Parents whose children (<9 years) were seen in 2 urban public hospital pediatric emergency departments (EDs) and were prescribed daily dose liquid medications self-reported whether they received counseling about their child's medication, including advanced strategies (teachback, drawings/pictures, demonstration, showback) and receipt of a dosing instrument. The primary dependent variable was observed dosing error (>20% deviation from prescribed). Multivariate logistic regression analyses were performed, controlling for parent age, language, country, ethnicity, socioeconomic status, education, health literacy (Short Test of Functional Health Literacy in Adults); child age, chronic disease status; and site.
RESULTS: Of 287 parents, 41.1% made dosing errors. Advanced counseling and instrument provision in the ED were reported by 33.1% and 19.2%, respectively; 15.0% reported both. Advanced counseling and instrument provision in the ED were associated with decreased errors (30.5 vs 46.4%, P = .01; 21.8 vs 45.7%, P = .001). In adjusted analyses, ED advanced counseling in combination with instrument provision was associated with a decreased odds of error compared to receiving neither (adjusted odds ratio 0.3; 95% confidence interval 0.1-0.7); advanced counseling alone and instrument alone were not significantly associated with odds of error.
CONCLUSIONS: Provider use of advanced counseling strategies and dosing instrument provision may be especially effective in reducing errors when used together.
H Shonna Yin; Benard P Dreyer; Hannah A Moreira; Linda van Schaick; Luis Rodriguez; Susanne Boettger; Alan L Mendelsohn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Academic pediatrics     Volume:  14     ISSN:  1876-2867     ISO Abbreviation:  Acad Pediatr     Publication Date:    2014 May-Jun
Date Detail:
Created Date:  2014-04-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101499145     Medline TA:  Acad Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  262-70     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
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