| Sustaining and Spreading the Reduction of Adverse Drug Events in a Multicenter Collaborative. | |
| | |
MedLine Citation:
|
PMID: 21727100 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Objectives: Adverse drug events (ADEs) occur more frequently in pediatric patients than adults. ADEs frequently cause serious harm to children and increase the cost of care. The purpose of this study was to decrease ADEs by targeting the entire medication-delivery system for all high-risk medications. Methods: Thirteen freestanding children's hospitals participated in this ADE collaborative. An advisory panel developed a change package of interventions that consisted of standardization of medication-ordering (eg, consensus-based protocols and order sets and high-alert medication protocols), reliable medication-dispensing processes (eg, automated dispensing cabinets and redesign of floor stock procedures), reliable medication-administration processes (eg, safe pump use and reducing interruptions), improvement of patient safety culture (eg, safety-culture changes and reduction of staff intimidation), and clinical decision support (eg, increase ADE detection and redesign care systems). ADE rates were compared from the 3-month baseline period to quarters of the 12-month intervention phase. ADE rates were categorized further as opioid related and other medication related. Results: From baseline to the final quarter, the collaborative resulted in a 42% decrease in total ADEs, a 51% decrease in opioid-related ADEs, and a 41% decrease in other medication ADEs. Conclusion: A pediatric collaborative that targeted the medication-delivery system decreased the rate of ADEs at participating institutions. |
| | |
Authors:
|
Eric Tham; Helen M Calmes; Amy Poppy; Aris B Eliades; Stacey Morgan Schlafly; Katie C Namtu; Dani M Smith; Matthew C Vitaska; Cindy McConnell; Amy L Potts; Jenny Jastrzembski; Tina R Logsdon; Matthew Hall; Glenn S Takata |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-7-4 |
Journal Detail:
|
Title: Pediatrics Volume: - ISSN: 1098-4275 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-7-5 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado; |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Original Technique to Close the Transrectal Viscerotomy Access in a NOTES Transrectal and Transgastr...
Next Document: Identification of Developmental-Behavioral Problems in Primary Care: A Systematic Review.