Drug handling in a paediatric intensive care unit

• Verfasst von: Niemann, Dorothee [VerfasserIn]
• Verfasst von: Bertsche, Astrid [VerfasserIn]
• Verfasst von: Meyrath, David [VerfasserIn]
• Verfasst von: Oelsner, S. [VerfasserIn]
• Verfasst von: Ewen, A. L. [VerfasserIn]
• Verfasst von: Pickardt, Björn von [VerfasserIn]
• Verfasst von: Henhapl, T. [VerfasserIn]
• Verfasst von: Hoffmann, Georg Friedrich [VerfasserIn]
• Verfasst von: Meyburg, Jochen [VerfasserIn]
• Verfasst von: Bertsche, Thilo [VerfasserIn]
• Titel: Drug handling in a paediatric intensive care unit
• Titelzusatz: can errors be prevented by a three-step intervention?
• Verf.angabe: D. Niemann, A. Bertsche, D. Meyrath, S. Oelsner, A.L. Ewen, B. Pickardt, T. Henhapl, G. Hoffmann, J. Meyburg, T. Bertsche
• E-Jahr: 2014
• Jahr: 31. März 2014
• Umfang: 6 S.
• Fussnoten: Gesehen am 13.08.2020
• Titel Quelle: Enthalten in: Klinische Pädiatrie
• Ort Quelle: Stuttgart : Thieme, 1980
• Jahr Quelle: 2014
• Band/Heft Quelle: 226(2014), 02, Seite 62-67
• ISSN Quelle: 1439-3824
• DOI: doi:10.1055/s-0033-1364030
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1727002911

Abstract

<p>Drug handling in paediatric intensive care units (PICU) is prone to medication errors. We aimed to identify type and prevalence of those errors and to assess preventative interventions.</p> <p>Prospective intervention study investigating a 3-step intervention for preventing errors in drug handling in a 10-bed PICU of a university hospital. Nurses’ drug handling was mon­itored in daily routine to identify the number of patients affected by errors and overall prevalence and types of errors in drug handling. We implemented a comprehensive intervention consisting of an information handout, a training course, and a 76-page reference book tailored to reduce the prevalence.</p> <p>The prevalence of errors in drug han­dling decreased from 83% (555 errors/668 pro­cesses) to 63% (554/883; p<0.001) after the intervention. The number of affected patients remained unchanged (95% vs. 89%, p=0.370). Peroral (PO) drugs (1.33 errors/process) were more error-prone than intravenous (IV) drugs (0.64), despite being used less frequently (27% vs. 73% of all processes, p<0.001). The interventions decreased the prevalence to 0.77 errors/process (p<0.001) in PO and to 0.52 in IV drugs (p=0.025).</p> <p>Errors in drug handling were alarmingly frequent. PO drugs were frequently subject to errors, even though being used less frequently. The implementation of a comprehensive intervention succeeded in reducing the prevalence of errors. Yet further refinements are necessary to decrease also the number of affected patients.</p>