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Preventing Home Medication Administration Errors
Pediatrics ( IF 8 ) Pub Date : 2021-11-01 , DOI: 10.1542/peds.2021-054666
H Shonna Yin 1 , Daniel R Neuspiel 2 , Ian M Paul 3 , Wayne Franklin , Joel S Tieder , Terry Adirim , Francisco Alvarez , Jeffrey M Brown , David Gordon Bundy , Laura Elizabeth Ferguson , Sean Patrick Gleeson , Michael Leu , Brigitta U Mueller , Shannon Connor Phillips , Ricardo A Quinonez , Corinna Rea , Michael L Rinke , Ulfat Shaikh , Richard N Shiffman , Elizabeth Vickers Saarel , Sandra P Spencer Cockerham , Kathleen Mack Walsh , Bridgette Jones , Adam C Adler , Jennifer H Foster , Thomas P Green , Constance S Houck , Matthew M Laughon , Kathleen Neville , John R Reigart , Rohit Shenoi , Janice E Sullivan , John N Van Den Anker , Philip A Verhoef
Affiliation  

Medication administration errors that take place in the home are common, especially when liquid preparations are used and complex medication schedules with multiple medications are involved; children with chronic conditions are disproportionately affected. Parents and other caregivers with low health literacy and/or limited English proficiency are at higher risk for making errors in administering medications to children in their care. Recommended strategies to reduce home medication errors relate to provider prescribing practices; health literacy–informed verbal counseling strategies (eg, teachback and showback) and written patient education materials (eg, pictographic information) for patients and/or caregivers across settings (inpatient, outpatient, emergency care, pharmacy); dosing-tool provision for liquid medication measurement; review of medication lists with patients and/or caregivers (medication reconciliation) that includes prescription and over-the-counter medications, as well as vitamins and supplements; leveraging the medical home; engaging adolescents and their adult caregivers; training of providers; safe disposal of medications; regulations related to medication dosing tools, labeling, packaging, and informational materials; use of electronic health records and other technologies; and research to identify novel ways to support safe home medication administration.



中文翻译:

防止家庭用药管理错误

在家中发生的用药错误很常见,尤其是在使用液体制剂和涉及多种药物的复杂用药时间表时;患有慢性病的儿童受到的影响尤为严重。健康素养低和/或英语水平有限的父母和其他看护人在给他们看护的孩子用药时犯错误的风险更高。减少家庭用药错误的推荐策略与提供者的处方实践有关;针对不同环境(住院、门诊、急诊、药房)的患者和/或护理人员的健康素养知情口头咨询策略(例如,回教和反击)和书面患者教育材料(例如,象形信息);用于液体药物测量的计量工具;与患者和/或护理人员一起审查药物清单(药物核对),包括处方药和非处方药,以及维生素和补充剂;利用医疗之家;让青少年及其成人照顾者参与进来;提供者的培训;安全处置药物;与给药工具、标签、包装和信息材料相关的法规;使用电子健康记录和其他技术;和研究以确定支持安全家庭用药管理的新方法。与给药工具、标签、包装和信息材料相关的法规;使用电子健康记录和其他技术;和研究以确定支持安全家庭用药管理的新方法。与给药工具、标签、包装和信息材料相关的法规;使用电子健康记录和其他技术;和研究以确定支持安全家庭用药管理的新方法。

更新日期:2021-11-01
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