In more than 2000 pediatric emergency department visits, preventable medication problems were the main issue in 5%; such cases often led to admissions with long stays.Pediatrics. 2015 Feb 2; [Epub ahead of print].
Medication-related emergency department visits in pediatrics: a prospective observational study.
Zed PJ, Black KJL, Fitzpatrick EA, et al. Pediatrics. 2015 Feb 2; [Epub ahead of print].
Prior research has found that adverse drug events are a common source of emergency department (ED) visits and hospital admissions in adults. This prospective observational study involved more than 2000 pediatric patients presenting to an ED at a tertiary academic medical center in Canada. Medications were directly related to the presenting chief complaint in 8% of patients, with two-thirds of these deemed preventable. The vast majority of medication-related visits were classified as causing moderate harm, but approximately 5% of cases were severe. Children with a medication-related ED visit were much more likely to be admitted to the hospital and to have a longer length of stay than children presenting to the ED with other problems. The results of this study add to a prior systematic review by the same research group, which also found that a significant proportion of adverse drug events in pediatric patients presenting to the ED were likely avoidable.
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.
Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors.
Bank I, Snell L, Bhanji F. Pediatr Emerg Care. 2014;30:879-883.
National patterns of codeine prescriptions for children in the emergency department.
Kaiser SV, Asteria-Penaloza R, Vittinghoff E, Rosenbluth G, Cabana MD, Bardach NS. Pediatrics. 2014;133:e1139-e1147.
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The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.
Cruz MF, Edwards J, Dinh DM, Barnes EH. Med J Aust. 2012;197:161-165.