In a multisite study, researchers found that most medication errors in children with cancer could be prevented. childhoodcancer
Among 131 children taking nearly 1670 medications, researchers identified more than 400 medication errors over a 7-month period, including 242 with potential for harm.
"Our everyday practice tells us that in a general sense, we do see errors, but we're not in the home so we only hear what we hear when the families catch it or someone in the clinic catches it," said Wong, a pediatric hematologist-oncologist at University Hospitals Rainbow Babies and Children's Hospital in Cleveland, Ohio.
During the home visits at 3 and 6 months, nurses asked caregivers a comprehensive series of questions about dose and frequency, indication, and missed doses or problems, and they directly observed caregivers administering medicine. Nurses logged how a medication was supposed to be taken as well as how the caregiver reported giving the medication and how it was actually administered.
The most common reason for an error with potential for harm was administration at home , followed by errors in prescribing . The authors observed 92 instances of oral chemotherapy underdosing occurred in about one third of patients, which included 55 instances of missed doses, 24 instance of caregiver‐administered underdoses, and 8 instances of never taking the medication.
Notably, physician reviewers said that improved communication among caregivers as well as between caregivers and clinicians could have prevented most of the errors that caused harm.
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