Incompatible intravenous drug combinations and respective physician and nurse knowledge: a study in routine paediatric intensive care.
Cefotaxime
Drug Incompatibility
Intravenous Drug Administration
Paediatric Intensive Care
Pantoprazole
Patient Safety
Prescription
Vancomycin
Journal
European journal of hospital pharmacy : science and practice
ISSN: 2047-9956
Titre abrégé: Eur J Hosp Pharm
Pays: England
ID NLM: 101578294
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
02
03
2017
revised:
26
05
2017
accepted:
05
06
2017
entrez:
25
7
2019
pubmed:
25
7
2019
medline:
25
7
2019
Statut:
ppublish
Résumé
To identify incompatible intravenous drug combinations in routine paediatric intensive care and evaluate physician and nurse knowledge. In a university paediatric intensive care unit, intravenous drug incompatibilities were analysed using a database and physician and nurse knowledge of incompatibilities was assessed using a questionnaire. We analysed 665 prescriptions in 87 patients. Incompatible drug administration was identified in 9 (10%) of the 87 patients with a median of 3 different incompatibilities per patient (Q25/Q75: 1/3). We found 26 incompatible combinations. The most frequently involved drugs were cefotaxime, pantoprazole and vancomycin. A median of 10 of the 15 drug combinations were correctly assessed as compatible or incompatible (Q25/Q75: 8/11). Pantoprazole had a low number (20%) of correct answers. One in 10 patients in paediatric intensive care was affected by drug incompatibility, with knowledge deficits seen in a third of assessed combinations. This indicates quality improvement strategies should be urgently implemented by pharmacists.
Identifiants
pubmed: 31338170
doi: 10.1136/ejhpharm-2017-001248
pii: ejhpharm-2017-001248
pmc: PMC6614696
doi:
Types de publication
Journal Article
Langues
eng
Pagination
214-217Déclaration de conflit d'intérêts
Competing interests: None declared.
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