Leslie M. Harris|Benard P. Dreyer|Alan L. Mendelsohn|Stacy Cooper Bailey|Lee Sanders|Michael S. Wolf|Ruth M. Parker|Deesha A. Patel|Kwang Youn Kim|Jessica J. Jimenez|Kara L. Jacobson|Michelle C.J. Smith|H. Shonna Yin
Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency
Bellevue Hospital Center|Bellevue Hospital Center|Bellevue Hospital Center|New York University|University of North Carolina Health Care|Stanford University|Emory University|Northwestern University|Bellevue Hospital Center|Emory University|Stanford University|Bellevue Hospital Center|New York University
hispanic parents united states disproportionately affected low health literacy limited english proficiency lep examined associations health literacy lep liquid medication dosing errors hispanic parentscrosssectional analysis data multisite randomized controlled experiment identify best practices labelingdosing pediatric liquid medications safe rx kids study 3 urban pediatric clinics analyses limited hispanic parents children aged 8 years health literacy lep data n 1126 parents randomized 1 5 groups varied pairing units measurement labeldosing tool parent measured 9 doses 3 amounts 25 5 75 ml using 3 tools 2 syringes 02 05 ml increments 1 cup random order dependent variable dosing error 20 dose deviation predictor variables included health literacy newest vital sign limited 03 adequate 46 lep speaks english less wella total 831 made dosing errors mean sd errors per parent 22 19 parents limited health literacy lep greatest odds making dosing error compared parents adequate health literacy english proficient trials errors per parent 288 vs 129 adjusted odds ratio 22 95 confidence interval 1728 parents limited health literacy english proficient also likely make errors trials errors per parent 188 adjusted odds ratio 14 95 confidence interval 1119dosing errors common among hispanic parents lep limited health literacy particular risk study needed examine redesign medication labels dosing tools could reduce literacy languageassociated disparities dosing errors