H. Shonna Yin|Ruth M. Parker|Lee Sanders|Benard P. Dreyer|Alan L. Mendelsohn|Stacy Cooper Bailey|Deesha A. Patel|Jessica J. Jimenez|Kwang Youn Kim|Kara L. Jacobson|Laurie Hedlund|Michelle C.J. Smith|Leslie M. Harris|Terri McFadden|Michael S. Wolf
Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment
New York University|Bellevue Hospital Center|Stanford University|Bellevue Hospital Center|Bellevue Hospital Center|University of North Carolina Health Care|General Department of Preventive Medicine|Bellevue Hospital Center|Northwestern University|Emory University|General Department of Preventive Medicine|Stanford University|Bellevue Hospital Center|New York University|General Department of Preventive Medicine
poorly designed labels packaging key contributors medication errors identify attributes labels dosing tools could improved examined extent dosing error rates affected tool characteristics ie type marking complexity discordance units measurement labels dosing tools along differences health literacy languagerandomized controlled experiment 3 urban pediatric clinics english spanishspeaking parents n 2110 children 8 years old randomly assigned 1 5 study arms given labels dosing tools varied unit pairings parent measured 9 doses medication 3 amounts 25 5 75 ml 3 tools 1 cup 2 syringes 02 05ml increments random order outcome assessed dosing error 20 deviation large error defined 2 times dosea total 844 parents made 1 dosing error 210 1 large error errors seen cups syringes adjusted odds ratio 46 95 confidence interval 4251 across health literacy language groups p 001 interactions especially smaller doses differences error rates seen 2 syringe types use teaspoononly label milliliter teaspoon tool associated errors milliliteronly labels tools used adjusted odds ratio 12 95 confidence interval 10114recommending oral syringes cups particularly smaller doses part comprehensive pediatric labeling dosing strategy reduce medication errors