title: National collaborative: Top five drugs reported as causing harm through medication error in pediatrics.
abstract: The Canadian Association of Paediatric Health Centres (CAPHC) and the Institute for Safe Medication Practices Canada (ISMP Canada) are working collaboratively to enhance the safety of pediatric medication use. Eleven CAPHC member organizations submitted data on more than 4,000 medication incidents to ISMP Canada for the period October 2005 to June 2008, 305 of which were reported as resulting in harm. From this, the top five drugs causing harm through medication error and contributing factors to the incidents were identified. In this article, we intend to inform critical care practitioners of the medication incident analyses and the collaborative pediatric patient safety initiatives underway.
authors.affiliation: Institute for Safe Medication Practices Canada. mcolquhoun@ismp-canada.org
authors.forename: Marg
authors.initials: M
authors.lastname: Colquhoun
authors.forename: Elaine
authors.initials: E
authors.lastname: Orrbine
authors.forename: Ian
authors.initials: I
authors.lastname: Sheppard
authors.forename: Lisa
authors.initials: L
authors.lastname: Stromquist
authors.forename: Christine
authors.initials: C
authors.lastname: Koczmara
authors.forename: Roger
authors.initials: R
authors.lastname: Cheng
authors.forename: Julie
authors.initials: J
authors.lastname: Greenall
authors.forename: Bonnie
authors.initials: B
authors.lastname: Salsman
authors.forename: Shirley
authors.initials: S
authors.lastname: Sabovitch
mesh_terms: D000420:Albuterol / Q000009:adverse effects; D000701:Analgesics, Opioid / Q000009:adverse effects; D001993:Bronchodilator Agents / Q000009:adverse effects; D002170:Canada; D003422:Critical Care; D054796:Drug Dosage Calculations; D005283:Fentanyl / Q000009:adverse effects; D006801:Humans; D007004:Hypoglycemic Agents / Q000009:adverse effects; D007328:Insulin / Q000009:adverse effects; D008508:Medication Errors / Q000451:nursing / Q000517:prevention & control* / Q000706:statistics & numerical data*; D009020:Morphine / Q000009:adverse effects; D010371:Pediatric Nursing / Q000706:statistics & numerical data; D010372:Pediatrics / Q000706:statistics & numerical data; D011189:Potassium Chloride / Q000009:adverse effects; D036301:Qualitative Research; D012307:Risk Factors; D012308:Risk Management / Q000458:organization & administration
chemical_list: D000701:Analgesics, Opioid; D001993:Bronchodilator Agents; D007004:Hypoglycemic Agents; D007328:Insulin; D011189:Potassium Chloride; D009020:Morphine; D000420:Albuterol; D005283:Fentanyl