title: [Oral administration of medications to infants: Implementation of a preliminary risk analysis in a hospital service of pediatrics].
abstract: OBJECTIVE
  The objective of this study was to reduce the risk of errors when administering oral medications to infants aged 28 days to 2 years.
  
  
  METHODS
  The method of the preliminary risk analysis (PRA) was implemented by a multidisciplinary group in a hospital service of pediatrics. The study focused on the phase of preparation of drugs by nurses before administration.
  
  
  RESULTS
  This analysis revealed 41 scenari, 16 were criticality unacceptable. In particular, their analysis highlighted the impact of the drug dosage form, the lack of scientific information and the human factor on this preparation. Eleven action sheets have been written.
  
  
  CONCLUSIONS
  The risk management requires significant human investment, material resources and organizational solutions: formations, information, i.e. computerized prescribing, dispensing and administering system, centralized drug preparations, automated drugs cabinets or unit drug daily dispensing system.
  
  
  CONCLUSIONS
  Control these risks means to get specific actions at pediatric wards, enhance dispensing system by the hospital pharmacist and the support of the pharmaceutical industry to get commercially available pediatric drugs.
authors.affiliation: Pharmacie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France. Electronic address: muriel.pourrat@ch-bretagne-atlantique.fr.
authors.forename: M
authors.initials: M
authors.lastname: Pourrat
authors.affiliation: Service pédiatrie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Delescluse
authors.affiliation: Service pédiatrie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Merlin
authors.affiliation: Service pédiatrie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Sauvion
authors.affiliation: Pharmacie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Carret
authors.affiliation: Pharmacie, hôpital Jean-Verdier, hôpitaux universitaires Paris Seine-Saint-Denis, AP-HP, 1, avenue du 14-Juillet, 93143 Bondy cedex, France.
authors.forename: J-E
authors.initials: JE
authors.lastname: Fontan
mesh_terms: D000284:Administration, Oral; D004358:Drug Therapy / Q000379:methods; D005260:Female; D006748:Hospital Departments; D006801:Humans; D007223:Infant; D008297:Male; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital; D010372:Pediatrics / Q000379:methods*; D018570:Risk Assessment / Q000379:methods*
keywords: Administration; Analyse de systèmes; Erreur médicamenteuse; Gestion des risques; Medication error; Oral drug; Pediatric nursing; Risks management; Soins pédiatriques; Systems analysis; Voie orale