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Volume 5, Issue 4 (Suppl) Occup Med Health Aff
ISSN: 2329-6879 OMHA, an open access journal Health Congress 2017
October 16-17, 2017
October 16-17, 2017 Dubai, UAE
12th World Congress on
Industrial Health, Healthcare and Medical Tourism
Medication error in pediatric outpatient prescription in a tertiary care institute
Hansmukh Jain and Pratap Kumar Patra
All India Institute of Medical Sciences Patna, India
Statement of Problem: Medication error in pediatric outpatient prescription in a tertiary care institute, the dosing error is
more common in children than adults because of weight base dose calculation, fractional dosing (e.g., mg vs. gm) and the need
for decimal points. Previous study has been shown that dosing errors occurs in up to 17.8% of hospitalized children.
Objective: To determine the medication errors in pediatric outpatient practice at a tertiary care institute, East Indian Design:
Hospital based cross sectional study. Setting of study: pediatric outpatient department of the All India Institute of Medical
Sciences, Patna, 2014 May and June.
Methodology: 40 outpatient pediatric prescriptions were evaluated for drug dosage error.
Results: Out of 40 prescriptions, in 4 (10%) papers, there was no mention of provisional clinical diagnosis and 7 papers (17%)
had dosage error. In 21 (52.5%) cases there was no mention of route of administration of the drugs. For an effective utilization
of resource spent on drugs it is essential that the prescribing and administration of the drug must be evaluated from time to
time to quantify the error in it and to look for possible solution for it. The error of omission is where prescription is incomplete
in some ways, whereas, error of commission containing incorrect information.
Conclusion: Dosing error in pediatric outpatient department is a common problem. Training regarding writing of prescription
is essential for the residents before they are posted in pediatrics OPD. Intermittent continuous medical education of residents
is required on regular basis. The nurses should update knowledge in medication error which is one of the most common types
of medical error that contribute to the morbidity of children in outpatient department. It is common in children than adults
because of weight base dose calculation, fractional dosing (e.g., mg vs. gm) and the need for decimal points.
Recent Publications
1.Hansmukh Jain (2017) Child abuse and neglect. International Journal of Pediatric Nursing; 3(1).
2.Hansmukh Jain, Pratap Patra (2017) Medication errors in pediatric outpatient department in tertiary care hospital. International Journal of Paediatric Nursing; 3(1).
Biography
Hansmukh Jain is presently working as an Assistant Professor, Department of Nursing, All India Institute of Medical Sciences Patna, India under Ministry of Health
Family Welfare, Government of India. He is a Researcher, Reviewer & Member of National Advisory Board in International Journal of Pediatric Nursing, Member
of National Journal of Geriatric, Evaluation, Teaching and Administration both in hospital and Nursing Education. He is the Master Trainer (TOT) for strengthening
midwifery education in Bihar by JHAPIEGO USAID, USA; Master Trainer for basic life support course at All India Institute of Medical Science, Patna. Further, he
has a Life Membership of various associations such as Trained Nurses Association of India, New Delhi, Nursing Research Society of India, (NRSI) and Member of
Academic Committee for Post Basic BSc Nursing Course at Indira Gandhi Open University.
Hansmukh Jain et al., Occup Med Health Aff 2017, 5:4 (Suppl)
DOI: 10.4172/2329-6879-C1-037