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A mixed-methods analysis of pediatri...

Hicks, Rodney W.

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A mixed-methods analysis of pediatric medication errors from the perioperative setting.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	A mixed-methods analysis of pediatric medication errors from the perioperative setting./
Author:	Hicks, Rodney W.
Description:	126 p.
Notes:	Source: Dissertation Abstracts International, Volume: 67-06, Section: B, page: 3051.
Contained By:	Dissertation Abstracts International67-06B.
Subject:	Health Sciences, Medicine and Surgery. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3226202
ISBN:	9780542771095

A mixed-methods analysis of pediatric medication errors from the perioperative setting.
Hicks, Rodney W.

A mixed-methods analysis of pediatric medication errors from the perioperative setting. - 126 p.

Source: Dissertation Abstracts International, Volume: 67-06, Section: B, page: 3051.

Thesis (Ph.D.)--Capella University, 2006.

Patient safety came under national scrutiny in the late 1990's when the Institute of Medicine highlighted significant shortcomings in the U.S. healthcare system. Since then, medication errors received more attention than ever before. Pediatric patients appear to be at greater risk of a medication error than adults, yet little is known about pediatric medication errors that occur in the perioperative continuum of care. The objective of this study was to learn more about such errors as voluntarily reported to MEDMARX, a national, Internet-accessible medication error reporting program. This mixed methods study examined 313 pediatric medication errors from 128 hospitals. Quantitative measures of hospital bed size, ownership, patient age, error severity, location, medication use process were examined with SPSS. All age groups of children were present in the sample as was all sizes of institutions. Textual error descriptions were reviewed for content analysis and theme recovery. There were significant differences between clinical location and error severity as well as hospital bed size and severity. No differences were found between age groups and severity, owner of facility and severity, or medication use process and severity. Content analysis recovered 15 systems-level themes, supported with principles of human factors engineering, that led to the errors, including omission errors, failure to communicate allergy information, extra dose, and wrong products. The more severe the error, the more likely a theme was present. Secondary analysis using a mixed methods approach was an effective, ethical, and economic means of studying perioperative medication errors in children. Recommendations for additional studies are provided.

ISBN: 9780542771095Subjects--Topical Terms:

1017756
Health Sciences, Medicine and Surgery.

A mixed-methods analysis of pediatric medication errors from the perioperative setting.
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245 1 2 $a A mixed-methods analysis of pediatric medication errors from the perioperative setting.
300 $a 126 p.
500 $a Source: Dissertation Abstracts International, Volume: 67-06, Section: B, page: 3051.
500 $a Adviser: Paula Stechschulte.
502 $a Thesis (Ph.D.)--Capella University, 2006.
520 $a Patient safety came under national scrutiny in the late 1990's when the Institute of Medicine highlighted significant shortcomings in the U.S. healthcare system. Since then, medication errors received more attention than ever before. Pediatric patients appear to be at greater risk of a medication error than adults, yet little is known about pediatric medication errors that occur in the perioperative continuum of care. The objective of this study was to learn more about such errors as voluntarily reported to MEDMARX, a national, Internet-accessible medication error reporting program. This mixed methods study examined 313 pediatric medication errors from 128 hospitals. Quantitative measures of hospital bed size, ownership, patient age, error severity, location, medication use process were examined with SPSS. All age groups of children were present in the sample as was all sizes of institutions. Textual error descriptions were reviewed for content analysis and theme recovery. There were significant differences between clinical location and error severity as well as hospital bed size and severity. No differences were found between age groups and severity, owner of facility and severity, or medication use process and severity. Content analysis recovered 15 systems-level themes, supported with principles of human factors engineering, that led to the errors, including omission errors, failure to communicate allergy information, extra dose, and wrong products. The more severe the error, the more likely a theme was present. Secondary analysis using a mixed methods approach was an effective, ethical, and economic means of studying perioperative medication errors in children. Recommendations for additional studies are provided.
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