Oxford Professional Practice: Handbook of Patient Safety by Lachman Peter;Runnacles Jane;Jayadev Anita;Brennan John;Fitzsimons John;
Author:Lachman, Peter;Runnacles, Jane;Jayadev, Anita;Brennan, John;Fitzsimons, John;
Language: eng
Format: epub
Publisher: Oxford University Press USA - OSO
Published: 2022-05-15T00:00:00+00:00
Box 21.4 Challenges in administration
⢠dose measurement;
⢠inappropriate equipment, designed for adults, not for children;
⢠interruptions;
⢠the need for monitoring;
⢠risks in community settings.
As in issues with CPOE, many drug delivery systems were not designed with children in mind. The small doses that are given to children may not fit into a bag for accurate administration and may require a longer infusion than what is possible when pushing by hand.
Owing to narrow therapeutic index medications and to pharmacokinetic variation in children, closer monitoring is required after administration. Administration to a child (or young person) as an outpatient is a safety concern because, as a healthcare provider, you are relying on that child (or young person) or on their caregiver to give medications appropriately at home or at school; and some studies have indicated that the risk may be higher in those settings.
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