Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Shah, R., Blustein, L., Kuffner, E., & Davis, L. The Journal of Pediatrics, 164(3):596--601.e1, March, 2014. 00010
doi  abstract   bibtex   
OBJECTIVE: To identify and compare volumetric measures used by healthcare providers in communicating dosing instructions for pediatric liquid prescriptions to parents/caregivers. STUDY DESIGN: Dosing instructions were retrospectively reviewed for the 10 most frequently prescribed liquid medications dispensed from 4 community pharmacies for patients aged ≤ 12 years during a 3-month period. Volumetric measures on original prescriptions (ie, milliliters, teaspoons) were compared with those utilized by the pharmacist on the pharmacy label dispensed to the parent/caregiver. RESULTS: Of 649 prescriptions and corresponding pharmacy labels evaluated, 68% of prescriptions and 62% of pharmacy labels communicated dosing in milliliters, 24% of prescriptions and 29% of pharmacy labels communicated dosing in teaspoonfuls, 7% of prescriptions and 0% of pharmacy labels communicated dosing in other measures (ie, milligrams, cubic centimeters, "dose"), and 25% of dispensed pharmacy labels did not reflect units as written in the prescription. CONCLUSION: Volumetric measures utilized by healthcare professionals in dosing instructions for prescription pediatric oral liquid medications are not consistent. Healthcare professionals and parents/caregivers should be educated on safe dosing practices for liquid pediatric medications. Generalizability to the larger pediatric population may vary depending on pharmacy chain, location, and medications evaluated.
@article{shah_communicating_2014,
	title = {Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy},
	volume = {164},
	issn = {1097-6833},
	shorttitle = {Communicating doses of pediatric liquid medicines to parents/caregivers},
	doi = {10.1016/j.jpeds.2013.11.007},
	abstract = {OBJECTIVE: To identify and compare volumetric measures used by healthcare providers in communicating dosing instructions for pediatric liquid prescriptions to parents/caregivers.
STUDY DESIGN: Dosing instructions were retrospectively reviewed for the 10 most frequently prescribed liquid medications dispensed from 4 community pharmacies for patients aged ≤ 12 years during a 3-month period. Volumetric measures on original prescriptions (ie, milliliters, teaspoons) were compared with those utilized by the pharmacist on the pharmacy label dispensed to the parent/caregiver.
RESULTS: Of 649 prescriptions and corresponding pharmacy labels evaluated, 68\% of prescriptions and 62\% of pharmacy labels communicated dosing in milliliters, 24\% of prescriptions and 29\% of pharmacy labels communicated dosing in teaspoonfuls, 7\% of prescriptions and 0\% of pharmacy labels communicated dosing in other measures (ie, milligrams, cubic centimeters, "dose"), and 25\% of dispensed pharmacy labels did not reflect units as written in the prescription.
CONCLUSION: Volumetric measures utilized by healthcare professionals in dosing instructions for prescription pediatric oral liquid medications are not consistent. Healthcare professionals and parents/caregivers should be educated on safe dosing practices for liquid pediatric medications. Generalizability to the larger pediatric population may vary depending on pharmacy chain, location, and medications evaluated.},
	language = {eng},
	number = {3},
	journal = {The Journal of Pediatrics},
	author = {Shah, Rita and Blustein, Leona and Kuffner, Ed and Davis, Lisa},
	month = mar,
	year = {2014},
	pmid = {24367987},
	note = {00010 },
	keywords = {Administration, Oral, Caregivers, Child, Preschool, Communication, Drug Labeling, Drug Prescriptions, Humans, Medication Errors, Parents, Pharmaceutical Preparations, Pharmaceutical Solutions, Pharmacies, Retrospective Studies, Weights and Measures},
	pages = {596--601.e1}
}

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