Reducing Pediatric Medication Safety Risks Through Improved Dosing Weight Accuracy: A Hospital-Based Quality Improvement Initiative.

IF 1.7 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2026-08-04 DOI:10.1097/NCQ.0000000000001006

Katelyn Brant, Judith Ascenzi, Meghan Rowcliffe, Scott Burkett, Ann Kane

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引用次数: 0

Abstract

Background: Avoidable medication errors involving inaccurate weight-based dosing in pediatric patients are a well-documented patient safety concern.

Local problem: Select patients receiving medications and fluids based on nonmeasured weights contributed to medication errors.

Methods: Using several Plan-Do-Study-Act (PDSA) intervention cycles, we aimed to increase the percentage of patients with a measured dosing weight within 12 hours of admission from a baseline of 18.5 % to greater than 75% within 6 months.

Interventions: PDSA cycles included awareness campaigns, education, and electronic health record enhancements to improve documentation and visualization of weight methods.

Results: Patients with documented measured weights used for dosing improved from 18.5% to 66.2%, demonstrating statistically significant improvements.

Conclusions: Interventions are adaptable to other pediatric institutions and potentially to adult populations as well.

查看原文本刊更多论文

通过提高剂量重量准确性降低儿科用药安全风险：一项基于医院的质量改进倡议。

背景：可避免的用药错误涉及儿科患者不准确的体重给药是一个有充分证据的患者安全问题。局部问题：根据导致用药错误的非测量体重选择接受药物和液体治疗的患者。方法：通过几个计划-做-研究-行动（PDSA）干预周期，我们旨在将入院12小时内测量剂量体重的患者百分比从基线的18.5%增加到6个月内的75%以上。干预措施：PDSA周期包括宣传运动、教育和电子健康记录增强，以改进体重方法的文件记录和可视化。结果：用于给药的记录测量体重的患者从18.5%改善到66.2%，显示出统计学上显著的改善。结论：干预措施适用于其他儿科机构，也可能适用于成人人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.