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Reducing the Risk of Harm From Medication Errors in Children

机译：减少儿童用药错误造成危害的风险

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Medication errors affect the pediatric age group in all settings: outpatient, inpatient, emergency department, and at home. Children may be at special risk due to size and physiologic variability, limited communication ability, and treatment by nonpediatric health care providers. Those with chronic illnesses and on multiple medications may be at higher risk of experiencing adverse drug events. Some strategies that have been employed to reduce harm from pediatric medication errors include e-prescribing and computerized provider order entry with decision support, medication reconciliation, barcode systems, clinical pharmacists in medical settings, medical staff training, package changes to reduce look-alike/sound-alike confusion, standardization of labeling and measurement devices for home administration, and quality improvement interventions to promote nonpunitive reporting of medication errors coupled with changes in systems and cultures. Future research is needed to measure the effectiveness of these preventive strategies.
机译：在所有情况下，药物错误都会影响儿童年龄组：门诊，住院，急诊室和家庭。由于儿童的大小和生理变异性，沟通能力有限以及非儿科医疗保健提供者的治疗，儿童可能处于特殊风险中。患有慢性疾病并服用多种药物的患者发生药物不良事件的风险更高。减少儿科用药错误造成伤害的一些策略包括电子处方和带有决策支持的计算机化医务人员订单输入，药物对账，条形码系统，医疗机构中的临床药师，医务人员培训，包装变更以减少外观相似/声音相似的混乱，用于家庭管理的标签和测量设备的标准化以及质量改进干预措施，以促进对药品错误的非惩罚性报告以及系统和文化的变化。需要进一步的研究来衡量这些预防策略的有效性。

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