Skip to main content
SpringerLink
Log in

Medication Administration and Information Technology

  • Chapter
Pediatric Informatics

Part of the book series: Health Informatics ((HI))

  • 995 Accesses

Abstract

Medication administration is the final step in the medication delivery cycle before a prescribed drug reaches a patient. In ambulatory settings, the patient, or in the case of children, the parent or guardian is responsible for accepting prescribed medications from the pharmacist and following directions regarding direct administration of drug doses. In inpatient settings, it is principally the bedside nurse who administers prescribed medications. A study of inpatient settings suggests that interventions by pediatric clinical pharmacists, while effective for intercepting prescribing errors, may be ineffective in intercepting harmful administration errors.1

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wang JK, Herzog NS, Kaushal R, Park C, Mochizuki C, Weingarten SR. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. Pediatrics. 2007;119(1):e77–e85.

    Article  PubMed  Google Scholar 

  2. Institute for Safe Medical Practices (ISMP). ISMP's List of High-Alert Medications; 2007. Available at: http://www.ismp.org/Tools/highalertmedications.pdf. Accessed December 21, 2008.

  3. Vanitha V, Narasimhan KL. Intravenous breast milk administration-a rare accident. Indian Pediatr. 2006;43(9):827.

    PubMed  CAS  Google Scholar 

  4. Warner B, Sapsford A. Misappropriated human milk: fantasy, fear, and fact regarding infectious risk. Newborn Infant Nurs Rev. 2004;4(1):56–61.

    Article  Google Scholar 

  5. Martínez-Costa C, Silvestre MD, López MC, Plaza A, Miranda M, Guijarro R. Effects of refrigeration on the bactericidal activity of human milk: a preliminary study. J Pediatr Gastroenterol Nutr. 2007;45(2):275–277.

    Article  PubMed  Google Scholar 

  6. Hanna N, Ahmed K, Anwar M, Petrova A, Hiatt M, Hegyi T. Effect of storage on breast milk antioxidant activity. Arch Dis Child Fetal Neonatal Ed. 2004;89(6):F518–F520.

    Article  PubMed  CAS  Google Scholar 

  7. Cochran GL, Jones KJ, Brockman J, Skinner A, Hicks RW. Errors prevented by and associated with bar-code medication administration systems. Jt Comm J Qual Patient Saf. 2007;33(5):293–301, 245.

    PubMed  Google Scholar 

  8. Snijders C, van Lingen RA, Molendijk A, Fetter WP. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391–F398.

    Article  PubMed  CAS  Google Scholar 

  9. Bridge L. Reducing the risk of wrong route errors. Paediatr Nurs. 2007;19(6):33–35.

    PubMed  Google Scholar 

  10. Ryan CA, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Pediatrics. 2006;117(1):236–238.

    Article  PubMed  Google Scholar 

  11. Gray JE, Suresh G, Ursprung R, et al. Patient misidentification in the neonatal intensive care unit: quantification of risk. Pediatrics. 2006;117(1):e43–e47.

    Article  PubMed  Google Scholar 

  12. Howanitz PJ, Renner SW, Walsh MK. Continuous wristband monitoring over 2 years decreases identification errors: a College of American Pathologists Q-Tracks Study. Arch Pathol Lab Med. 2002;126(7):809–815.

    PubMed  Google Scholar 

  13. Drenckpohl D, Bowers L, Cooper H. Use of the six sigma methodology to reduce incidence of breast milk administration errors in the NICU. Neonatal Netw. 2007;26(3):161–166.

    PubMed  Google Scholar 

  14. Wikipedia. Radio-Frequency Identification; 2007. Available at: http://en.wikipedia.org/wiki/Radio-frequency_identification. Accessed December 21, 2008.

  15. Grey M. Tracking with RFID. Brigham and Women's is keeping tabs on expensive equipment and valuable devices with the help of an indoor positioning system. Healthc Inform. 2007;24(11):25–27.

    Google Scholar 

  16. Levine M, Adida B, Mandl K, Kohane I, Halamka J. What are the benefits and risks of fitting patients with radiofrequency identification devices. PLoS Med. 2007;4(11):e322.

    Article  PubMed  Google Scholar 

  17. Sade RM, American Medical Association Council on Ethical and Judicial Affairs. Radio Frequency ID Devices in Humans. American Medical Association; 2007. Available at: http://www.ama-assn.org/ama1/pub/upload/mm/369/ceja_5a07.pdf. Accessed December 21, 2008.

  18. Anastos JP. The ambient experience in pediatric radiology. J Radiol Nurs. 2007; 26(2):50–55.

    Article  Google Scholar 

  19. Campbell BC, Anastos J. Can CT scans be ‘fun’? Innovative CT suite gives children greater control over the environment to ease their fears. Healthc Exec. 2006;21(1):36–37.

    PubMed  Google Scholar 

  20. The Joint Commission. Root causes: practical approaches for preventing infant abductions. Jt Comm Persp Patient Saf. 2003;3(10):7–8.

    Google Scholar 

  21. Miller RS. Preventing infant abduction in the hospital. Nursing. 2007;37(10):20, 22.

    PubMed  Google Scholar 

  22. Vanderveen T. Smart Pumps: Advanced Capabilities and Continuous Quality Improvement. Patient Safety and Quality Healthcare; 2007. Available at: http://www.psqh.com/janfeb07/smartpumps.html. Accessed December 21, 2008.

  23. Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Morphine overdose from error propagation on an acute pain service. Can J Anaesth. 2006;53(6):586–590.

    Article  PubMed  Google Scholar 

  24. Steffen M, von Hintzenstern U, Obermayer A. Critical infusion incident caused by incorrect use of a patient-controlled analgesia pump. Anaesthesiol Reanim. 2002;27(4):107–110.

    PubMed  CAS  Google Scholar 

  25. Elannaz A, Chaumeron A, Viel E, Ripart J. Morphine overdose due to cumulative errors leading to ACP pump dysfunction. Ann Fr Anesth Reanim. 2004;23(11):1073–1075.

    PubMed  CAS  Google Scholar 

  26. Vicente KJ, Kada-Bekhaled K, Hillel G, Cassano A, Orser BA. Programming errors contribute to death from patient-controlled analgesia: case report and estimate of probability. Can J Anaesth. 2003;50(4):328–332.

    Article  PubMed  Google Scholar 

  27. Doyle DJ, Vicente KJ. Electrical short circuit as a possible cause of death in patients on PCA machines: report on an opiate overdose and a possible preventive remedy. Anesthesiology. 2001;94(5):940.

    Article  PubMed  CAS  Google Scholar 

  28. Rothschild JM, Keohane CA, Cook EF, et al. A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. Crit Care Med. 2005;33(3):533–540.

    Article  PubMed  Google Scholar 

  29. Larsen GY, Parker HB, Cash J, O'Connell M, Grant MC. Standard drug concentrations and smart-pump technology reduce continuous-medication-infusion errors in pediatric patients. Pediatrics. 2005 July;116(1):e21–e25.

    Article  PubMed  Google Scholar 

  30. Conroy S, Sweis D, Planner C, Yeung V, Collier J, Haines L, Wong IC. Interventions to reduce dosing errors in children: a systematic review of the literature. Drug Saf. 2007;30(12):1111–1125.

    Article  PubMed  Google Scholar 

  31. Eisenhauer LA, Hurley AC, Dolan N. Nurses' reported thinking during medication administration. J Nurs Scholarsh. 2007;39(1):82–87.

    Article  PubMed  Google Scholar 

  32. Hurley AC, Bane A, Fotakis S, et al. Nurses' satisfaction with medication administration point-of-care technology. J Nurs Adm. 2007;37(7–8):343–349.

    PubMed  Google Scholar 

  33. Vogelsmeier AA, Halbesleben JR, Scott-Cawiezell JR. Technology implementation and workarounds in the nursing home. J Am Med Inform Assoc. 2008;15(1):114–119.

    Article  PubMed  Google Scholar 

  34. Larrabee S, Brown MM. Recognizing the institutional benefits of bar-code point-of-care technology. Jt Comm J Qual Saf. 2003;29(7):345–353.

    PubMed  Google Scholar 

  35. Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. Qual Saf Health Care. 2007;16(4):279–284.

    Article  PubMed  Google Scholar 

  36. Wideman MV, Whittler ME, Anderson TM. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation. Advances in Patient Safety: From Research to Implementation. Vo l 3, AHRQ Publication Nos. 050021 (1–4). Agency for Healthcare Research and Quality, Rockville, MD; 2005: 437–451. Available at: http://www. ahcpr.gov/downloads/pub/advances/vol3/Wideman.pdf. Accessed December 21, 2008.

  37. Kirkley D, Stein M. Nurses and clinical technology: sources of resistance and strategies for acceptance. Nurs Econ. 2004;22(4):195, 216–222.

    Google Scholar 

  38. Kim GR, Miller MR, Ardolino MA, Smith JE, Lee DC, Lehmann CU. Capture and classification of problems during CPOE deployment in an academic pediatric center. AMIA Annu Symp Proc. 2007:414–417.

    Google Scholar 

  39. Wakefield BJ, Uden-Holman T, Wakefield DS. Development and Validation of the Medication Administration Error Reporting Survey. Advances in Patient Safety: From Research to Implementation. Volumes 4, AHRQ Publication Nos. 050021 (1–4). Agency for Healthcare Research and Quality, Rockville, MD; 2005. Available at: http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=aps.section.8223. Accessed December 21, 2008.

  40. Keatings M, Martin M, McCallum A, Lewis J. Medical errors: understanding the parent's perspective. Pediatr Clin North Am. 2006;53(6):1079–1089.

    Article  PubMed  Google Scholar 

  41. Bayley KB, Savitz LA, Rodriguez G, Gillanders W, Stoner S. Barriers Associated with Medication Information Handoffs. Advances in Patient Safety: From Research to Implementation. Volumes 3, AHRQ Publication Nos. 050021 (1–4). February 2005. Agency for Healthcare Research and Quality, Rockville, MD; 2005. Available at: http://www.ncbi. nlm.nih.gov/books/bv.fcgi?rid=aps.section.4074. Accessed December 21, 2008.

  42. Rinke ML, Shore AD, Morlock L, Hicks RW, Miller MR. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1): 186–195.

    Article  PubMed  Google Scholar 

  43. United States Department of Veteran Affairs. Veterans Health Information Systems and Technology Architecture (VistA) Monograph; 2006. Available at: http://www.va.gov/vista_monograph/. Accessed December 21, 2008.

  44. Patterson ES, Cool RI, Render ML. Improving patient safety by identifying side effects from introducing bar coding in medication administration. J Am Med Inform Assoc. 2002;9:540–553.

    Article  PubMed  Google Scholar 

  45. Mills PD, Neily J, Mims E, Burkhardt ME, Bagian J. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):1442–1447.

    Article  PubMed  Google Scholar 

  46. Young D. Pittsburgh hospital combines RFID, bar codes to improve safety. Am J Health Syst Pharm. 2006;63(24):2431, 2435.

    Article  PubMed  Google Scholar 

  47. Shogan MG. Emergency management plan for newborn abduction. J Obstet Gynecol Neonatal Nurs. 2002;31(3):340–346.

    Article  PubMed  Google Scholar 

  48. Sullivan L. RFID System Prevented A Possible Infant Abduction. Information Week; 2005. Available at: http://www.informationweek.com/story/showArticle.jhtml?articleID=166400496. Accessed December 21, 2008.

  49. Cesario SK. Selecting an infant security system. AWHONN Lifelines. 2003;7(3):236–242.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The Johns Hopkins Children's Center, Baltimore, MD

    Catherine Garger RN BSN & Carol Matlin RN MS

  2. Director of Pathology Informatics, Johns Hopkins University School of Medicine, Baltimore, MD

    Robert E. Miller MD

Authors
  1. Catherine Garger RN BSN
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carol Matlin RN MS
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. George R. Kim MD FAAP
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Robert E. Miller MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Johns Hopkins School of Medicine, Baltimore, MD, USA

    Christoph U. Lehmann MD FAAP  & George R. Kim MD FAAP  & 

  2. Vanderbilt University School of Medicine, Nashville, TN, USA

    Kevin B. Johnson MD MS FAAP

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Garger, C., Matlin, C., Kim, G.R., Miller, R.E. (2009). Medication Administration and Information Technology. In: Lehmann, C.U., Kim, G.R., Johnson, K.B. (eds) Pediatric Informatics. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76446-7_28

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-76446-7_28

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-76445-0

  • Online ISBN: 978-0-387-76446-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation