Incompatible intravenous drug combinations and respective physician and nurse knowledge: a study in routine paediatric intensive care.
Eur J Hosp Pharm
; 26(4): 214-217, 2019 Jul.
Article
em En
| MEDLINE
| ID: mdl-31338170
OBJECTIVES: To identify incompatible intravenous drug combinations in routine paediatric intensive care and evaluate physician and nurse knowledge. METHODS: In a university paediatric intensive care unit, intravenous drug incompatibilities were analysed using a database and physician and nurse knowledge of incompatibilities was assessed using a questionnaire. RESULTS: We analysed 665 prescriptions in 87 patients. Incompatible drug administration was identified in 9 (10%) of the 87 patients with a median of 3 different incompatibilities per patient (Q25/Q75: 1/3). We found 26 incompatible combinations. The most frequently involved drugs were cefotaxime, pantoprazole and vancomycin. A median of 10 of the 15 drug combinations were correctly assessed as compatible or incompatible (Q25/Q75: 8/11). Pantoprazole had a low number (20%) of correct answers. CONCLUSIONS: One in 10 patients in paediatric intensive care was affected by drug incompatibility, with knowledge deficits seen in a third of assessed combinations. This indicates quality improvement strategies should be urgently implemented by pharmacists.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Eur J Hosp Pharm
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Alemanha