Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 7798,
    "title": "Analysis of Medication Errors in Simulated Pediatric Resuscitation by Residents",
    "subtitle": null,
    "abstract": "Introduction: The objective of our study was to estimate the incidence of prescribing medication errors specifically made by a trainee and identify factors associated with these errors during the simulated resuscitation of a critically ill child.\nMethods: The results of the simulated resuscitation are described. We analyzed data from the simulated resuscitation for the occurrence of a prescribing medication error. We compared univariate analysis of each variable to medication error rate and performed a separate multiple logistic regression analysis on the significant univariate variables to assess the association between the selected variables.\nResults: We reviewed 49 simulated resuscitations . The final medication error rate for the simulation was 26.5% (95% CI 13.7% - 39.3%). On univariate analysis, statistically significant findings for decreased prescribing medication error rates included senior residents in charge, presence of a pharmacist, sleeping greater than 8 hours prior to the simulation, and a visual analog scale score showing more confidence in caring for critically ill children. Multiple logistic regression analysis using the above significant variables showed only the presence of a pharmacist to remain significantly associated with decreased medication error, odds raio of 0.09 (95% CI 0.01 - 0.64).\nConclusion: Our results indicate that the presence of a clinical pharmacist during the resuscitation of a critically ill child reduces the medication errors made by resident physician trainees.[West J Emerg Med. 2014;15(4):486-490.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "medication error"
        },
        {
            "word": "pediatric"
        },
        {
            "word": "emergency"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "Patient Safety"
        }
    ],
    "section": "Patient Safety",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/50g528cc",
    "frozenauthors": [
        {
            "first_name": "Evelyn",
            "middle_name": "",
            "last_name": "Porter",
            "name_suffix": "",
            "institution": "University of California San Francisco, Department of Emergency Medicine, San Francisco, California",
            "department": "None"
        },
        {
            "first_name": "Besh",
            "middle_name": "",
            "last_name": "Barcega",
            "name_suffix": "",
            "institution": "Loma Linda University Medical Center and Children’s Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California",
            "department": "None"
        },
        {
            "first_name": "Tommy",
            "middle_name": "Y",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "Loma Linda University Medical Center and Children’s Hospital, Departments of Emergency Medicine and Pediatrics, Loma Linda, California",
            "department": "None"
        }
    ],
    "date_submitted": "2013-04-11T04:25:41Z",
    "date_accepted": "2013-04-11T04:25:41Z",
    "date_published": "2014-05-19T22:46:42Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7798/galley/4550/download/"
        }
    ]
}