For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review.

King, Charlotte ORCID: 0000-0002-7887-3640, Dudley, Jan, Mee, Abigail, Tomlin, Stephen, Tse, Yincent, Trivedi, Ashifa, Hawcutt, Daniel B ORCID: 0000-0002-8120-6507 and Royal College of Paediatrics and Child Health/Neonatal and Paedi, (2023) For children admitted to hospital, what interventions improve medication safety on ward rounds? A systematic review. Archives of disease in childhood, 108 (7). archdischild-2022-324772-archdischild-2022-324772.

Text ADC submission SR medicine safety revision - with tracked changes.docx - Author Accepted Manuscript Available under License Creative Commons Attribution Non-commercial. Download (108kB)

Abstract

<h4>Objective</h4>Every year, medication errors harm children in hospitals. Ward rounds are a unique opportunity to bring information together and plan management. There is a need to understand what strategies can improve medication safety on ward rounds. We systematically reviewed published interventions to improve prescribing and safety of medicines on ward rounds.<h4>Design</h4>Systematic review of randomised controlled trials and observational studies.<h4>Setting</h4>Studies examining inpatient ward rounds.<h4>Patients</h4>Children and young people aged between 0 and 18 years old.<h4>Interventions</h4>Any intervention or combination of interventions implemented that alters how paediatric ward rounds review inpatient medications.<h4>Main outcome measure</h4>Primary outcome was improvement in medication safety on paediatric ward rounds. This included reduction in prescribing error rates, healthcare professionals' opinions on prescribing and improvement in documentation on ward rounds.<h4>Results</h4>Three studies were eligible for review. One examined the use of an acrostic, one the use of a checklist, and the other a use of a specific prescribing ward round involving a clinical pharmacist and doctor. None of the papers considered weight-based errors or demonstrated reductions in clinical harm. Reductions in prescribing errors were noted by the different interventions.<h4>Conclusions</h4>There are limited data on interventions to improve medication safety in paediatric ward rounds, with all published data being small scale, either quality improvement or audits, and locally derived/delivered. Good-quality interventional or robust quality improvement studies are required to improve medication safety on ward rounds.<h4>Prospero registration number</h4>CRD42022340201.

Item Type:	Article
Uncontrolled Keywords:	Royal College of Paediatrics and Child Health/Neonatal and Paediatric Pharmacist Group Joint Standing Committee on Medicines
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Clinical Directorate
Depositing User:	Symplectic Admin
Date Deposited:	17 Feb 2023 11:26
Last Modified:	23 Jun 2023 04:29
DOI:	10.1136/archdischild-2022-324772
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3168476