Pediatr Crit Care Me
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Pediatr Crit Care Me · Apr 2017
Observational StudyMedication Reconciliation Failures in Children and Young Adults With Chronic Disease During Intensive and Intermediate Care.
Although medication reconciliation has become standard during hospital admission, rates of unintentional medication discrepancies during intensive care of pediatric patients with chronic disease are unknown. Such discrepancies are an important cause of adverse drug events in adults with chronic illness and are associated with unintentional discontinuation of chronic medications. We sought to determine the rate, type, timing, and predictors of potentially harmful unintentional medication discrepancies in children and young adults with chronic disease. ⋯ Unintentional medication discrepancies with the potential for harm are common among children and young adults with chronic disease during critical care admission due to both failure to obtain an accurate medication history and errors in reconciling the history with patient orders. The use of current medication reconciliation processes is insufficient to prevent errors in this high-risk population.
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Pediatr Crit Care Me · Apr 2017
Factors Associated With Mortality in Low-Risk Pediatric Critical Care Patients in The Netherlands.
To determine differences between survivors and nonsurvivors and factors associated with mortality in pediatric intensive care patients with low risk of mortality. ⋯ Nonsurvivors in the PICU with a low predicted mortality risk have recognizable risk factors including complex chronic condition and unplanned admissions.