Guidelines and checklists
ImPrint: Simplified Infusion Prescribing
Drug errors are the single most common incident in health care and infusions in an intensive care environment are often unfamiliar and infrequently administered.
We identified 36 hourly dosing of gentamicin was difficult to prescribe on standard charts, resulting in multiple prescribing errors surrounding administration times in neonatal and post-natal prescription for suspected or confirmed sepsis.
Publication of project reducing prescribing errors in junior doctors
Doctors were enrolled in a programme of written assessment in prescribing skills and individualised feedback. Audit showed significant error reduction.
Workbook on Safer Prescribing for Paediatric Doctors
The prescribing workbook is issued to all new neonatal and paediatric doctors who commence work in the Trust. Doctors complete the exercises and then these are discussed during their induction session. The doctors then also receive an answer book with additional information.
Dosage calculators and apps
Emergency Bolus and Infusion Calculators - NEW ZEALAND
New Zealand has a single national PICU, retrieving all critically ill children. It was quite common, prior to the development of this tool (about 4 years ago), for the following to occur:
Neonatal electronic dose calculator
The electronic dose calculator was designed as an easy to use tool that doctors would use to provide a quick guide to doses of emergency drugs that a neonate may need. Once printed the tool also acts as a prescription chart for incubation drugs.
Ibuprofen Care Bundle
Identified errors in prescribed and administered dosages of Ibuprofen to treat for the closure of Patent Ductus Arteriosus in preterm infants. There was a lack of understanding and knowledge of side effects from both the medical trainees and nursing staff.
Neonatal Blood Transfusion Care Bundle
Implementing Neonatal Blood Transfusion Bundle into a Local Neonatal Unit (LNU) within the Thames Valley and Wessex Operational Delivery Network
Liverpool Adverse Drug Reaction Avoidability Assessment Tool (LAAT)
Adverse drug reactions (ADRs) are common in children. They contribute significantly to patient morbidity, mortality and hospitalisation costs. The incidence of ADRs in hospitalised children has been reported as ranging from 0.6-16.8% among studies.
- Quality Assured
Respiratory Futures is a new focal point for the UK respiratory community building on the findings of the Respiratory Alliance and reaching across the traditional boundaries of primary and secondary care.