Errors by paediatric residents in calculating drug doses

摘要: BACKGROUND—Errors in calculating drug doses infants and small children can cause morbidity mortality, especially with agents exhibiting a narrow therapeutic window. A previous study from this institution has detected potential life threatening errors calculations performed by trainees while writing prescriptions. OBJECTIVES—To verify whether the true incidence of trainees' prescribing be explained impaired calculation skills written tests. SETTING—A tertiary paediatric hospital; educational rounds for core residents. METHODS—Two anonymous tests, which included similar to those at bedside; one was conducted 1993 1995. RESULTS—Thirty four residents participated 30 1995. substantial number both years committed least error. In general, there no correlation between length training (0 4 years) likelihood making mistake. Three 1995 10-fold errors. These seven significantly more than rest group each tests separately. All were their first two training, six year residency. CONCLUSIONS—A proportion make mistakes under optimal test conditions. Some commit errors, may threatening. The results these suggest that testing should mandatory, appropriate remedial steps follow prevent patients receiving wrong dosages.