56 Electronic occurrence variance reports (eOVR) management system

Suzette Brondial, Abdulrahman Alhasani, Mohamed Adel Elfaiomy, Mahmoud Abdelfattah Radwan
2019 Abstracts   unpublished
Results A total of 319 DRPs were identified in 235 patients, in which 280 (87.8%) of 319 DRPs were deemed to be preventable. The majority of preventable DRPs were related to dose selection (219 [78%] of 280). None of the preventable DRPs were life-threatening or fatal. The majority were assessed as moderate in severity (264 [94.3%] of 280). There was no significant difference between DRP incidence with age (mean 3.5, p=0.389), sex (p=0.436), and weight (mean 13.47, p=0.323). Younger children
more » ... Younger children (aged 2 years or younger) admitted to the PICU were more likely to have a DRP (odds ratio 4.44, p=0.000). Scheduled admissions were 2.89 times more likely to be exposed to DRP compared with transferred admissions (p=0.005). Additionally, DRP incidence increased proportionally to the number of medications. Conclusion Our results show a high incidence of preventable DRPs, which were found to be related to dosing and drug choice problems. These results may be used for designing the epidemiology study in the pediatric population aiming to establish appropriate prevention strategies towards improvement and safe medicine use in this vulnerable patient population.
doi:10.1136/bmjoq-2019-psf.56 fatcat:pqn3jnmufvfo3opanipgu6bngy