Having parents or guardians involved in their childrens care during hospital stays can improve safety, particularly when it comes to medication errors, according to a recent study in the journal Pediatrics.
The study, released Dec. 15, was conducted through the University of Wisconsin School of Medicine and Public Health. It involved creating video recordings of family-centered rounds of 150 pediatric patients. Results showed 55% of families raised 318 medication issues during 347 family-centered rounds, with scheduling and adverse reactions being the most common topics, the study stated. Most of the discussions initiated by family members were focused on inpatient medications at 65%. The most commonly addressed medications included anti-infectives, analgesics and corticosteroids, the study said.
Researchers found that although 74% of healthcare team responses were provision of information, appropriate changes to the patients medications occurred in response to 8% of family-initiated discussion.
Most families initiated dialogue regarding medications during FCRs, including both inpatient and home medications, the researchers wrote. They raised topics that altered treatment and were important for medication safety, adherence and satisfaction.
Pediatric patients are especially at risk of medication safety issues, including medication errors, according to the study, with errors occurring at three times the rate of their adult counterparts. Possible reasons include childrens incomplete physiologic development and the complexities of medication delivery systems, the study said.
Researchers noted the American Academy of Pediatrics recommends family-centered rounds that include the presence of the medical team, family and patient as well as en