Investigation on the Information of the Label Use of High-Alert Drugs for Children of High Risk Population_Chinese Journal of Evidence-Based Medicine

Authors：

SUN Shiguang ¹ , SHI Yafei ² ,  YAN Hui ¹ , CUI Jie ³ , WANG Rui ¹ , SUN Xiaodi ¹ , LI Yang ² , WANG Suhui ¹

1. Department of Pharmacy, The Military General Hospital of Beijing PLA, Beijing 100700, China;2. Department of Graduate, Hebei North University, Zhangjiakou 075000, China;3. Department of Information, The Military General Hospital of Beijing PLA, Beijing 100700, China;

Corresponding author：

YAN Hui, Email: yanyi588585@163.com

Keywords：

High-alert drug; High risk population; Children; Medication information

DOI：

10.7507/1672-2531.20130140

Video：

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Objective 　To investigate the information of label use of high-alert drugs for children of high risk population, in the Military General Hospital of Beijing PLA.
Methods 　We selected high-alert drugs used in this hospital as objectives. The package inserts of these drugs were investigated and medication parts for children were analyzed.
Results 　201 drugs regarded as high-alert drugs were included, of which only 78 drugs have accurate detailed description of medication for children, accounting for 38.8% of the total of investigated high-alert drugs.
Conclusion 　Children, as high-risk population, needs more attention concerning the use of high-alert drugs. However, risks in the use of high-alert drugs increased due to the lack of the information of label use of high-alert drugs. To ensure the safety of drug use in children, the information of drug use for children in the package inserts should be urgently supplemented.

Citation： SUN Shiguang,SHI Yafei,YAN Hui,CUI Jie,WANG Rui,SUN Xiaodi,LI Yang,WANG Suhui. Investigation on the Information of the Label Use of High-Alert Drugs for Children of High Risk Population. Chinese Journal of Evidence-Based Medicine, 2013, 13(7): 785-788. doi: 10.7507/1672-2531.20130140 Copy

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22.	王莉, 袁强, 李鸿浩, 等. 循证临床药学实践——概念、实践模式及步骤. 中国循证医学杂志, 2011, 11(10): 1103-1105.
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1. Patient Safety Alert. High－alert medications and patient safety. Int J Qual Health Care, 2001, 3(4): 339-340.
2. High-Alert Medications and Patient Safety. http: //www.joint-commission.org/sentinel events/sentinel event alert/sea_11.htm, 1999-11-12.
3. 张伶俐, 李幼平, 曾力楠. 用儿童药物利用指数评价儿科用药剂量. 中国循证医学杂志 2012, 12(2): 125-128.
4. Kaufmann J, Laschat M, Wappler F. Medication errors in pediatric emergencies: a systematic analysis. Dtsch Arztebl Int, 2012, 109(38): 609-616.
5. Zakharov S, Tomas N, Pelclova D. Medication errors--an enduring problem for children and elderly patients. Ups J Med Sci, 2012, 117(3): 309-317.
6. 谢奕如, 蔡德, 余白蓉, 等. 浅析当前药品说明书存在的问题及建议. 中国药房, 2008, 19(4): 311.
7. Institute for Safe Medication Practices-ISMP. ISMP’s List of High-Alert Medications. http://www.ismp.org/Tools/highalertmedications.pdf. 2012-05-14.
8. 中国药学会医院药学专业委员会《用药安全项目组》. 高危药品分级管理策略及推荐目录. http://www.cpahp.org.cn/ccyyf/UploadFiles_8098/201205/2012050311011489. pdf, 2012-3.
9. 孙世光, 孙晓迪, 闫荟, 等. 医院高危中药注射剂管理及目录筛选的探讨与研究. 中国医药, 2012, 7(8): 1050-1052.
10. American Society of Hospital Pharmacists. ASHP statement on theuse of medications for unlabeled uses. Am J Hosp Pharm, 1992, 49( 8): 2006-2008.
11. 宋民宪, 赵因, 李婷, 等. 药品缺陷概念研究. 医学与哲学, 2012, 33(9A): 45-47.
12. 张伶俐, 李幼平, 梁毅, 等. 全球住院儿童超说明书用药现状的系统评价. 中国循证医学杂志, 2012, 12(2): 176-187.
13. 张伶俐, 李幼平, 黄亮, 等. 四川大学华西第二医院儿科门诊处方超药品说明书用药情况调查. 中国循证医学杂志, 2011, 11( 10) : 1120-1124.
14. 肖芳. 346份药品说明书中儿童用药的调查分析. 儿科药学杂志, 2009, 15(2): 37-39.
15. 江君微. 756份药品说明书中儿童用药项的调查分析. 中国药业, 2012, 21(22): 6-7.
16. 中国药学会医院药学专业委员会. 第二十届全国儿科药学学术会议暨首届全国儿科中青年药师论文报告会论文集. 北京: [出版者不详], 2009-05-14.
17. 姜德春, 元华龙. 儿科超说明书用药的研究现状与进展. 儿科药学杂志, 2013, 19(4): 53-56.
18. 曾力楠, 张伶俐. 儿科药物临床试验的发展历史及研究现状. 儿科药学杂志, 2010, 16(2): 5-7.
19. 曹卉娟, 刘建平. 循证药学的基本概念及其应用. 临床药物治疗杂志, 2008, 6(4): 55-59.
20. 张伶俐, 李幼平. 基于风险与责任, 促进中国儿童合理用药的思考. 中国循证医学杂志 2011, 11(9): 983-984.
21. 张伶俐, 李幼平, 胡蝶, 等. 我国儿童药物短缺的现状分析. 中国循证医学杂志, 2012, 12(10): 1159-1164.
22. 王莉, 袁强, 李鸿浩, 等. 循证临床药学实践——概念、实践模式及步骤. 中国循证医学杂志, 2011, 11(10): 1103-1105.
23. 蒋樾廉, 陈敏玲. 我院儿科常用口服药品说明书完整性的调查. 儿科药学杂志, 2012, 18(10): 34-35.

Chinese Journal of Evidence-Based Medicine

Investigation on the Information of the Label Use of High-Alert Drugs for Children of High Risk Population

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