Evaluation of the practice of dose-rounding in paediatrics. (29th May 2019)

• Record Type: Journal Article
• Authors: Rashed, Asia N; Tomlin, Stephen; Arenas-López, Sara; Cavell, Gillian; Whittlesea, Cate
• Is Part Of: International journal of pharmacy practice. Volume 28:Number 1(2020)
• Page Start: 107
• Page End: 110
• Publication Date: 2019-05-29
• Subjects: paediatric practice -- dose-rounding -- children -- paediatric dosing; Pharmacy -- Practice -- Periodicals; 615.1
• DOI: 10.1111/ijpp.12549
• Languages: English
• ISSNs: 0961-7671

Abstract

Abstract: Objectives: To investigate the rounding of prescribed drug doses for paediatric administration. Methods: A cross-sectional medication chart review was conducted at a UK paediatric hospital. Proposed administration dose volumes were calculated for prescribed doses using available manufactured liquids measured with oral and intravenous syringes. Resulting percentage deviations in doses administered were calculated. Results: Of 2031 doses observed, 524 (25.8%) required rounding. The majority of which were for children aged 1–12 months. Twenty-seven rounded doses deviated from the prescribed dose by more than 10%. Conclusion: This study highlights the impact of dose-rounding in paediatrics and the need for standardisation.