Clinical Factors Associated With Patterns of Medication Errors Among Pediatric Hospitalized Patients in Northwest Ethiopia: A Multicenter Prospective Observational Study.

Background: Medication safety is an important public health challenge, especially in pediatrics. Medication errors (MEs) are often underreported in pediatrics and can lead to adverse outcomes such as frequent readmissions, increased total healthcare costs, prolonged hospitalization, and related morb...

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Publicado en:BioMed Research International Vol. 2026; pp. 1 - 12
Autores principales: Moges, Tilaye Arega, Dagnew, Fisseha Nigussie, Tarekegn, Getachew Yitayew, Wondm, Samuel Agegnew, Zewdu, Woretaw Sisay, Anberbr, Sisay Sitotaw, Nigussie, Habtamu, Dagnew, Samuel Berihun, Klug, Yoel A.
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 5/23/2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Clinical Factors Associated With Patterns of Medication Errors Among Pediatric Hospitalized Patients in Northwest Ethiopia: A Multicenter Prospective Observational Study.
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          Moges, Tilaye Arega
          Dagnew, Fisseha Nigussie
          Tarekegn, Getachew Yitayew
          Wondm, Samuel Agegnew
          Zewdu, Woretaw Sisay
          Anberbr, Sisay Sitotaw
          Nigussie, Habtamu
          Dagnew, Samuel Berihun
          Klug, Yoel A.
        affil: Department of Clinical Pharmacy,, Pharmacy Education and Clinical Services Directorate,, Debre Tabor University,, Debre Tabor, Ethiopia, dtu.edu.et
      sug:
        subj:
          Medication Errors Epidemiology
          Medication Errors Risk Factors
          Pediatrics
          Child, Hospitalized Psychosocial Factors
          Hospitals, Special
          Risk Assessment
          Human
          Male
          Female
          Child
          Ethiopia
          Multicenter Studies
          Prospective Studies
          Nonexperimental Studies
          Polypharmacy
          Inpatients
          Length of Stay
          Sex Factors
          Antibiotics
          Patient Safety
          Drug Administration Schedule
          Chi Square Test
          Multivariate Analysis
          Multiple Logistic Regression
          Bivariate Statistics
          Odds Ratio
          Confidence Intervals
          Statistical Significance
          Data Analysis Software
          Descriptive Statistics
          Child: 6-12 years
          Male
          Female
      ab: Background: Medication safety is an important public health challenge, especially in pediatrics. Medication errors (MEs) are often underreported in pediatrics and can lead to adverse outcomes such as frequent readmissions, increased total healthcare costs, prolonged hospitalization, and related morbidity and mortality. Thus, this study is aimed at assessing the magnitude and determinants of MEs among pediatric hospitalized patients at comprehensive specialized hospitals in Northwest Ethiopia. Methods: A multicenter prospective observational study involving pediatric hospitalized patients was conducted over 4 months, utilizing systematic random sampling for participant selection. Three clinical pharmacists, after a day of training, collected data under the supervision of an MSc health professional, with support from pediatricians in each hospital for reviewing MEs and adjusting treatment plans. Pediatric patients were followed prospectively during their hospital stay from admission to discharge. Data collection occurred via the Kobo Toolbox platform and was analyzed with STATA Version 17.0. Both bivariate and multivariable logistic regression analyses identified factors related to MEs, with statistical significance set at a p value < 0.05. Results: Among 358 pediatric hospitalized patients, 53.63% experienced at least one ME, totaling 254 identified errors. The prescribing stage accounted for the highest percentage of errors (40.16%), followed by the administration stage (32.68%). The predominant types of MEs were dose errors (30.31%), frequency errors (14.96%), and omission errors (14.17%). Multivariable logistic regression analysis revealed that polypharmacy (≥ 5 medications) (AOR = 2.005, 95% CI: 1.269–3.168), male sex (AOR = 1.707, 95% CI: 1.097–2.656), and prolonged hospital stay (AOR = 1.673, 95% CI: 1.076–2.602) were significantly associated with the occurrence of MEs. Conclusion: This study found that MEs were prevalent in pediatric hospitalized patients. Polypharmacy, male patients, and the length of hospital stay were independent predictors of MEs. To reduce MEs, computer‐based prescribing practice and clinical pharmacy services should be routine practices in the study settings.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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