Trial reportPediatrics2017
Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study.
Trial report in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Disruptions to safety and adaptations experienced by parents and caregivers who administered prescribed medicines to children at home: a systematic review using a framework synthesis.Frontiers in health services · 2026Pooled it
- Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review.Systematic reviews · 2024Pooled it
- Strategies to optimize comprehension of numerical medication instructions: A systematic review and concept map.Patient education and counseling · 2022Pooled it
- Health Literacy-Informed Communication to Reduce Discharge Medication Errors in Hospitalized Children: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Parents' Use of Technologies for Health Management: A Health Literacy Perspective.Academic pediatricsTrial
- A randomized controlled trial comparing visual-based and traditional educational materials in radiotherapy patient education: implications for nursing practice.BMC nursing · 2026Article
- Preventing Medication Errors in Paediatrics: A Narrative Review.Clinical medicine insights. Pediatrics · 2026Review
- Evidence-Based Design of Prescription Medication Information: An Updated Scoping Review.Drug safety · 2025Article
- Pediatrician perspectives on barriers and facilitators to discharge instruction comprehension and adherence for parents of children with medical complexity.Journal of hospital medicine · 2024Article
- Syntax Error: Variations in the Verbiage of Prescription Labels for Pediatric Liquid Medications.Cureus · 2024Article
- Accuracy of liquid drug dose measurements using different tools by caregivers: a prospective observational study.European journal of pediatrics · 2024Observational
- Perceptions and attitudes of pediatricians and families with regard to pediatric medication errors at home.BMC pediatrics · 2023Article
- A coordinated approach for managing polypharmacy among children with medical complexity: rationale and design of the Pediatric Medication Therapy Management (pMTM) randomized controlled trial.BMC health services research · 2023Article
- Making Polypharmacy Safer for Children with Medical Complexity.The Journal of pediatrics · 2023Article
- Extemporaneous preparation of rifampicin granules from capsules to improve usability.European journal of hospital pharmacy : science and practice · 2023Article
- Role of gabapentin in reducing the need for high-risk medications in patients with stable severe neurological impairment.Journal of Taibah University Medical Sciences · 2023Article
- Pharmacist-Led Discharge Transitions of Care Interventions for Pediatric Patients: A Narrative Review.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023Article
- "I Don't Do Much Without Researching Things Myself": A Mixed Methods Study Exploring the Role of Parent Health Literacy in Autism Services Use for Young Children.Journal of autism and developmental disorders · 2022Article
- Physicians' perspectives on adverse drug reactions in pediatric routine care: a survey.World journal of pediatrics : WJP · 2022Article
- Complexity of Medication Regimens for Children With Neurological Impairment.JAMA network open · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
Abstract
BACKGROUND AND
objectivesPoorly designed labels and dosing tools contribute to dosing errors. We examined the degree to which errors could be reduced with pictographic diagrams, milliliter-only units, and provision of tools more closely matched to prescribed volumes.
methodsThis study involved a randomized controlled experiment in 3 pediatric clinics. English- and Spanish-speaking parents (
resultsWe found that 83.5% of parents made ≥1 dosing error (overdosing was present in 12.1% of errors) and 29.3% of parents made ≥1 large error (>2× dose). The greatest impact on errors resulted from the provision of tools more closely matched to prescribed dose volumes. For the 2-mL dose, the fewest errors were seen with the 5-mL syringe (5- vs 10-mL syringe: adjusted odds ratio [aOR] = 0.3 [95% confidence interval: 0.2-0.4]; cup versus 10-mL syringe: aOR = 7.5 [5.7-10.0]). For the 7.5-mL dose, the fewest errors were with the 10-mL syringe, which did not necessitate measurement of multiple instrument-fulls (5- vs 10-mL syringe: aOR = 4.0 [3.0-5.4]; cup versus 10-mL syringe: aOR = 2.1 [1.5-2.9]). Milliliter/teaspoon was associated with more errors than milliliter-only (aOR = 1.3 [1.05-1.6]). Parents who received text only (versus text and pictogram) instructions or milliliter/teaspoon (versus milliliter-only) labels and tools made more large errors (aOR = 1.9 [1.1-3.3], aOR = 2.5 [1.4-4.6], respectively).
conclusionsProvision of dosing tools more closely matched to prescribed dose volumes is an especially promising strategy for reducing pediatric dosing errors.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.