Evidence map›Paper›PMID 31338170›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2019

Incompatible intravenous drug combinations and respective physician and nurse knowledge: a study in routine paediatric intensive care.

Martina P Neininger, Patricia Buchholz, Roberto Frontini, Wieland Kiess, Werner Siekmeyer, Astrid Bertsche, Manuaela Siekmeyer, Thilo Bertsche

Open access · greenAbstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Martina P NeiningerDepartment of Clinical Pharmacy and Drug Safety Center, Leipzig University, Leipzig, Germany.
Patricia BuchholzDepartment of Clinical Pharmacy and Drug Safety Center, Leipzig University, Leipzig, Germany.
Roberto FrontiniDepartment of Clinical Pharmacy and Drug Safety Center, Leipzig University, Leipzig, Germany.
Wieland KiessDepartment of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany.
Werner SiekmeyerDepartment of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany.
Astrid BertscheDepartment of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany.
Manuaela SiekmeyerDepartment of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Leipzig, Germany.
Thilo BertscheDepartment of Clinical Pharmacy and Drug Safety Center, Leipzig University, Leipzig, Germany.
Leipzig University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify incompatible intravenous drug combinations in routine paediatric intensive care and evaluate physician and nurse knowledge.

methodsIn a university paediatric intensive care unit, intravenous drug incompatibilities were analysed using a database and physician and nurse knowledge of incompatibilities was assessed using a questionnaire.

resultsWe analysed 665 prescriptions in 87 patients. Incompatible drug administration was identified in 9 (10%) of the 87 patients with a median of 3 different incompatibilities per patient (Q25/Q75: 1/3). We found 26 incompatible combinations. The most frequently involved drugs were cefotaxime, pantoprazole and vancomycin. A median of 10 of the 15 drug combinations were correctly assessed as compatible or incompatible (Q25/Q75: 8/11). Pantoprazole had a low number (20%) of correct answers.

conclusionsOne in 10 patients in paediatric intensive care was affected by drug incompatibility, with knowledge deficits seen in a third of assessed combinations. This indicates quality improvement strategies should be urgently implemented by pharmacists.

Indexed as

CefotaximeDrug IncompatibilityIntravenous Drug AdministrationPaediatric Intensive CarePantoprazolePatient SafetyPrescriptionVancomycin

Identifiers

PMID31338170
PMCPMC6614696
OpenAlexW2738956797

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.