Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital

International Journal of Clinical Pharmacy, Sep 2016

Asia N. Rashed, Stephen Tomlin

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Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital

Int J Clin Pharm Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospital Asia N. Rashed 0 1 Stephen Tomlin 0 1 0 Pharmacy Department, Evelina London Children's Hospital, Guy's and St. Thomas' NHS Foundation Trust , Westminster Bridge Road, London SE1 7EH , UK 1 Institute of Pharmaceutical Science, King's College London , 150 Stamford Street, London SE1 9NH , UK & Stephen Tomlin - Recently our research report ‘‘Sources and magnitude of error in preparing morphine infusions for nurse/patient controlled analgesia in a UK paediatric hospital’’ was published online first by the International Journal of Clinical Pharmacy [1]. However, the statement of the ‘‘impacts on practice’’ has been changed by the editor before publication and is not properly announced. Our study’s participants included healthcare professionals; nurses and anaesthetists (doctors) and the study results reflect the current practice used by both professions. Therefore, the statements on the impact of the research findings on clinical practice should include both nurses and doctors. As we did not have the opportunity to review the statements modified by the editor before the article was published online, we would like to suggest new implications for practice as follows: Impacts on practice Current practice of preparing morphine intravenous infusions for children by nurses and doctors in hospital is often inaccurate. Providing better training for nurses and doctors preparing intravenous infusions is essential to improve accuracy of prepared infusions. New safer approaches such as using ‘ready-to-use’ standardised concentrations should be considered and implemented into practice to improve current clinical practice. Conflicts of interest None. 1. Rashed AN , Tomlin S , Augado V , Forbes B , Whittlesea C. Sources and magnitude of error in preparing morphine infusions for nurse/patient controlled analgesia in a UK paediatric hospital . Int J Clin Pharm . 2016 . doi:10.1007/s11096- 016 - 0369 -3.


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Asia N. Rashed, Stephen Tomlin. Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital, International Journal of Clinical Pharmacy, 2016, 1345, DOI: 10.1007/s11096-016-0379-1