Dedicated Fax Machine to Increase Scrutiny of Medication Orders for Pediatric Hospital Inpatients
Bibliographic record
Abstract
ABSTRACT Background: Some children are treated at hospitals that focus on adult care. When orders for children and adults are interspersed, it can be difficult to recognize the pediatric orders. As a result, pediatric patients are at greater risk of medication dosing errors. Pharmacists need to be able to immediately recognize pediatric orders and perform appropriate dose checks. Objective: To determine if a dedicated fax machine for pediatric orders would lead to increased scrutiny of such orders by pharmacists. Methods: Review and analysis of pediatric orders processed before and after installation of a dedicated fax machine for pediatric orders at a community hospital. Results: The proportion of pediatric orders with appropriate dose-checking increased from 47.9% (57/119) before to 64.1% (109/170) after installation of the dedicated fax machine. For patients up to 12 years of age, appropriate dose-checking increased from 49.6% (56/113) to 74.5% (105/141). Conclusions : Pharmacists’ scrutiny of pediatric orders increased after installation of a dedicated fax machine for pediatric orders. RESUME Contexte : Certains enfants sont traites dans des hopitaux specialises dans les soins aux adultes. Lorsque les ordonnances pour enfants sont intercalees entre celles pour adultes, il peut etre difficile de les reconnaitre. Il en resulte donc un risque accru d’erreurs de posologie pour les enfants. Les pharmaciens doivent etre en mesure de reconnaitre immediatement les ordonnances pour enfants et d’effectuer une verification congruente des posologies. Objectif : Determiner si l’emploi d’un telecopieur reserve a la reception des ordonnances pour enfants entrainerait leur examen plus minutieux par les pharmaciens. Methode : Un examen des ordonnances pour enfants executees avant et apres l’installation d’un telecopieur reserve a la reception de celles-ci a ete effectue dans un hopital communautaire. Resultats : La proportion d’ordonnances pour enfants ayant fait l’objet d’une verification posologique congruente a augmente, passant de 47,9 % (57/119) avant l’installation du telecopieur reserve a la reception des ordonnances pour enfants, a 64,1 % (109/170) apres son installation. Chez les patients âges de 12 ans ou moins, la verification posologique congruente a augmente de 49,6 % (56/113) a 74,5 % (105/141). Conclusions : L’installation d’un telecopieur reserve a la reception des ordonnances pour enfants a entraine leur examen plus minutieux par les pharmaciens.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.026 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".