Caregiver distress and medication errors in pediatric leukemia maintenance therapy Pubblico

Abstract

Background and Objective: Caregivers of children with chronic illness are predisposed to increased levels of distress due to many factors including the complex nature of medication management. Our objective was to assess the relationship between caregiver distress and medication administration errors in the home in pediatric leukemia patients.

Methods: Using baseline data from participants in a prospective observational study on factors leading to medication error and injury in pediatric leukemia patients in maintenance therapy, a multivariate Poisson regression model was created to analyze the relationship between caregiver distress and the number of medication administration errors that occurred.

Results: In 34 patients, 64.71% committed at least one medication administration error and 17.65% of caregivers were categorized as distressed. Patients with more medication errors were prescribed more medications (p=0.05) and were younger in age (p=0.07). Caregiver distress was not found to be significantly associated with number of medication errors (p=0.89).

Conclusions: Medication administration errors in the home may be influenced by child age and number of medications prescribed. A larger sample size and further research is needed to determine the relationship between parental distress and medication error.

Table of Contents

Distribution Agreement                                                                                                              1

Abstract                                                                                                                                          4

Acknowledgements                                                                                                                      6

Introduction                                                                                                                                  8

Methods                                                                                                                                   14

Results                                                                                                                                          20

Discussion                                                                                                                                  23

Limitations                                                                                                                             26

Conclusions                                                                                                                                 27

Appendices                                                                                                                                  28

References                                                                                                                                   34

About this Master's Thesis

Rights statement

• Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.

School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Mental Health Health Sciences, Oncology Health Sciences, Pharmacy
Parola chiave	chemotherapy patient safety quality improvement caregiver burden antineoplastic agents medication error pediatric cancer acute lymphoblastic leukemia medication adherence caregiver distress
Committee Chair / Thesis Advisor	Cari Jo Clark, Emory University
Committee Members	Jordan Gilleland Marchak, Emory University

Ultima modifica

Primary PDF

Thumbnail	Title	Date Uploaded	Actions
	Caregiver distress and medication errors in pediatric leukemia maintenance therapy ()	2018-12-06 17:39:21 -0500	Press to Select an action Download

Supplemental Files

Thumbnail	Title	Date Uploaded	Actions