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1. Weight-based Medication Errors in Children. | PSNet
   psnet.ahrq.gov/issue/weight-based-medication-errors-children
   March 16, 2022 - Book/Report Weight-based Medication Errors in Children. … Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing

2. Prescribing errors with low-molecular-weight heparins. | PSNet
   psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weight-heparins
   July 26, 2017 - Study Prescribing errors with low-molecular-weight heparins. … Prescribing errors with low-molecular-weight heparins. … Anticoagulants , such as low-molecular-weight heparin (LMWH), are known to be high-risk for adverse … cross-sectional study identified prescribing errors – primarily lack of dosage adjustment for body weight … Prescribing errors with low-molecular-weight heparins.

3. Weight stigma and barriers to effective obesity care. | PSNet
   psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
   August 18, 2021 - Review Weight stigma and barriers to effective obesity care. … Weight stigma and barriers to effective obesity care. … to effective care for patients with obesity (use of stigmatizing language, provider-held negative weight-based … The authors propose several strategies to reduce weight stigma in health care, including stigma-reduction … Weight stigma and barriers to effective obesity care.

4. Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet
   psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
   September 12, 2018 - Study Error in body weight estimation leads to inadequate parenteral anticoagulation … Error in body weight estimation leads to inadequate parenteral anticoagulation. … anticoagulant medications was common in the emergency department due to inaccurate estimation of body weight … Error in body weight estimation leads to inadequate parenteral anticoagulation.

5. A Weighty Mistake | PSNet
   psnet.ahrq.gov/web-mm/weighty-mistake
   July 26, 2023 - Identify strategies for reducing weight-based dosing medication errors. … of 25 kg rather than her true weight of 25 lb (11.3 kg). … This standard of pediatric practice is called "weight-based dosing." … weight in real time. … CPOE systems have decreased dosing error rates associated with weight-based dosing.

6. Assessing frequency and risk of weight entry errors in pediatrics. | PSNet
   psnet.ahrq.gov/issue/assessing-frequency-and-risk-weight-entry-errors-pediatrics
   August 24, 2016 - Study Assessing frequency and risk of weight entry errors in pediatrics. … Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. … Weight-based medication dosing can lead to medication errors in pediatric patients . … Investigators used a trigger tool to detect weight-entry errors in the electronic health record. … Assessing Frequency and Risk of Weight Entry Errors in Pediatrics.

7. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet
   psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
   November 16, 2022 - Review Weight estimation for drug dose calculations in the prehospital setting - … Weight estimation for drug dose calculations in the prehospital setting - a systematic review. … Inaccurate estimations of patient weight can lead to medication errors in the prehospital period . … systematic review of 9 studies concluded that there is insufficient evidence to assess the accuracy of weight … Weight estimation for drug dose calculations in the prehospital setting - a systematic review.

8. Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  | PSNet
   psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-patient-safety-and-medical-error
   April 03, 2019 - Special or Theme Issue Evidence-based Recommendations for Best Practices in Weight … Citation Text: Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical … A report from an expert panel convened to study surgical weight loss programs and procedures from a … July 8, 2015 Prescribing errors with low-molecular-weight heparins. … July 6, 2022 Assessing frequency and risk of weight entry errors in pediatrics.

9. Some doctors are ditching the scale, saying focusing on weight drives misdiagnoses. | PSNet
   psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
   August 16, 2023 - Newspaper/Magazine Article Some doctors are ditching the scale, saying focusing on weight … This article discusses how clinician emphasis on patient weight can distract from effective care decisions

10. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet
    psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency … Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. … Weight-based dosing errors can lead to adverse drug events . … This finding underscores the need to address weight-based dosing on a systems level. … Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department.

11. Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. | PSNet
    psnet.ahrq.gov/issue/comparative-performance-pediatric-weight-estimation-techniques-human-factor-errors-analysis
    March 30, 2022 - Study Comparative performance of pediatric weight estimation techniques: a human … Comparative Performance of Pediatric Weight Estimation Techniques: A Human Factor Errors Analysis. … Estimating weights in time-sensitive situations can lead to misdosing of weight-based medications . … Comparative Performance of Pediatric Weight Estimation Techniques: A Human Factor Errors Analysis. … November 2, 2022 Prescribing errors with low-molecular-weight heparins.

12. The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services. | PSNet
    psnet.ahrq.gov/issue/effect-documenting-patient-weight-kilograms-pediatric-medication-dosing-errors-emergency
    October 19, 2022 - Study The effect of documenting patient weight in kilograms on pediatric medication … The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency … Weight-based calculation errors and lack of weight documentation can lead to medication errors in … medication found that weight documentation was associated with a small but significantly lower rate … The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency

13. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
    March 01, 2013 - A triage nurse took the patient's vital signs, including her weight, and escorted her and the parents … of 25 kg rather than her true weight of 25 lbs (11.3 kg). … Drug Saf. 2004;27:661-670. http://www.ncbi.nlm.nih.gov/pubmed/15230647 Weight-Based Dosing For … dosing” * * Weight-Based Dosing Errors USP’S MEDMARX database illustrated risk inherent in weight-based … to expected weight in real-time to capture obvious discrepancies for the data-entry user * *

14. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
    psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
    November 27, 2019 - Norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose of 0.5 mcg/kg … rely upon non-weight-based dosing. … The next pivotal event occurred when the nurse incorrectly selected the weight-based dosing strategy … non-weight-based) of norepinephrine is more efficacious or safe. … Take-Home Points Dosing strategies for norepinephrine can be weight-based (mcg/kg/min) or non-weight-based

15. Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet
    psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors
    April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too … Weight and size descriptors for drug dosing: Too many options and too many errors. … Weight-based dosing is vulnerable to error due to inaccurate estimation of body weight, use of metric … This commentary suggests strategies for reducing weight- and size-based dosing errors including reduction … Weight and size descriptors for drug dosing: Too many options and too many errors.

16. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Describe the importance of weight-based dosing of medications and fluids in pediatrics. … Assessments In children, the weight variation from lightest to heaviest may be as much as 450x! … Newborn in the neonatal ICU: 250 g Overweight adolescent: 114 kg (114,000 g) Given weight variation … for the first 10 kg 2mL/kg body weight/hour for the second 10 kg 1mL/kg body weight/hour for each kg … Providers of care for children need to be well versed in these age/weight considerations.

17. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. | PSNet
    psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors
    September 11, 2013 - Study Effect of a weight-based prescribing method within an electronic health record … Effect of a weight-based prescribing method within an electronic health record on prescribing errors. … An automated weight-based calculator within a computerized provider order entry system reduced prescribing … Effect of a weight-based prescribing method within an electronic health record on prescribing errors.

18. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.85_slideshow.ppt
    March 01, 2005 - (IBW) or total body weight (TBW) Hydrophilic: Dosing Weight = IBW + 0.3(TBW-IBW) Lipophilic: use … Postoperative Complication Rates by Weight Schwilk B. … Normal 23 Obese 31 Morbidly Obese 38 Weight 0 0 0 Weight % Postoperative complications rates … by weight Sheet3 Chart2 Normal Obese Morbidly Obese Weight % … Normal 23 Obese 31 Morbidly Obese 38 Weight 0 0 0 Weight % Postoperative complications rates

19. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.88_slideshow.ppt
    March 01, 2005 - (IBW) or total body weight (TBW) Hydrophilic: Dosing Weight = IBW + 0.3(TBW-IBW) Lipophilic: use … Postoperative Complication Rates by Weight Schwilk B. … Normal 23 Obese 31 Morbidly Obese 38 Weight 0 0 0 Weight % Postoperative complications rates … by weight Sheet3 Chart2 Normal Obese Morbidly Obese Weight % … Normal 23 Obese 31 Morbidly Obese 38 Weight 0 0 0 Weight % Postoperative complications rates

20. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. | PSNet
    psnet.ahrq.gov/issue/person-first-treatment-strategies-weight-bias-and-impact-mental-health-people-living-obesity
    February 16, 2022 - Commentary Person-first treatment strategies: weight bias and impact on mental health … Person-first treatment strategies: weight bias and impact on mental health of people living with obesity … suggestions for person-first language, and ways for clinicians to engage patients in discussions about their weight … Person-first treatment strategies: weight bias and impact on mental health of people living with obesity