Correct administration aid for oral liquid medicines: Is a household spoon the right choice?

Background Correct medicine dosing is an important component in the safe and effective delivery of medicines, particularly for the pediatric population. However, there is a scarcity of public campaigns on the correct administration and choice of dosing aids for oral liquid dosage form in many countries, leading to medicine safety issues and therapeutic failures. Methods The study targeted the assessment of the knowledge and practice of university students. It utilizes pre- and post-intervention surveys administered through google forms as a survey tool during online zoom and in-person sessions. The intervention included a short video presentation detailing the selection and use of medicine spoons and other aids for the administration of oral liquid dosage. The Fischer Exact test was used to assess the pre- and post-test shift of responses. Results Nine-degree programs were engaged in the activity, and 108 students attended this health awareness activity after obtaining formal consent. A significant decline (CI = 95%, ****p-value < 0.05) in the choice of selecting tablespoon and a shift to a low-volume spoon, as well as rejection of an entire variety of household spoons, were observed. A significant improvement in the correct naming of spoons, the meaning of the abbreviation “tsp,” and the correct volume of a standard teaspoon were also observed with a p-value of <0.001. Conclusion A deficit in the knowledge of the proper use of measuring devices for oral liquid medicines in the educated population was observed, which can be enhanced through simple tools like short video presentations and awareness seminars.

[1]  Joel S. Tieder,et al.  Preventing Home Medication Administration Errors. , 2021, Pediatrics.

[2]  NCPDP recommendations for standardizing dosing in metric units (mL) on prescription container labels of oral liquid medications, version 2.0 , 2021, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[3]  L. Proença,et al.  Reproducibility and accuracy of measurement of oral liquid pharmaceutical forms, using a dosing spoon , 2019, Annals medicus.

[4]  S. Bavdekar,et al.  Liquid Drug Dosage Measurement Errors with Different Dosing Devices , 2019, The Indian Journal of Pediatrics.

[5]  M. Wolf,et al.  Liquid Medication Errors and Dosing Tools: A Randomized Controlled Experiment , 2016, Pediatrics.

[6]  I. Paul,et al.  Unit of Measurement Used and Parent Medication Dosing Errors , 2014, Pediatrics.

[7]  E. Kuffner,et al.  Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. , 2014, The Journal of pediatrics.

[8]  M. Aseeri The impact of a pediatric antibiotic standard dosing table on dosing errors. , 2013, The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG.

[9]  Yu Jeung Lee,et al.  Analysis of Liquid Medication Dose Errors Made by Patients and Caregivers Using Alternative Measuring Devices , 2012, Journal of managed care pharmacy : JMCP.

[10]  M. Falagas,et al.  Inaccuracies in dosing drugs with teaspoons and tablespoons , 2010, International journal of clinical practice.

[11]  Benard P Dreyer,et al.  Parents' medication administration errors: role of dosing instruments and health literacy. , 2010, Archives of pediatrics & adolescent medicine.

[12]  P. Ambrose,et al.  Accuracy of Oral Liquid Measuring Devices: Comparison of Dosing Cup and Oral Dosing Syringe , 2008, The Annals of pharmacotherapy.

[13]  D. Bates,et al.  How can information technology improve patient safety and reduce medication errors in children's health care? , 2001, Archives of pediatrics & adolescent medicine.

[14]  D. Madlon-Kay,et al.  Liquid medication dosing errors. , 2000, The Journal of family practice.

[15]  E. Hyam,et al.  What's in a teaspoon? Underdosing with acetaminophen in family practice. , 1989, Family practice.

[16]  H. Cann,et al.  Inaccuracies in administering liquid medication. , 1975, Pediatrics.

[17]  H. M. Whelpley State phamaceutical association proceedings , 1912 .

[18]  S. Ravikiran,et al.  Dosing ability of Indian parents for liquid medication. , 2011, Indian pediatrics.

[19]  M. Bayor,et al.  THE ACCURACY AND QUALITY OF HOUSEHOLD SPOONS AND ENCLOSED DOSING DEVICES USED IN THE ADMINISTRATION OF ORAL LIQUID MEDICATIONS IN GHANA , 2010 .

[20]  B. Franklin,et al.  Incidence and Nature of Dosing Errors in Paediatric Medications , 2004, Drug safety.

[21]  E. Krenzelok,et al.  Syrup of ipecac dosing ... How much is a tablespoonful? , 1986, Veterinary and human toxicology.