Skip to main content
. 2024 Dec 9;13(4):e003025. doi: 10.1136/bmjoq-2024-003025

Table 1. Medications administered to children in hospital by parent/carers and nurses (n=5137).

Variable Nurse administered % (95% CI) Medications administered by parent/carer Total dose administrations
Yes: nurse observed % (95% CI) Yes: left with parent not observed % (95% CI) Yes: nurse observed or dose left with parent % (95% CI)
All dose administrations 4092 79.7 (78.5–80.7) 312 6.1 (5.5–6.8) 733 14.3 (13.3–15.3) 1045 20.3 (19.3–21.5) 5137
Time of dose administration
 Morning (07:00–9:59) 1335 77.7 (75.6–79.6) 107 6.2 (5.2–7.5) 277 16.1 (14.5–17.9) 384 22.3 (20.4–24.4) 1719
 Day (10:00–15:59) 1257 87.7 (85.9–89.3) 97 6.8 (5.6–8.2) 80 5.6 (4.5–6.9) 177 12.3 (10.7–14.1) 1434
 Evening (16:00–22:00) 1500 75.6 (73.7–77.4) 108 5.4 (4.5–6.5) 376 19.0 (17.3–20.7) 484 24.4 (22.6–26.3) 1984
High risk medicine*
 No 3671 78.6 (77.4–79.7) 274 5.9 (5.2–6.6) 726 15.5 (14.5–16.6) 1000 21.4 (20.3–22.6) 4671
 Yes 421 90.3 (87.3–92.7) 38 8.2 (6.0–11.0) 7 1.5 (0.7–3.1) 45 9.7 (7.3–12.7) 466
Route of administration
 Oral 2775 74.8 (73.4–76.1) 297 8.0 (7.2–8.9) 639 17.2 (16.0–18.5) 936 25.2 (23.9–26.6) 3711
 Inhalation/nasal 93 50.3 (43.1–57.4) 6 3.2 (1.5–6.9) 86 46.5 (39.4–53.7) 92 49.7 (42.6–56.9) 185
 Rectal 16 76.2 (54.9–89.4) 0 0.0 (0.0–15.5) 5 23.8 (10.6–45.1) 5 23.8 (10.6–45.1) 21
 Topical 49 94.2 (84.4–98.0) 2 3.8 (1.1–13.0) 1 1.9 (0.1–10.1) 3 5.8 (2.0–15.6) 52
 Transdermal 3 75.0 (30.1–98.7) 0 0.0 (0.0–49.0) 1 25.0 (1.3–69.9) 1 25.0 (1.3–69.9) 4
 Intravenous infusion 791 99.6 (98.9–99.9) 3 0.4 (0.1–1.1) 0 0.0 (0.0–0.5) 3 0.4 (0.1–1.1) 794
 Intravenous injection 242 99.6 (97.7–100.0) 1 0.4 (0.0–2.3) 0 0.0 (0.0–1.6) 1 0.4 (0.0–2.3) 243
 Other 123 96.9 (92.2–98.8) 3 2.4 (0.8–6.7) 1 0.8 (0.0–4.3) 4 3.1 (1.2–7.8) 127
Child with English as a second language
 Missing 454 78.8 (75.3–82.0) 47 8.2 (6.2–10.7) 75 13.0 (10.5–16.0) 122 21.2 (18.0–24.7) 576
 No 3213 78.9 (77.6–80.1) 234 5.7 (5.1–6.5) 624 15.3 (14.3–16.5) 858 21.1 (19.9–22.4) 4071
 Yes 425 86.7 (83.4–89.5) 31 6.3 (4.5–8.8) 34 6.9 (5.0–9.5) 65 13.3 (10.5–16.6) 490
Aboriginal or Torres Strait Islander child
 Missing 454 78.8 (75.3–82.0) 47 8.2 (6.2–10.7) 75 13.0 (10.5–16.0) 122 21.2 (18.0–24.7) 576
 No 3490 79.9 (78.6–81.0) 259 5.9 (5.3–6.7) 621 14.2 (13.2–15.3) 880 20.1 (19.0–21.4) 4370
 Yes 148 77.5 (71.1–82.8) 6 3.1 (1.4–6.7) 37 19.4 (14.4–25.6) 43 22.5 (17.2–28.9) 191
Patient age
 <1 668 80.7 (77.8–83.2) 51 6.2 (4.7–8.0) 109 13.2 (11.0–15.6) 160 19.3 (16.8–22.2) 828
 1 to <3 525 70.1 (66.7–73.3) 100 13.4 (11.1–16.0) 124 16.6 (14.1–19.4) 224 29.9 (26.7–33.3) 749
 3 to <6 462 75.7 (72.2–79.0) 61 10.0 (7.9–12.6) 87 14.3 (11.7–17.3) 148 24.3 (21.0–27.8) 610
 6 to <12 878 77.3 (74.8–79.6) 60 5.3 (4.1–6.7) 198 17.4 (15.3–19.7) 258 22.7 (20.4–25.2) 1136
 12 to <16 1183 87.6 (85.7–89.2) 28 2.1 (1.4–3.0) 140 10.4 (8.8–12.1) 168 12.4 (10.8–14.3) 1351
 ≥16 376 81.2 (77.4–84.5) 12 2.6 (1.5–4.5) 75 16.2 (13.1–19.8) 87 18.8 (15.5–22.6) 463
Patient sex
 Male 1980 77.8 (76.1–79.4) 188 7.4 (6.4–8.5) 377 14.8 (13.5–16.2) 565 22.2 (20.6–23.9) 2545
 Female 2112 81.5 (79.9–82.9) 124 4.8 (4.0–5.7) 356 13.7 (12.5–15.1) 480 18.5 (17.1–20.1) 2592
Medications by Anatomical Therapeutic Chemical (ATC) classification
Analgesics (N02) 894 83.1 (80.7–85.2) 123 11.4 (9.7–13.5) 59 5.5 (4.3–7.0) 182 16.9 (14.8–19.3) 1076
Anti-epileptics (N03) 211 63.2 (57.9–68.2) 20 6.0 (3.9–9.1) 103 30.8 (26.1–36.0) 123 36.8 (31.8–42.1) 334
Antibacterials for systemic use (J01) 641 88.8 (86.3–90.9) 22 3.0 (2.0–4.6) 59 8.2 (6.4–10.4) 81 11.2 (9.1–13.7) 722
Psycholeptics (N05) 216 74.2 (68.9–78.9) 20 6.9 (4.5–10.4) 55 18.9 (14.8–23.8) 75 25.8 (21.1–31.1) 291
Drugs for acid-related disorders (A02) 171 71.5 (65.5–76.9) 12 5.0 (2.9–8.6) 56 23.4 (18.5–29.2) 68 28.5 (23.1–34.5) 239
Diuretics 118 67.8 (60.6–74.3) 10 5.7 (3.2–10.3) 46 26.4 (20.4–33.4) 56 32.2 (25.7–39.4) 174
Vitamins (A11) 232 81.4 (76.5–85.5) 3 1.1 (0.4–3.0) 50 17.5 (13.6–22.4) 53 18.6 (14.5–23.5) 285
Drugs for constipation (A06) 104 68.9 (61.1–75.7) 5 3.3 (1.4–7.5) 42 27.8 (21.3–35.4) 47 31.1 (24.3–38.9) 151
Blood substitutes and perfusion solutions (B05) 132 75.9 (69.0–81.6) 1 0.6 (0.0–3.2) 41 23.6 (17.9–30.4) 42 24.1 (18.4–31.0) 174
Anti-inflammatory and anti-rheumatic products (M01) 105 74.5 (66.7–80.9) 17 12.1 (7.7–18.5) 19 13.5 (8.8–20.1) 36 25.5 (19.1–33.3) 141
Corticosteroids for systemic use (H02) 159 84.1 (78.2–88.6) 11 5.8 (3.3–10.1) 19 10.1 (6.5–15.2) 30 15.9 (11.4–21.8) 189
Mineral supplements (A12) 125 82.8 (76.0–88.0) 2 1.3 (0.4–4.7) 24 15.9 (10.9–22.6) 26 17.2 (12.0–24.0) 151
Other 984 81.376.3–86.6) 66 5.54.2–6.9) 160 13.211.3–15.4) 226 18.716.3–21.3) 1210
*

High-risk medications were defined by the hospital as anti-infectives, potassium and other electrolytes, insulin, narcotics/opioids and sedatives, chemotherapy agents and heparin, and other anti-coagulants.