Hi everyone, we have had a couple pediatric weight error near misses in recent months. We were reviewing ISMP safe practice recommendations and noted the following recommendation. "Leverage the EHR. Check if your EHR can incorporate age-based percentile support which could help raise suspicion that a weight or height may be incorrect."

We had a recent error involving an erroneous height (3 feet), caused by incorrect nurse estimation. The patient was elderly and bedbound, which made it difficult to measure an accurate height.

How to other institutions measure height in patients that are unable to stand or lie straight?

Does anyone use knee height or demi-span (sternal notch to finger roots)?

If so, could you describe your process?

Thanks!