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PSNet: Patient Safety Network
Journal Article

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

Watts RG, Parsons K. Pediatric blood & cancer. 2013;60:1320-4.

A multidisciplinary, pharmacy-associated intervention halved the number of pediatric chemotherapy errors at a single institution (from 3.9 to 1.8 per 1000 medications dispensed) but failed to achieve its goal of a Six Sigma error rate.