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PSNet: Patient Safety Network
Journal Article
Study

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, et al. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2007;8:145-52.

This study measured adverse drug events and near misses by using trained observers to monitor pediatric intensive care unit (ICU) nurses in real time. The incidence of errors was higher than in a previous study, which used retrospective methods to detect errors.