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PSNet: Patient Safety Network
Journal Article

Drug administration errors and their determinants in pediatric in-patients.

Prot S, Fontan JE, Alberti C, et al. International Journal for Quality in Health Care. 2005;17.

Inpatient pediatric nurses were directly observed for 1 year to identify errors committed while preparing and administering medications. Contrary to current thought, investigators found that errors were less common when the nurses handled intravenous drugs than when they were preparing or delivering oral agents. Medications found in patient rooms, adult unit-doses prepared for pediatric use, and lower educational level of the nurses were all associated with a higher risk of errors.