Journal Article

Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.

M Y Lobaugh L, Martin LD, Schleelein LE, et al. Anesthesia and analgesia. 2017;125:936-942.

This study describes serious adverse events in pediatric anesthesia, based on reporting to a national quality improvement registry program. Medication errors were frequent, led to significant harm, and were largely deemed preventable. The authors suggest wider implementation of evidence-based strategies like barcoding, prefilled syringes, and two-person checking in order to improve medication safety in this high-risk setting.