Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis.
Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024;20(1):7-15. doi:10.1097/pts.0000000000001174.
Preventing medication errors is an ongoing patient safety challenge. This qualitative study explored how sociotechnical systems contribute to adverse drug events (ADEs) in pediatric patients. Several contributory factors were identified, including resource limitations, cognitive demands, and workarounds.