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PSNet: Patient Safety Network
Journal Article
Study

Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study.

Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. J Allergy Clin Immunol Pract. 2020;8(4):1239-1246.e3.

This simulation study involved 28 hospitals in 6 countries to characterize medication errors involving epinephrine administration for pediatric anaphylaxis. The study found that medication administration errors were common and identified latent safety threats (including related to the use of cognitive aids) at several institutions.