Pediatric patients are at particularly high risk for medication errors. This study analyzed the prescribing error rate across residents in several training programs in an outpatient pediatric clinic. Somewhat surprisingly, senior residents were equally as likely as first-year residents to make prescribing errors.

This study compared an outpatient pediatric clinic with pharmacist prescription medication review and electronic health record customization to one without such systems in place. The clinic with workflow and technology to prevent adverse drug events experienced fewer errors, adding to the evidence that sociotechnical approaches are needed to improve medication safety.