Diagnostic errors in pediatrics remain a significant focus of patient safety. This study uses two years of unplanned readmissions to a children’s hospital to identify missed opportunities for improving diagnosis (MOID). Clinician decision-making and diagnostic reasoning were identified as key factors for MOID. The authors recommend that future research include larger cohorts to identify populations and conditions at increased risk for MOID-related readmissions.

Children with complex medical conditions are particularly vulnerable to medication errors. This article describes the development and implementation of a pharmacy-led medication rounding care model for children with medical complexity wherein clinicians and pharmacists conduct weekly reviews of all patient medications using a standardized checklist.

Prior research has shown low rates of voluntary safety event reporting by resident physicians. This hospital implemented a quality improvement (QI) project to increase reporting by pediatric residents. The QI team identified barriers to reporting (e.g., lack of awareness of the organization’s event reporting system, safety culture) and then implemented a multifactorial intervention to increase reporting. The number of reports submitted increased, as did the number of unique residents submitting reports.