Children with complex home care needs are vulnerable to medication errors. This guideline suggests strategies to enhance medication safety at home that include focusing on health literacy, prescriber actions, dosing tool appropriateness, communication, and training of caregivers. 

This survey study found that most pediatric hospitalist programs use computerized provider order entry with weight-based medication dosing, review medication safety events and near misses, require weight-based prescribing, and have maximum doses in place. Larger hospitals are more likely to have a pediatric pharmacist. Variation in medication safety practices suggests that best practices remain incompletely implemented.

A multifaceted intervention that included checklists and efforts to improve safety culture resulted in a marked reduction in central line–associated bloodstream infections in a large cohort of intensive care units in Spain. The intervention was modeled on the landmark Keystone ICU study, and its success illustrates the generalizability of this approach to different countries and health care systems.