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Maternity care can be a high-risk environment. This literature review summarizes the prevalence, risk factors, coping strategies, and recovery processes for ‘second victims’, with an emphasis on obstetric care.

This commentary introduces the World Health Organization effort to improve medication safety: Medication Without Harm. The author focuses on how strategies and tools, including an intervention framework and guidelines to support safe medication use, can be used in low-resource countries to reduce avoidable harm by 50% in 5 years.