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Updated: May 30, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Medication errors reported in a pediatric intensive care unit for oncologic patients.
Aline S C Belela1, Maria Angélica S Peterlini, Mavilde L G Pedreira
1Escola Paulista de Enfermagem, Universidade Federal de São Paulo, Brazil.
Medication errors are common in pediatric oncology intensive care units, with omission and administration errors being most frequent. A nonpunitive reporting system improved patient safety by identifying error contexts.
Area of Science:
- Pediatric Intensive Care
- Oncology
- Patient Safety
- Medication Errors
Background:
- Medication errors are a leading cause of adverse events in healthcare.
- Understanding error types is crucial for improving patient safety.
Purpose of the Study:
- To characterize medication errors in a pediatric intensive care unit (PICU) for oncologic patients.
- To identify common medication error types and their frequency.
Main Methods:
- Descriptive and exploratory study design.
- Utilized a study-developed medication error report form.
- Data collected from healthcare professionals involved in the medication system.
Main Results:
- 110 medication errors were reported across 71 forms.
- Omission errors (22.7%) and administration errors (18.2%) were most prevalent.
- The majority of errors (83.1%) did not result in patient harm.
Conclusions:
- Analysis of medication errors provides insight into their occurrence.
- Implementation of preventive measures is necessary to reduce medication errors.
- A nonpunitive reporting system enhances patient safety in institutions lacking formal analysis systems.
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