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Anaesthesiology Intensive Therapy
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vol. 55
Review paper

Medication errors in the practice of paediatric anaesthesia – a narrative review

Neha Goyal
Sugandhi Nemani
Ankur Sharma
Varuna Vyas
Nikhil Kothari
Shilpa Goyal

  1. All India Institute of Medical Sciences, Jodhpur, India
Anaesthesiol Intensive Ther 2023; 55, 3: 229–236
Online publish date: 2023/08/31
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Medication error has emerged as a significant problem in healthcare, especially in the past 2 decades. In anaesthesia, the paediatric age group is particularly at risk of such events because of complex age- and weight-based drug calculation, drug formulations, serial dilutions, and often limited staff experience in handling such patients.

We searched PubMed, Cochrane, and Google Scholar for literature on medication errors in paediatric anaesthesia in children (< 18 years of age). Two authors searched for the articles independently, and a third author sorted any consensus differences. A total of 2979 articles were retrieved. We studied primary outcomes, the results, and conclusions of the various studies. A total of 21 relevant articles were selected finally.

Following preventive strategies like colour coding, accurate dose calculations, verification by a second individual, and checking and encouraging self-reporting can improve perioperative safety in the paediatric population to a significant extent.

medication errors, paediatric, anaesthesia, drug error, patient harm, error reduction strategies

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