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Frequency of Pediatric Medication Administration Errors and Contributing Factors

Ozkan, Suzan PhD, BSN; Kocaman, Gulseren PhD, BSN; Ozturk, Candan PhD, BSN; Seren, Seyda PhD, BSN

doi: 10.1097/NCQ.0b013e3182031006

This study examined the frequency of pediatric medication administration errors and contributing factors. This research used the undisguised observation method and Critical Incident Technique. Errors and contributing factors were classified through the Organizational Accident Model. Errors were made in 36.5% of the 2344 doses that were observed. The most frequent errors were those associated with administration at the wrong time. According to the results of this study, errors arise from problems within the system.

School of Nursing, Dokuz Eylul University, Inciralti-Balcova/Izmir, TURKEY.

Correspondence: Suzan Ozkan, PhD, BSN, Dokuz Eylul Universitesi, Hemsirelik Yuksekokulu, Inciralti, 35340, Izmir, Turkey (,

Accepted for publication: September 11, 2010.

© 2011 Lippincott Williams & Wilkins, Inc.