A Simulation-Based Root Cause Analysis of Pediatric Medication Dosing Errors in Emergency Medical Services.

Abstract

Prehospital pediatric medication administration (PMA) carries a persistent dosing error rate of approximately 31%, despite efforts to mitigate these events. While the characteristics of these errors are well documented, underlying latent conditions in the emergency medical services (EMS) system contributing to these errors are not well understood. The purpose of this study is to identify the root causes within the EMS system that contribute to these errors. This study builds upon our previous mi