{
  "abstract": "Background and Importance Patient safety is paramount in the healthcare system, as hospitalised patients, especially paediatric patients, are particularly susceptible to medication errors (MEs). Strategies to reduce MEs, such as clinical decision support systems (CDSS), have the potential to substantially reduce the rate of MEs and consequently improve patient safety.Aim and Objectives To improve paediatric patients safety by identifying critical points in the medication process and implementing improvement actions to reduce MEs.Material and Methods We conducted a scoping review (SR) to assess the impact of CDSS on MEs, ADEs and other patient outcomes at hospitalary setting.A multidisciplinary working group (pharmacists, paediatricians, nurses, IT specialists and the quality department) was created to make a risk map to identify critical points in the mediaciton process and design intervention points.We prospectively collected MEs in paediatric patients treated at our hospital between June and September 2025. A data collection sheet was designed to record information about the patient and their illness, the drug involved in the ME and the type of error.Results Five of the 43 articles retrieved in the SR were related to paediatric patients, all of which showed statistically significant reductions in different MEs. The five studies were based on the implementation of CDSS consisting of dose range checking.The multidisciplinary team held three meetings in which they identified and prioritised areas.83 MEs were identified. Most of patients were oncohematological and surgical, and the drugs most frequently involved were acetaminophen (n=8), metamizole (n=6) and amoxicillin-clavulanic acid (n=5); the most frequent MEs were infradosing (n=23), overdosing (n=18), and drug needed (n=12).We have decided to implement a paediatric dose calculator and improve aspects related to drug preparation, by clearly indicating dilution options (compatibility, concentration range, volume restrictions) and administration instructions.Conclusion and Relevance – Teamwork is essential for implementing improvements.– Patient safety is crucial, especially for vulnerable populations such as children.– It is essential to develop strategies to reduce MEs.– The implementation of a dose calculator and the proposed improvments in preparation and administration are expected to substantially reduce MEs in paediatric patients at our hospital.Conflict of Interest No conflict of interest",
  "authors": [
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Pharmacy, Navarra, Spain"
      ],
      "name": "E Molins Castiella"
    },
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Paediatrics , Navarra, Spain"
      ],
      "name": "M Riaza Gómez"
    },
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Pharmacy, Navarra, Spain"
      ],
      "name": "A Ortega Eslava"
    },
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Pharmacy, Madrid, Spain"
      ],
      "name": "A Delgado Latorre"
    },
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Paediatrics , Madrid, Spain"
      ],
      "name": "M Botran Prieto"
    },
    {
      "affiliations": [
        "Clínica Universidad De Navarra, Pharmacy, Navarra, Spain"
      ],
      "name": "S Berisa Prado"
    }
  ],
  "title": "5PSQ-102 Strategic plan for improving paediatric prescribing: baseline for an improvement intervention",
  "uid": "705289aa-03e7-501e-8a23-85b6ade50f0b"
}