title: [Validation of a method for notifying and monitoring medication errors in pediatrics].
abstract: OBJECTIVE
  To analyze the impact of a multidisciplinary and decentralized safety committee in the pediatric management unit, and the joint implementation of a computing network application for reporting medication errors, monitoring the follow-up of the errors, and an analysis of the improvements introduced.
  
  
  METHODS
  An observational, descriptive, cross-sectional, pre-post intervention study was performed. An analysis was made of medication errors reported to the central safety committee in the twelve months prior to introduction, and those reported to the decentralized safety committee in the management unit in the nine months after implementation, using the computer application, and the strategies generated by the analysis of reported errors.
  Number of reported errors/10,000 days of stay, number of reported errors with harm per 10,000 days of stay, types of error, categories based on severity, stage of the process, and groups involved in the notification of medication errors.
  
  
  RESULTS
  Reported medication errors increased 4.6 -fold, from 7.6 notifications of medication errors per 10,000 days of stay in the pre-intervention period to 36 in the post-intervention, rate ratio 0.21 (95% CI; 0.11-0.39) (P<.001). The medication errors with harm or requiring monitoring reported per 10,000 days of stay, was virtually unchanged from one period to the other ratio rate 0,77 (95% IC; 0,31-1,91) (P>.05). The notification of potential errors or errors without harm per 10,000 days of stay increased 17.4-fold (rate ratio 0.005., 95% CI; 0.001-0.026, P<.001).
  
  
  CONCLUSIONS
  The increase in medication errors notified in the post-intervention period is a reflection of an increase in the motivation of health professionals to report errors through this new method.
authors.affiliation: Unidad de gestión de Farmacia, Hospital Virgen del Rocío, Sevilla, España. Electronic address: md.guerrero.sspa@juntadeandalucia.es.
authors.forename: M D
authors.initials: MD
authors.lastname: Guerrero-Aznar
authors.affiliation: Unidad de gestión de Pediatría, Hospital Virgen del Rocío, Sevilla, España.
authors.forename: E
authors.initials: E
authors.lastname: Jiménez-Mesa
authors.affiliation: Unidad de gestión de Farmacia, Hospital Virgen del Rocío, Sevilla, España.
authors.forename: J
authors.initials: J
authors.lastname: Cotrina-Luque
authors.affiliation: Unidad de gestión de Farmacia, Hospital Virgen del Rocío, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: Villalba-Moreno
authors.affiliation: Unidad de gestión de Pediatría, Hospital Virgen del Rocío, Sevilla, España.
authors.forename: R
authors.initials: R
authors.lastname: Cumplido-Corbacho
authors.affiliation: Unidad de gestión de Pediatría, Hospital Virgen del Rocío, Sevilla, España.
authors.forename: L
authors.initials: L
authors.lastname: Fernández-Fernández
mesh_terms: D002648:Child; D003430:Cross-Sectional Studies; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control*; D010372:Pediatrics / Q000379:methods*
keywords: Acontecimientos adversos prevenibles; Comité de seguridad; Errores de medicación; High risk drugs; Medicamentos de alto riesgo; Medication errors; Pediatrics; Pediatría; Preventable adverse events; Safety committee; Sistema de notificación de errores; System of notice of medication errors