P36 What can be learnt from serious drug related medical errors in pediatric patients in Gothenburg 2015–2017?

Abstract

Background: 2017 a rise in serious drug related medical errors in pediatric care at Sahlgrenska University hospital was discovered. 2018 a pediatric Clinical Decision Support System (CDSS) called ePed with weight based dose calculation, dosage control and easy access to pediatric drug information was integrated with the Electronic Medical Record., Aim: Analyze causes and underlying factors to serious drug related medical errors, labeled Lex Maria, in children and further evaluate if these errors could be prevented within the framework of ePed., Method: 28 Lex Maria cases in children