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Day is an Editorial Board member of Drug Safety. He was not involved in the selection of peer reviewers for the manuscript nor in any of the subsequent editorial decisions. The authors have no additional relevant financial or non-financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The data that support the findings of this study are not openly available owing to reasons of sensitivity and are available from the corresponding author upon reasonable request. Data are located in a controlled-access data storage at Macquarie University.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Availability of Data and Material"}},{"value":"The research was approved by the Human Research Ethics Committee of the Sydney Children\u2019s Hospitals Network (HREC\/15\/SCHN\/370) and by Macquarie University. The research was conducted in accordance with the Australian National Statement on Ethical Conduct in Human Research.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"We were granted a waiver of participant (or their parent or legal guardian) consent for patient data collection. Case studies presented to harm panels did not include any patient identifiers such as name, date of birth or medical record number. All nurses observed during the administration data collection provided consent and were de-identified.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"All authors have approved the final draft and consent to publication. We were granted a waiver of participant (or their parent or legal guardian) consent for the publication of de-identified patient data. 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