{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:00:53Z","timestamp":1790060453416,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Existing research has focused mainly on high\u2010risk medication errors, contributory factors and process\u2010based interventions; less is known about nurses' everyday safety work in paediatric intensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how nurses maintain high\u2010risk medication safety in paediatric intensive care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A descriptive qualitative study using purposive sampling, critical incident interviews and inductive content analysis at a tertiary children's hospital in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten nurses participated. Four themes were generated: anomaly recognition and proactive verification; team communication and continued follow\u2010up after risk identification; safety checks and bedside adaptations in medication practice; and learning from near misses and adjusting future practice. Together, these practices spanned order review, preparation, administration, pump and compatibility management, monitoring and team learning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Experienced nurses in paediatric intensive care maintained high\u2010risk medication safety through linked practices of anomaly recognition, proactive verification, team communication, continued follow\u2010up, safety checks, bedside adaptation and near\u2010miss learning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Training and workflow support should strengthen anomaly recognition, dose and infusion\u2010rate recalculation, communication, active double checking, compatibility checking, infusion\u2010pump management, follow\u2010up monitoring and near\u2010miss learning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70638","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:46:13Z","timestamp":1787633173000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Nurses Maintain High\u2010Risk Medication Safety in Paediatric Intensive Care"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5251-3058","authenticated-orcid":false,"given":"Meng","family":"Huang","sequence":"first","affiliation":[{"name":"School of Nursing Guangdong Pharmaceutical University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8823-1197","authenticated-orcid":false,"given":"Meng","family":"Lv","sequence":"additional","affiliation":[{"name":"School of Nursing Guangdong Pharmaceutical University  Guangzhou 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