{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:18:56Z","timestamp":1787570336051,"version":"build-2736575974"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Drug Safety"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Medication errors are a leading preventable cause of harm in hospitalized children. The pediatric population is particularly vulnerable due to weight-based dosing requirements, developmental pharmacokinetic variability, and limited capacity for self-advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To map and synthesize the available evidence on factors associated with the occurrence of medication administration errors in hospitalized pediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility Criteria<\/jats:title>\n                    <jats:p>Studies addressing administration phase medication errors (per the National Coordinating Council for Medication Error Reporting and Prevention, NCC MERP) in hospitalized children aged 0 to 18 years, published in English, Spanish, or Portuguese, using quantitative, qualitative, or mixed methods designs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of Evidence<\/jats:title>\n                    <jats:p>Nine electronic databases were searched from inception to July 2026 using English, Spanish, and Portuguese (DeCS) terms, supplemented by hand searching of reference lists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Charting Methods<\/jats:title>\n                    <jats:p>The review followed the Joanna Briggs Institute (JBI) methodology; data were charted with the JBI standardized instrument and synthesized narratively with thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1,012 records, 25 studies met the inclusion criteria. Incorrect dosing was the most prevalent error type (18 studies, 72%). Neonates and infants were the most vulnerable group, and PICU and NICU the highest-risk settings, although a direct observation study reported that 37% of administrations on general wards involved an error. Human factors, particularly knowledge deficits, were the most frequently reported contributors (13 studies, 52%). Five complementary mitigation strategies were identified: professional education, dual verification, unified non-punitive reporting, technology, and interprofessional communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medication administration errors in pediatric inpatients are driven by a multilayered interplay of human, environmental, communicative, and medication related factors. Effective prevention demands integrated, systems-based approaches combining education, technology, standardized protocols, and a non-punitive safety culture.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20420986261478390","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T15:15:51Z","timestamp":1787325351000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with medication administration errors in hospitalized pediatric patients: A scoping review"],"prefix":"10.1177","volume":"17","author":[{"given":"Claudia Lorena","family":"Motta Robayo","sequence":"first","affiliation":[{"name":"Universidad Nacional de Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Mart\u00ednez Pinto","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Tabango Goyes","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Varela Chag\u00fcendo","sequence":"additional","affiliation":[{"name":"Universidad Nacional de Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Duque Grisales","sequence":"additional","affiliation":[{"name":"Instituci\u00f3n Universitaria Esumer"},{"name":"Instituci\u00f3n Universitaria Pascual Bravo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5133-2206","authenticated-orcid":false,"given":"Ricardo","family":"Ballesteros-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana"},{"name":"Hospital Universitario San Ignacio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Medication Without Harm: WHO Global Patient Safety Challenge on Medication Safety","author":"World Health Organization","year":"2017","unstructured":"World Health Organization. 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