A Simulation-Based Root Cause Analysis of Pediatric Medication Dosing Errors in Emergency Medical Services

Key Points

• This analysis aims to identify the root causes of pediatric medication dosing errors in emergency medical services.
• Conducted a simulation-based root cause analysis
• Examined systemic vulnerabilities in EMS practices
• Assessed the contribution of individual actions to dosing errors
• Highlighted critical systemic weaknesses contributing to PMA dosing errors
• Demonstrated that errors are often rooted in systemic issues rather than individual mistakes
• Suggested that comprehensive strategies can improve medication dosing accuracy in EMS