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August 29, 2026JMIR Pediatrics and ParentingOpen Access

Global Prevalence and Associated Factors of Medication Errors in Hospitalized Pediatric Patients: Systematic Review and Meta-Analysis

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Authors

XCXiuwen ChenCentral South UniversityYMYuan MengWannan Medical CollegeXWXueyi WeiCentral South University

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Implication

Systematic review and meta-analysis reveals over half of hospitalized children experience medication errors, highlighting intravenous delivery and polypharmacy as critical risk factors.

Key Points

  • To estimate the global prevalence of medication errors among pediatric inpatients and identify key risk factors contributing to their occurrence.
  • Systematic search of Embase, MEDLINE, Web of Science, PubMed, and Cochrane Library from inception to June 2025 following PRISMA guidelines.
  • Included observational studies of hospitalized pediatric patients under 18 years across 61 studies and 29 countries or regions.
  • Pooled prevalence and risk factor data using a DerSimonian-Laird random-effects model, with subgroup and sensitivity analyses.
  • The pooled prescribing error rate was 28%, the administration error rate was 32%, and 54% of hospitalized pediatric patients experienced at least one medication error.
  • Prescribing errors were most common in lower-middle-income countries (44%), intensive care units (34%), and antibiotic orders (30%), whereas administration error rates reached 71% in low-income countries.
  • Medication errors were significantly associated with intravenous administration (OR 6.86, 95% CI 3.17–14.83), hospital stays longer than 5 days (OR 1.94, 95% CI 1.33–2.81), and prescription of 3 or more medications (OR 2.12, 95% CI 1.66–2.70).

Cite This Study

Chen et al. (2026) studied this question.

synapsesocial.com/papers/6a9299338e5d7d1fc0c10f40https://doi.org/10.2196/100070
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