ArticleNursing in critical care2026
How Nurses Maintain High-Risk Medication Safety in Paediatric Intensive Care.
Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundExisting research has focused mainly on high-risk medication errors, contributory factors and process-based interventions; less is known about nurses' everyday safety work in paediatric intensive care.
aimTo explore how nurses maintain high-risk medication safety in paediatric intensive care. STUDY
designA descriptive qualitative study using purposive sampling, critical incident interviews and inductive content analysis at a tertiary children's hospital in China.
resultsTen nurses participated. Four themes were generated: anomaly recognition and proactive verification; team communication and continued follow-up 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.
conclusionsExperienced nurses in paediatric intensive care maintained high-risk medication safety through linked practices of anomaly recognition, proactive verification, team communication, continued follow-up, safety checks, bedside adaptation and near-miss learning. RELEVANCE TO CLINICAL PRACTICE: Training and workflow support should strengthen anomaly recognition, dose and infusion-rate recalculation, communication, active double checking, compatibility checking, infusion-pump management, follow-up monitoring and near-miss learning.
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