Effect of a Drug Dosing Safety Bundle Initiative to Improve Pediatric Drug Dosing by Paramedics. Results of the Michigan Pediatric EMS Error Reduction Study (MI-PEERS)

A multi-component DDSS did not improve drug dosing error rates. It did demonstrate a decrease in errors of omission for anaphylaxis. The QI intervention crews who used the DDSS checklist had significantly lower drug dosing error rates. Further study of checklists and additional strategies are needed for error reduction. This study identified a serious, potentially fatal, latent safety threat-the administration of D10 to pediatric patients. System-based interventions such as replacing D10 with D10 normal saline are needed.