OpenAnesthesia Multimedia Medication Errors -- Pediatric Anesthesiology Internet-Based Non-Technical Skills (PAINTS)
Mar 23, 2026
Joanna Rosing Paquin, pediatric anesthesiologist and educator, leads a focused talk on medication errors in the OR. She defines errors and why the operating room is high risk. She outlines immediate steps after an error, principles of open disclosure, reporting and analysis methods, and strategies for prevention through culture, education, and systems.
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Medication Errors Persist Despite Safety Advances
- Medication errors remain common in hospitals and ORs despite safety advances.
- In acute care hospitals errors ≈6.5 per 100 admissions and OR medication administrations err in 4–9% of cases, often underreported.
Operating Room Workflow Elevates Medication Risk
- The operating room amplifies medication risk because a single clinician often selects, prepares, and administers drugs.
- Many institutional safety checks are bypassed in OR workflows, requiring heightened individual vigilance.
Sequence To Follow After A Medication Error
- After detecting an error, ensure patient safety first, then disclose, report, and analyze.
- Immediate actions include assessing the patient, intervening as needed, and communicating with team and family per policy.