Ensuring Pediatric Medication Safety and Dosing Accuracy in Clinical Settings: A Critical Review of Current Challenges, Practices, and Strategies for Improvement

Abstract

Pediatric medication safety and dosing accuracy are critical components of effective child healthcare, yet they remain vulnerable areas due to the complexities of pediatric pharmacology. Children require individualized dosing based on weight, age, and organ maturity, making them more susceptible to medication errors. This paper critically examines the multifactorial causes of pediatric medication errors, including weight-based miscalculations, lack of suitable formulations, communication barriers, and caregiver misinterpretation. It highlights the pivotal roles of healthcare providers, technological systems, and caregiver education in minimizing risk. The review also explores emerging innovations such as computerized order entry, barcode systems, and AI-driven tools to improve dosing precision. Emphasis is placed on standardized protocols, interdisciplinary collaboration, and continuous training as core strategies for enhancing pediatric medication safety. Ensuring accuracy at every stage—from prescription to administration—is essential to protect young patients and improve clinical outcomes.

Keywords: Pediatric Medication Safety, Dosing Accuracy, Weight-Based Dosing, Medication Errors in Children, Pediatric Pharmacology