Background: Medication errors in pediatrics are an important cause of iatrogenic disease in hospital patients [1]. Despite this, studies regarding the medication errors in India are very few. Aims: To determine the incidence and type of errors in a tertiary care hospital over a period of 4 months. Material and methods: It is a prospective observational study. Medication errors were documented instandard reporting forms from April 2018 to July 2018. Main outcome measures were incidence and types of medication errors in pediatrics. Results: The medication error was 1 per 9.5 patients i.e, 10.5%. The dispensing errors and clerical errors constituted 66.04% of all errors. Maximum medication error was found under the age of 2 years (49.07%). Incorrect IV infusion rate was 24.90% followed by prescribing incorrect dose 21.97%. Most common drugs implicated in medication errors were IV fluids followed by IV antibiotics. Conclusion: Adequate number of staff and electronic mode of prescription and compulsory documentation of errors will reduce iatrogenic errors significantly.

Background: Snake bite is generally considered to be a rural problem and has been linked with environmental and occupational condition is a neglected public health problem. This study was conducted to ascertain clinical profile, complication and outcome of snake bite in pediatric population. Methods: Retrospective observational study was done in Paediatrics wards and Paediatric Intensive care unit of tertiary care institute. A medical record files of 200 patients of snakebite, between the periods of January 2013 to August 2018 were recovered from Medical Record and Statistics Section of Institute. Files were analyzed for demographic data; variables included site of bite, time of bite, type of primary treatment and treatment provider, and type of snake poison, common symptoms suggestive of hematotoxicity, myotoxicity and neurotoxicity. Results: Out of total 200 patients, 59.0% were male and most of snake bites were seen in age group of 6-12 years. All bites were nonprovocative and in 57.5% lower limb was the commonest site of bite. A 81.5% patient were primarily treated by medical personnel, 56.5% patients were received treatment within 1 hour of bite and hospitalized within 6 hours of bite. Cellulitis was commonest complication (39.0%) followed by vasculotoxicity (30%) and neuroparalysis in (27.5%), followed by respiratory paralysis in (19.0%), coagulation (17.0%). Renal replacement therapy was required in 6.5%, blood/blood product transfusion in 11% patients and case fatality rate was 11.5%. Conclusions: The most vulnerable to snake bites are boys aged more than 5 years. There is an urgent need to spread awareness among the community for avoidance of traditional treatment and any delay in medical intervention in snakebite incidents.