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.