OBJECTIVES: The aim of this project was to enhance medication safety in pediatric Emergency through implementing sterile prefilled doses of selected IV medications.

METHODS: This project was implemented by adopting PDSA methodology. After detailed discussion between ED Pharmacy and the Peads Consultants most commonly used strength were selected as customize doses and then with the help of sterile pharmacy 3 different sterile iv pre- filled doses were implemented i-e magnesium sulphate syringe 5mg/2ml, 3% hts saline 150ml piggyback, and paracetamol syring 200mg/20ml. Projected was implemented in the first quarter of the year 2017.

RESULTS: We retrieved data from Jan – Dec 2017 to see the impact of the project. Increased utilization of all sterile iv pre-filled doses were seen (total magnesium sulphate 75, 3% hts = 220, paracetamol= 1781 consumed during mentioned period). Average time reduction to prepare each doses were found to be 10 minutes at nursing end. Cost savings were found to be 26715 Rs on Paracetamol syrings and 26400Rs on 3% HTS.

CONCLUSIONS: The Results showed that the use of sterile prefilled doses not only saved the time per administration but also enhance patient safety by decreasing the chance of medication error. This novel dosing approach may impact on standard resuscitation practices in this unique patient population. In future we will try to incorporate more pre-filled doses.