
1. Abstract
Intravenous administration is one of the most critical activities in neonatology, which directly involving the use of higher precision infusion pumps. However, its related adverse events are still happened during the neonatal infusion. Root cause analysis, a program to find the cause of an adverse event and prevent the same adverse event from happening again, was used in this study. We enrolled a large number of neonatal patients, and applied a pre–post design.