Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic
Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic
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DOI：
10.1016/j.jpeds.2007.09.046
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发表时间：
2008-02-01
影响因子：
5.1
通讯作者：
Wong, Ian Chi Kei
中科院分区：
文献类型：
--
作者：
Jani, Yogini Hariprasad;Ghaleb, Maiscon Abdullah;Wong, Ian Chi Kei
目的评估电子处方（EP）系统的影响的发生率和类型的处方错误和无差错的visits.Study设计的数量这是一个之前和之后的研究进行了肾脏科门诊在急性三级保健儿科hospital.Results共520例患者有2242项规定的1141处方在研究期间。手写项目的总体处方错误率为77.4%（95%置信区间[CI] = 75.3%至79.4%），EP为4.8%（95% CI = 3.4%至6.7%）。EP前，1153（73.3%; 95%CI = 71.1%-75.4%）项缺失基本信息，194（12.3%; 9.5%CI = 10.8%-14%）项被判定为难以辨认。EP后，只有9个（1.4%; 95%CI = 0.7%至2.6%）项目的基本信息缺失，模糊错误被消除。无差错的患者就诊次数从21%增加到90%（69%的差异; 95%CI = 64%至73.4%）后，实施EP。结论有一个高的错误发生率使用手写处方在门诊设置，总体错误率为77.4%。EP显著减少了与处方完整性相关的错误，并消除了与易读性相关的错误。
Objective To assess the effect of an electronic prescribing (EP) system on the incidence and type of prescribing errors and the number of error-free visits.Study design This was a before-and-after study conducted in a nephrology outpatient clinic at an acute tertiary care pediatric hospital.Results A total of 520 patients had 2242 items prescribed on 1141 prescriptions during the study period. The overall prescribing error rate was 77.4% (95% confidence interval [CI] = 75.3% to 79.4%) for handwritten items and 4.8% (95% Cl = 3.4% to 6.7%) with EP. Before EP, 1153 (73.3%; 95% Cl = 71.1% to 75.4%) items were missing essential information, and 194 (12.3%; 9.5% CI = 10.8% to 14%) were judged illegible. After EP, only 9 (1.4%; 95% Cl = 0.7% to 2.6%) items were missing essential information, and illegibility errors were eliminated. The number of patient visits that were error-free increased from 21% to 90% (69% difference; 95% CI = 64% to 73.4%) after the implementation of EP.Conclusions There was a high incidence of errors using handwritten prescriptions in the outpatient setting, with an overall error rate of 77.4%. EP significantly reduced errors related to completeness of prescriptions and eliminated legibility related errors.