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A clinical information system reduces medication errors in paediatric intensive care

Catherine Warrick| Hetal Naik| Susan Avis| Penny Fletcher| Bryony Dean Franklin| David Inwald
Pediatric Original
Volume 37, Issue 4 / April , 2011

Pages 691 - 694

Abstract

Purpose

To determine the effect of electronic prescribing (EP) with a clinical information system (Intellivue Clinical Information Portfolio, Philips, UK) on prescribing errors and omitted doses in a paediatric intensive care unit (PICU).

Methods

Prospective audit of prescribing errors and omitted doses for 96 h periods in three epochs: (1) before implementation of EP, (2) 1 week and (3) 6 months later.

Results

There was a non-significant reduction in prescribing errors: 8.8% (95% CI 4.4–13.2) pre-implementation of EP versus 8.1% (4.4–11.8) 1 week after implementation and 4.6% (2.0–7.2) 6 months later. The prevalence of omitted doses decreased significantly 6 months following implementation, changing from 8.1% (5.8–10.4) pre-implementation to 10.6% (6.5–14.7) 1 week after implementation and 1.4% (CI 0–2.8%) 6 months after implementation (P < 0.05).

Conclusion

EP within a clinical information system increases medication safety in a PICU.

Keywords

References

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