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Article: Paediatric dosing errors before and after electronic prescribing

TitlePaediatric dosing errors before and after electronic prescribing
Authors
Issue Date2010
PublisherB M J Publishing Group. The Journal's web site is located at http://qhc.bmjjournals.com/
Citation
Quality And Safety In Health Care, 2010, v. 19 n. 4, p. 337-340 How to Cite?
AbstractObjective: To compare the incidence and severity rating of dose prescribing errors before and after the implementation of a commercially available electronic prescribing system at a tertiary care children's hospital. Methods: Dose errors were identified using prescription review to detect errors. Severity rating was determined by five judges using a validated, reliable scoring tool. The mean score for each error was used as an index of severity. Results: Dose prescribing errors occurred in 88 of the 3939 (2.2%) items prescribed for outpatients and inpatients, and on discharge prescriptions prior to the implementation of electronic prescribing (EP). After EP, there were 57 dose errors in 4784 (1.2%) items prescribed (1% absolute reduction (p<0.001 χ 2 test; 95% CI of difference in proportions-1.6% to-0.5%)). A decrease in the severity rating of dose errors was also seen: dose errors with potentially minor outcomes 35/3939 (0.89%) pre vs 21/4784 (0.44%) post (95% CI of difference in proportions-0.8% to-0.11%, p=0.009 χ 2 test); moderate outcome 46/3939 (1.17%) pre vs 33/4784 (0.69%) post (95% CI of difference in proportions-0.91% to-0.08, p=0.019, χ 2 test); severe outcome: 7/3939 (0.18%) pre vs 3/4784 (0.06%) post (95% CI of difference in proportions-0.31% to +0.04, p=0.11, χ 2 test). Conclusion: Electronic prescribing appears to reduce rates of dosing errors in paediatrics, but larger studies are required to assess the effect on the severity of these errors and in different settings.
Persistent Identifierhttp://hdl.handle.net/10722/171405
ISSN
2012 Impact Factor: 2.16
2013 SCImago Journal Rankings: 1.108
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorJani, YHen_US
dc.contributor.authorBarber, Nen_US
dc.contributor.authorWong, ICKen_US
dc.date.accessioned2012-10-30T06:13:57Z-
dc.date.available2012-10-30T06:13:57Z-
dc.date.issued2010en_US
dc.identifier.citationQuality And Safety In Health Care, 2010, v. 19 n. 4, p. 337-340en_US
dc.identifier.issn1475-3898en_US
dc.identifier.urihttp://hdl.handle.net/10722/171405-
dc.description.abstractObjective: To compare the incidence and severity rating of dose prescribing errors before and after the implementation of a commercially available electronic prescribing system at a tertiary care children's hospital. Methods: Dose errors were identified using prescription review to detect errors. Severity rating was determined by five judges using a validated, reliable scoring tool. The mean score for each error was used as an index of severity. Results: Dose prescribing errors occurred in 88 of the 3939 (2.2%) items prescribed for outpatients and inpatients, and on discharge prescriptions prior to the implementation of electronic prescribing (EP). After EP, there were 57 dose errors in 4784 (1.2%) items prescribed (1% absolute reduction (p<0.001 χ 2 test; 95% CI of difference in proportions-1.6% to-0.5%)). A decrease in the severity rating of dose errors was also seen: dose errors with potentially minor outcomes 35/3939 (0.89%) pre vs 21/4784 (0.44%) post (95% CI of difference in proportions-0.8% to-0.11%, p=0.009 χ 2 test); moderate outcome 46/3939 (1.17%) pre vs 33/4784 (0.69%) post (95% CI of difference in proportions-0.91% to-0.08, p=0.019, χ 2 test); severe outcome: 7/3939 (0.18%) pre vs 3/4784 (0.06%) post (95% CI of difference in proportions-0.31% to +0.04, p=0.11, χ 2 test). Conclusion: Electronic prescribing appears to reduce rates of dosing errors in paediatrics, but larger studies are required to assess the effect on the severity of these errors and in different settings.en_US
dc.languageengen_US
dc.publisherB M J Publishing Group. The Journal's web site is located at http://qhc.bmjjournals.com/en_US
dc.relation.ispartofQuality and Safety in Health Careen_US
dc.titlePaediatric dosing errors before and after electronic prescribingen_US
dc.typeArticleen_US
dc.identifier.emailWong, ICK:wongick@hku.hken_US
dc.identifier.authorityWong, ICK=rp01480en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1136/qshc.2009.033068en_US
dc.identifier.pmid20693222-
dc.identifier.scopuseid_2-s2.0-77956110185en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77956110185&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume19en_US
dc.identifier.issue4en_US
dc.identifier.spage337en_US
dc.identifier.epage340en_US
dc.identifier.isiWOS:000284875300018-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridJani, YH=6603352762en_US
dc.identifier.scopusauthoridBarber, N=7005001200en_US
dc.identifier.scopusauthoridWong, ICK=7102513915en_US

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