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- Publisher Website: 10.1136/qshc.2009.033068
- Scopus: eid_2-s2.0-77956110185
- PMID: 20693222
- WOS: WOS:000284875300018
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Article: Paediatric dosing errors before and after electronic prescribing
Title | Paediatric dosing errors before and after electronic prescribing |
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Authors | |
Issue Date | 2010 |
Publisher | B 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? |
Abstract | Objective: 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 Identifier | http://hdl.handle.net/10722/171405 |
ISSN | 2012 Impact Factor: 2.160 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Jani, YH | en_US |
dc.contributor.author | Barber, N | en_US |
dc.contributor.author | Wong, ICK | en_US |
dc.date.accessioned | 2012-10-30T06:13:57Z | - |
dc.date.available | 2012-10-30T06:13:57Z | - |
dc.date.issued | 2010 | en_US |
dc.identifier.citation | Quality And Safety In Health Care, 2010, v. 19 n. 4, p. 337-340 | en_US |
dc.identifier.issn | 1475-3898 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/171405 | - |
dc.description.abstract | Objective: 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.language | eng | en_US |
dc.publisher | B M J Publishing Group. The Journal's web site is located at http://qhc.bmjjournals.com/ | en_US |
dc.relation.ispartof | Quality and Safety in Health Care | en_US |
dc.title | Paediatric dosing errors before and after electronic prescribing | en_US |
dc.type | Article | en_US |
dc.identifier.email | Wong, ICK:wongick@hku.hk | en_US |
dc.identifier.authority | Wong, ICK=rp01480 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1136/qshc.2009.033068 | en_US |
dc.identifier.pmid | 20693222 | - |
dc.identifier.scopus | eid_2-s2.0-77956110185 | en_US |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-77956110185&selection=ref&src=s&origin=recordpage | en_US |
dc.identifier.volume | 19 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.spage | 337 | en_US |
dc.identifier.epage | 340 | en_US |
dc.identifier.isi | WOS:000284875300018 | - |
dc.publisher.place | United Kingdom | en_US |
dc.identifier.scopusauthorid | Jani, YH=6603352762 | en_US |
dc.identifier.scopusauthorid | Barber, N=7005001200 | en_US |
dc.identifier.scopusauthorid | Wong, ICK=7102513915 | en_US |
dc.identifier.issnl | 1475-3898 | - |