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Article: Republished error management: Paediatric dosing errors before and after electronic prescribing

TitleRepublished error management: Paediatric dosing errors before and after electronic prescribing
Authors
Issue Date2011
PublisherB M J Publishing Group. The Journal's web site is located at http://www.postgradmedj.com
Citation
Postgraduate Medical Journal, 2011, v. 87 n. 1030, p. 565-568 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. © 2011 The Fellowship of Postgraduate Medicine.
Persistent Identifierhttp://hdl.handle.net/10722/171426
ISSN
2015 Impact Factor: 1.633
2015 SCImago Journal Rankings: 0.531
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorJani, YHen_US
dc.contributor.authorBarber, Nen_US
dc.contributor.authorWong, ICKen_US
dc.date.accessioned2012-10-30T06:14:06Z-
dc.date.available2012-10-30T06:14:06Z-
dc.date.issued2011en_US
dc.identifier.citationPostgraduate Medical Journal, 2011, v. 87 n. 1030, p. 565-568en_US
dc.identifier.issn0032-5473en_US
dc.identifier.urihttp://hdl.handle.net/10722/171426-
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. © 2011 The Fellowship of Postgraduate Medicine.en_US
dc.languageengen_US
dc.publisherB M J Publishing Group. The Journal's web site is located at http://www.postgradmedj.comen_US
dc.relation.ispartofPostgraduate Medical Journalen_US
dc.titleRepublished error management: Paediatric 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/pgmj.2009.033068repen_US
dc.identifier.pmid21788235-
dc.identifier.scopuseid_2-s2.0-79960828100en_US
dc.identifier.hkuros207208-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79960828100&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume87en_US
dc.identifier.issue1030en_US
dc.identifier.spage565en_US
dc.identifier.epage568en_US
dc.identifier.isiWOS:000293076800011-
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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