214 Errors in Medication Prescriptions in Paediatric Intensive Care Patients

Background and aims Prescribing errors frequently occur in paediatric medicine, especially in paediatric intensive care units (PICUs). Computerized physician order entry (CPOE) systems may help to prevent these errors. This study examined the frequency, nature and determinants of prescribing errors...

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Bibliographic Details
Published in:Archives of disease in childhood 2012-10, Vol.97 (Suppl 2), p.A62-A62
Main Authors: Maat, B, Bollen, CW, Vught, AJ van, Egberts, ACG, Rademaker, CMA
Format: Article
Language:English
Subjects:
Hospitals
Patients
Skeletal system
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Summary:Background and aims Prescribing errors frequently occur in paediatric medicine, especially in paediatric intensive care units (PICUs). Computerized physician order entry (CPOE) systems may help to prevent these errors. This study examined the frequency, nature and determinants of prescribing errors in electronic and handwritten prescriptions in a PICU population. Methods All prescriptions (electronic and handwritten) for children aged 0–18 years hospitalized in a 14-bed PICU of a university medical center, The Netherlands, from February 2008 - December 2010, were prospectively collected and checked for prescribing errors and determinants (prescription-, patient- and medication-related) thereof. Results 23,207 prescriptions for 659 patients were collected, of which 14,887 (64%) were handwritten and 8,312 (36%) electronically ordered. 6% of the prescriptions contained a therapeutic error and 54% was administratively incomplete (1–7 missing items per prescription). Electronically ordered prescriptions contained significantly less therapeutic and administrative errors than handwritten prescriptions (p
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2012-302724.0214