A clinical information system reduces medication errors in paediatric intensive care

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 d...

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Bibliographic Details
Published in:Intensive care medicine 2011-04, Vol.37 (4), p.691-694
Main Authors: Warrick, Catherine, Naik, Hetal, Avis, Susan, Fletcher, Penny, Franklin, Bryony Dean, Inwald, David
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Audits
Biological and medical sciences
Clinical death. Palliative care. Organ gift and preservation
Computerized physician order entry
Confidence Intervals
Critical Care Medicine
Data collection
Drug administration
Drug dosages
Drugs
Electronic Prescribing
Emergency Medicine
Hospital Information Systems
Hospitals
Humans
Information systems
Intensive
Intensive care
Intensive care medicine
Intensive Care Units, Pediatric - standards
London
Medical Audit
Medical errors
Medical practice software
Medical sciences
Medication errors
Medication Errors - prevention & control
Medicine
Medicine & Public Health
Pain Medicine
Patient safety
Pediatric intensive care
Pediatric Original
Pediatric pharmacology
Pediatrics
Pharmacy
Pneumology/Respiratory System
Prescribing
Prescription writing
Prescriptions
Prospective Studies
Safety Management
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Summary: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  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-010-2126-8