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The effect of computerized physician order entry and decision support system on medication errors in the neonatal ward: Experiences from an Iranian teaching hospital

Kazemi, A. and Ellenius, J. and Pourasghar, F. and Tofighi, S. and Salehi, A. and Amanati, A. and Fors, U.G. (2011) The effect of computerized physician order entry and decision support system on medication errors in the neonatal ward: Experiences from an Iranian teaching hospital. Journal of Medical Systems, 35 (1). pp. 25-37. ISSN 01485598 (ISSN)

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Abstract

Medication dosing errors are frequent in neonatal wards. In an Iranian neonatal ward, a 7.5 months study was designed in three periods to compare the effect of Computerized Physician Order Entry (CPOE) without and with decision support functionalities in reducing non-intercepted medication dosing errors in antibiotics and anticonvulsants. Before intervention (Period 1), error rate was 53%, which did not significantly change after the implementation of CPOE without decision support (Period 2). However, errors were significantly reduced to 34% after that the decision support was added to the CPOE (Period 3; P<0.001). Dose errors were more often intercepted than frequency errors. Over-dose was the most frequent type of medication errors and curtailed-interval was the least. Transcription errors did not reduce after the CPOE implementation. Physicians ignored alerts when they could not understand why they appeared. A suggestion is to add explanations about these reasons to increase physicians' compliance with the system's recommendations. © 2009 Springer Science+Business Media, LLC.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - J. Med. Syst. [Field not mapped to EPrints] C2 - 20703588 [Field not mapped to EPrints] AD - Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet, Berzelius väg 3, 171 77 Stockholm, Sweden [Field not mapped to EPrints] AD - Management Information Systems Centre, Hamadan University of Medical Sciences, Hamadan, Iran [Field not mapped to EPrints] AD - National Public Health Management Centre (NPMC), Tabriz, Iran [Field not mapped to EPrints] AD - School of Health Services Management and Informatics, Iran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Department of Cardiology, Gorgan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] AD - Department of Paediatrics, Hamadan University of Medical Sciences, Hamadan, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Decision support systems, clinical, Infant, newborn, Iran, Medical order entry systems, Medication errors, Patient safety, antibiotic agent, anticonvulsive agent, antibiotic therapy, anticonvulsant therapy, article, clinical practice, computerized provider order entry, decision support system, drug overdose, health care management, human, infection, medical documentation, medication error, newborn, patient safety, pediatric ward, prescription, seizure, Anti-Bacterial Agents, Anticonvulsants, Clinical Pharmacy Information Systems, Decision Support Systems, Clinical, Female, Hospitals, Teaching, Humans, Infant, Newborn, Iran, Male, Medical Order Entry Systems, Medication Errors, Medication Systems, Hospital, Neonatology, User-Computer Interface
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
موارد کلی
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 19 Apr 2015 04:39
Last Modified: 16 May 2015 06:48
URI: http://eprints.goums.ac.ir/id/eprint/2157

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