The impact of computerised physician order entry on prescribing practices in a cardiothoracic intensive care unit

被引：20

作者：

Ali, J. ^{[1
]}

Barrow, L. ^{[2
]}

Vuylsteke, A. ^{[2
]}

机构：

[1] Addenbrookes Hosp, Cambridge, England

[2] Papworth Hosp, Cambridge CB3 8RE, England

来源：

ANAESTHESIA | 2010年 / 65卷 / 02期

关键词：

ERRORS;

D O I：

10.1111/j.1365-2044.2009.06134.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

This prospective, time series, cross-sectional study was designed to compare the quality of handwritten vs computerised prescriptions in a tertiary 25-bedded cardiothoracic intensive care unit. A total of 14 721 prescriptions for 613 patients were analysed over three periods of investigation: 7 months before; and 5 and 12 months after implementation of a clinical information system with computerised physician order entry capability. Errors in prescribing were common. Only (53%) of handwritten charts analysed had all immediate administration drugs prescribed correctly. Errors included omission of route 81 (8.0%), date of prescription 78 (7.7%), and time to be given 255 (25.2%), and 119 (11.7%) had no dose or an incorrect dose prescribed. All errors of completeness were abolished following implementation. The computerised system led to a significant improvement in prescribing safety, in a clinical area previously highlighted as having a high rate of adverse drug errors. Legibility, completeness and traceability are no longer possible sources of medication errors.

引用

页码：119 / 123

页数：5

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