Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.

Details

Serval ID
serval:BIB_2F310EFDCA1F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Journal
Pharmacy World and Science
Author(s)
Mir C., Gadri A., Zelger G.L., Pichon R., Pannatier A.
ISSN
1573-739X[electronic], 0928-1231[linking]
Publication state
Published
Issued date
2009
Volume
31
Number
5
Pages
596-602
Language
english
Abstract
OBJECTIVE: To assess the change in non-compliant items in prescription orders following the implementation of a computerized physician order entry (CPOE) system named PreDiMed.
SETTING: The department of internal medicine (39 and 38 beds) in two regional hospitals in Canton Vaud, Switzerland. METHOD: The prescription lines in 100 pre- and 100 post-implementation patients' files were classified according to three modes of administration (medicines for oral or other non-parenteral uses; medicines administered parenterally or via nasogastric tube; pro re nata (PRN), as needed) and analyzed for a number of relevant variables constitutive of medical prescriptions.
MAIN OUTCOME MEASURE: The monitored variables depended on the pharmaceutical category and included mainly name of medicine, pharmaceutical form, posology and route of administration, diluting solution, flow rate and identification of prescriber.
RESULTS: In 2,099 prescription lines, the total number of non-compliant items was 2,265 before CPOE implementation, or 1.079 non-compliant items per line. Two-thirds of these were due to missing information, and the remaining third to incomplete information. In 2,074 prescription lines post-CPOE implementation, the number of non-compliant items had decreased to 221, or 0.107 non-compliant item per line, a dramatic 10-fold decrease (chi(2) = 4615; P < 10(-6)). Limitations of the computerized system were the risk for erroneous items in some non-prefilled fields and ambiguity due to a field with doses shown on commercial products.
CONCLUSION: The deployment of PreDiMed in two departments of internal medicine has led to a major improvement in formal aspects of physicians' prescriptions. Some limitations of the first version of PreDiMed were unveiled and are being corrected.
Keywords
Drug Prescriptions/standards, Humans, Medical Order Entry Systems/standards, Medication Adherence, Medication Errors/prevention & control, Patient Compliance, Retrospective Studies
Pubmed
Web of science
Create date
28/06/2010 17:12
Last modification date
23/11/2020 11:06
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