A bundle with a preformatted medical order sheet and an introductory course to reduce prescription errors in neonates.

Détails

ID Serval
serval:BIB_9B498FE050E7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A bundle with a preformatted medical order sheet and an introductory course to reduce prescription errors in neonates.
Périodique
European Journal of Pediatrics
Auteur(s)
Palmero D., Di Paolo E.R., Beauport L., Pannatier A., Tolsa J.F.
ISSN
1432-1076 (Electronic)
ISSN-L
0340-6199
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
175
Numéro
1
Pages
113-119
Langue
anglais
Résumé
UNLABELLED: The objective of this study was to assess whether the introduction of a new preformatted medical order sheet coupled with an introductory course affected prescription quality and the frequency of errors during the prescription stage in a neonatal intensive care unit (NICU). Two-phase observational study consisting of two consecutive 4-month phases: pre-intervention (phase 0) and post-intervention (phase I) conducted in an 11-bed NICU in a Swiss university hospital. Interventions consisted of the introduction of a new preformatted medical order sheet with explicit information supplied, coupled with a staff introductory course on appropriate prescription and medication errors. The main outcomes measured were formal aspects of prescription and frequency and nature of prescription errors. Eighty-three and 81 patients were included in phase 0 and phase I, respectively. A total of 505 handwritten prescriptions in phase 0 and 525 in phase I were analysed. The rate of prescription errors decreased significantly from 28.9 % in phase 0 to 13.5 % in phase I (p < 0.05). Compared with phase 0, dose errors, name confusion and errors in frequency and rate of drug administration decreased in phase I, from 5.4 to 2.7 % (p < 0.05), 5.9 to 0.2 % (p < 0.05), 3.6 to 0.2 % (p < 0.05), and 4.7 to 2.1 % (p < 0.05), respectively. The rate of incomplete and ambiguous prescriptions decreased from 44.2 to 25.7 and 8.5 to 3.2 % (p < 0.05), respectively.
CONCLUSION: Inexpensive and simple interventions can improve the intelligibility of prescriptions and reduce medication errors.
WHAT IS KNOWN: ? Medication errors are frequent in NICUs and prescription is one of the most critical steps. ? CPOE reduce prescription errors, but their implementation is not available everywhere. What is New: ? Preformatted medical order sheet coupled with an introductory course decrease medication errors in a NICU. ? Preformatted medical order sheet is an inexpensive and readily implemented alternative to CPOE.
Pubmed
Web of science
Création de la notice
19/02/2016 19:38
Dernière modification de la notice
20/08/2019 16:02
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