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. 2007 Jun;73(3):400-6.
doi: 10.1016/j.resuscitation.2006.10.016. Epub 2007 Feb 7.

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care

A Vardi  1 , O Efrati, I Levin, I Matok, M Rubinstein, G Paret, Z Barzilay
Affiliations

Prevention of potential errors in resuscitation medications orders by means of a computerised physician order entry in paediatric critical care

A Vardi et al. Resuscitation. 2007 Jun.

Abstract

Introduction: Computerised physician order entry with clinical decision support system (CPOE+CDSS) is an important tool in attempting to reduce medication errors. The objective of this study was to evaluate the impact of a CPOE+CDSS on (1) the frequency of errors in ordering resuscitation (CPR) medications and (2) the time for printing out the order form, in a paediatric critical care department (PCCD).

Setting: An 18-bed PCCD in a tertiary-care children's hospital.

Design: Prospective cohort study.

Measures: Compilation and comparison of number of errors and time to fill in forms before and after implementation of CPOE+CDSS. Time to fill in conventional, simulated and CPOE forms was measured and compared.

Results: There were three reported incidents of errors among 13,124 CPR medications orders during the year preceding implementation of CPOE+CDSS. These represent errors that escaped the triple check by three independent staff members. There were no errors after CPOE+CDSS was implemented (100% error reduction for 46,970 orders). Time to completion of drug forms dropped from 14 min 42 s to 2 min 14s (p < 0.001).

Conclusions: CPOE+CDSS completely eliminated errors in filling in the forms and significantly reduced time to completing the form.

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