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Intensive Care Medicine
Published in: Intensive Care Medicine 4/2011

01-04-2011 | Pediatric Original

A clinical information system reduces medication errors in paediatric intensive care

Authors: Catherine Warrick, Hetal Naik, Susan Avis, Penny Fletcher, Bryony Dean Franklin, David Inwald

Published in: Intensive Care Medicine | Issue 4/2011

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Abstract

Purpose

To determine the effect of electronic prescribing (EP) with a clinical information system (Intellivue Clinical Information Portfolio, Philips, UK) on prescribing errors and omitted doses in a paediatric intensive care unit (PICU).

Methods

Prospective audit of prescribing errors and omitted doses for 96 h periods in three epochs: (1) before implementation of EP, (2) 1 week and (3) 6 months later.

Results

There was a non-significant reduction in prescribing errors: 8.8% (95% CI 4.4–13.2) pre-implementation of EP versus 8.1% (4.4–11.8) 1 week after implementation and 4.6% (2.0–7.2) 6 months later. The prevalence of omitted doses decreased significantly 6 months following implementation, changing from 8.1% (5.8–10.4) pre-implementation to 10.6% (6.5–14.7) 1 week after implementation and 1.4% (CI 0–2.8%) 6 months after implementation (P < 0.05).

Conclusion

EP within a clinical information system increases medication safety in a PICU.
Literature
1.
Sammons H, Conroy S (2008) How do we ensure safe prescribing for children? Arch Dis Child 93:98–99CrossRefPubMed
2.
Ghaleb MA, Barber M, Franklin BD, Wong ICK (2010) The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child 95:113–118CrossRefPubMed
3.
van Rosse F, Maat B, Rademaker CM, van Vught AJ, Egberts AC, Bollen CW (2009) The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Pediatrics 123:1184–1190CrossRefPubMed
4.
Shulman R, Singer M, Goldstone J, Bellingan G (2005) Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Crit Care 9:516–521CrossRef
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Thiru K, Rowe S, Shaw N, Durward A, Inwald DP, Ramnayaran P (2010) Survey of clinical information system usage by paediatric intensive care units in the UK. Intensive Care Med 36:1616–1617CrossRefPubMed
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Walsh KE, Adams WG, Bauchner H, Vinci RJ, Chessare JB, Cooper MR, Herbert PM, Schainker EG, Landrigan CP (2006) Medication errors related to computerized order entry for children. Pediatrics 118:1872–1879CrossRefPubMed
Metadata
Title
A clinical information system reduces medication errors in paediatric intensive care
Authors
Catherine Warrick
Hetal Naik
Susan Avis
Penny Fletcher
Bryony Dean Franklin
David Inwald
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 4/2011
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-010-2126-8

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