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

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 obs...

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Publicado en:European Journal of Pediatrics Vol. 175; no. 1; pp. 113 - 120
Autores principales: Palmero, David, Paolo, Ermindo, Beauport, Lydie, Pannatier, André, Tolsa, Jean-François, Di Paolo, Ermindo R
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
      vid: 175
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      pub: Springer Nature
      place: New York, New York
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        112212882
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        10.1007/s00431-015-2607-4
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        atl: A bundle with a preformatted medical order sheet and an introductory course to reduce prescription errors in neonates.
      aug:
        au:
          Palmero, David
          Paolo, Ermindo
          Beauport, Lydie
          Pannatier, André
          Tolsa, Jean-François
          Di Paolo, Ermindo R
          Pannatier, André
          Tolsa, Jean-François
        affil: Department of Pharmacy, Lausanne University Hospital, Lausanne Switzerland
      sug:
        subj:
          Medication Errors Prevention and Control
          Coding Standards
          Infant, Newborn
          Intensive Care Units, Neonatal
          Human
          Infant, Newborn: birth-1 month
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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