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...
| Publicado en: | European Journal of Pediatrics Vol. 175; no. 1; pp. 113 - 120 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112212882&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112212882 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Jan2016 vid: 175 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 112212882 112212882 NLM26272253 112212882 10.1007/s00431-015-2607-4 NLM26272253 112212882 ppf: 113 ppct: 7 formats: fmt: @attributes: type: P tig: 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 refInfo: holdings: @attributes: islocal: N |
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