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Related Experiment Videos

Development and impact of a computerized pediatric antiinfective decision support program.

C J Mullett1, R S Evans, J C Christenson

  • 1Department of Medical Informatics, University of Utah, USA. cmullett@hsc.wvu.edu

Pediatrics
|October 3, 2001
PubMed
Summary

A pediatric antiinfective decision support tool significantly reduced medication errors and improved drug dosing in a pediatric intensive care unit (PICU). Clinicians found the tool beneficial for antiinfective agent selection and patient safety.

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Area of Science:

  • Pediatric critical care medicine
  • Health informatics
  • Pharmacology

Background:

  • Computerized decision support systems can enhance care quality and reduce medication errors.
  • The Institute of Medicine recommends such tools to minimize pharmaceutical errors.
  • Evaluating antiinfective decision support in pediatric intensive care units (PICUs) is crucial.

Purpose of the Study:

  • To assess the impact of a tailored antiinfective decision support tool in a PICU.
  • To determine if the tool improves antiinfective prescribing and patient outcomes.

Main Methods:

  • An existing adult antiinfective tool was adapted for pediatric use.
  • Prospective monitoring of process and outcomes during control and intervention periods.
  • Mandatory use of the tool for all antiinfective orders in a 26-bed PICU.

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Main Results:

  • Pharmacy interventions for erroneous doses decreased by 59%.
  • Subtherapeutic and excessive antiinfective dose days reduced by 36% and 28%, respectively.
  • Estimated antiinfective costs per patient decreased by 9%.

Conclusions:

  • The pediatric antiinfective decision support tool was beneficial for patient care in the PICU.
  • Clinicians reported improved antiinfective choices and increased awareness of renal function impairments.
  • The tool reduced erroneous drug orders and improved therapeutic dosage targets.