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Related Experiment Videos

To what extent do pediatricians accept computer-based dosing suggestions?

Brigid K Killelea1, Rainu Kaushal, Mary Cooper

  • 1New York Presbyterian Hospital, New York, New York, USA. brigidkillelea@yahoo.com

Pediatrics
|January 4, 2007
PubMed
Summary
This summary is machine-generated.

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Physician acceptance of dosing and frequency decision support in pediatric computerized physician order entry systems was low. Many orders were changed, indicating a need for improved decision support effectiveness in pediatrics.

Area of Science:

  • Pediatric patient safety
  • Health informatics
  • Clinical decision support systems

Background:

  • Pediatric medication errors, particularly dosing errors, are a significant concern in hospitalized children.
  • Computerized physician order entry (CPOE) systems with decision support show promise in reducing medication errors.
  • The effectiveness of CPOE decision support in pediatric settings requires further investigation.

Purpose of the Study:

  • To evaluate physician acceptance of dosing and frequency decision support features within an inpatient pediatric CPOE system.
  • To quantify the rates of acceptance and modification of system-generated recommendations.

Main Methods:

  • Retrospective analysis of electronic medication orders for pediatric inpatients.
  • Data collected from April 2004 to December 2004 at an academic medical center.

Related Experiment Videos

  • Determination of physician acceptance rates for CPOE-generated dosing and frequency suggestions.

    • Main Results:

    • Over 54,000 orders were analyzed; 27,313 had dosing or frequency decision support.
    • Only about one-third of orders with decision support were accepted without modification.
    • A significant number of orders were changed for dose, frequency, or both, with many substantial deviations from suggestions.

    Conclusions:

    • Dosing decision support systems hold potential for improving pediatric care.
    • Further research is needed to optimize the effectiveness of these systems.
    • Commercial vendors must provide robust, effective dosing knowledge bases for widespread adoption.