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Electronic prescribing in paediatric secondary care: are harmful errors prevented?

Andy Fox1, Jane Portlock2, David Brown3

  • 1Pharmacy, University Hospitals Southampton, Southampton, UK.

Archives of Disease in Childhood
|June 9, 2019
PubMed

Insights

Electronic prescribing (EP) systems show limited effectiveness in preventing harmful paediatric prescribing errors. Optimization and setup are crucial, as errors can still be prescribed in 90.7% of cases.

Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Pharmacy

Background:

  • Electronic prescribing (EP) systems are intended to enhance medication safety.
  • Paediatric prescribing errors pose significant risks to patient safety.
  • The effectiveness of current EP systems in preventing these errors requires evaluation.

Purpose of the Study:

  • To assess the capability of existing electronic prescribing (EP) systems.
  • To identify the prevention of specific, high-harm paediatric prescribing errors.
  • To evaluate the role of clinical decision support (CDS) within EP systems.

Main Methods:

  • A semistructured survey was conducted.
  • The study focused on UK hospitals utilizing EP in paediatric care.
  • Evaluated the number/type of errors prescribable and the level of CDS.

Main Results:

  • A high rate of erroneous orders (90.7%) were successfully prescribed across seven EP systems.
  • Clinical decision support (CDS) levels demonstrated significant variability.
  • Variations in CDS were observed both between different EP systems and across sites using the same system.

Conclusions:

  • Current electronic prescribing (EP) systems exhibit variable effectiveness in preventing harmful paediatric medication errors.
  • System configuration and site-specific optimization significantly influence error prevention capabilities.
  • Further development and tailored implementation of EP systems are necessary to improve paediatric patient safety.
Abstract

Keywords:
general paediatricsneonatologypharmacology

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