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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
Summary
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.
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