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[Impact of introducing assisted electronic prescription on paediatric patient safety]
Carla Fernández Oliveira1, Cristina Martínez Roca1, Alejandro Ávila Álvarez2
1Servicio de Farmacia, Complexo Hospitalario Universitario de A Coruña, Servizo Galego de Saúde, A Coruña, España.
Insights
Assisted electronic prescribing significantly reduced medication errors in pediatric patients, decreasing errors by 40% and eliminating serious ones. This technology enhances patient safety in hospitals.
Area of Science:
- Pediatric patient safety
- Health informatics
- Medication error analysis
Background:
- Limited research exists on assisted electronic prescribing's impact on pediatric patient safety.
- Medication errors pose a significant risk in healthcare settings, particularly for vulnerable pediatric populations.
Purpose of the Study:
- To compare medication errors before and after implementing assisted electronic prescribing in a tertiary hospital.
- To evaluate the effect of assisted electronic prescribing on pediatric patient safety.
Main Methods:
- A quasi-experimental comparative study analyzed medication errors pre- and post-implementation.
- All treatment lines were assessed for error type, cause, and point of occurrence.
- A Delphi study involving healthcare professionals determined the severity of identified errors.
Main Results:
- Medication errors decreased from 92% of patients (2.8 errors/patient) pre-implementation to 7.2% (0.1 errors/patient) post-implementation.
- Assisted electronic prescribing resulted in a 40% absolute risk reduction in medication errors.
- The incidence of serious medication errors dropped to zero post-implementation, with all errors being mild or moderate.
Conclusions:
- Implementation of assisted electronic prescribing systems significantly reduces medication errors in pediatric care.
- The integrated systems for prescription, validation, and administration assistance enhance patient safety by minimizing errors and eliminating severe incidents.
Objective:
There have been very few studies on the effect of assisted electronic prescription on paediatric patient safety. The objective of this study is to compare medication errors that occurred before and after its introduction in a tertiary hospital.
Material And Methods:
A quasi-experimental comparative study of medication errors detected before and after assisted electronic prescription introduction. All treatment lines were analysed in order to detect the point in the chain where the medication error occurred, as well as its type and cause. A Delphi study was conducted on the importance of each medication error involving doctors, nurses, and pharmacists.
Results:
The study included 166 patients (83 at each stage). At least one medication error was detected in 92% in the pre-introduction phase patients (2.8±2.1 errors/patient) and 7.2% of post-introduction phase patients (0.1±0.4 errors/patient). The assisted electronic prescription led to an absolute risk reduction of 40% (95% confidence interval=35.6-44.4%). The main cause of error was lapses and carelessness in both stages. Medication errors were considered serious in 9.5% of cases in the pre-introduction phase, while all of them were mild or moderate in the post-introduction phase.
Conclusions:
The assisted electronic prescription implementation with prescription, validation and medication administration assistance systems significantly reduces medication errors and eliminates serious errors.
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