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Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders
N Colombini1, M Abbes1, A Cherpin1
1Pharmacy Department, North Hospital, Public Hospitals of Marseille, France.
International Journal of Medical Informatics
|February 6, 2022
Summary
Computerised Provider Order Entry (CPOE) for Hospital Discharge Orders (HDO) significantly reduced prescribing errors. However, frequent transcription discrepancies highlight the need for improved error prevention and physician training.
Area of Science:
- Health Informatics
- Medical Informatics
- Clinical Pharmacy
Background:
- Computerised prescriptions for Hospital Discharge Orders (HDO) are crucial for medication safety worldwide.
- Electronic Health Records (EHR) integration aims to enhance medication management processes.
Purpose of the Study:
- To evaluate physician adoption of Computerised Provider Order Entry (CPOE) for HDO.
- To determine the prescribing error rate of HDO within an acute medical care unit.
Main Methods:
- A prospective study was conducted in an internal medicine department over six months.
- Evaluated CPOE use for HDO, transcription concordance to discharge summaries (DS), and prescribing errors.
- Analysed 2,854 prescribed drugs across 407 patients.
Main Results:
- 86% of HDO were created using CPOE.
- A 2.3% prescribing error rate was identified in CPOE-edited HDO, despite pharmacist interventions.
- Significant discrepancies (62%) were noted between CPOE-edited HDO and their transcription into DS.
Conclusions:
- CPOE, with pharmacist input, reduced HDO prescribing errors.
- Frequent transcription discrepancies necessitate enhanced error prevention strategies and physician training.
- Successful EHR integration requires robust systems for accurate medication data transfer.
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