使用计算机化医生订单输入与临床决策支持,以防止儿科药物订单中的剂量错误:系统性审查
Henna Ruutiainen1,2, Anna-Riia Holmström3, Eva Kunnola3
1Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Viikinkaari 5 E, PL 56, 00014, Helsinki, Finland. henna.ruutiainen@helsinki.fi.
Paediatric drugs
|January 19, 2024
概括
计算机化医生订单输入 (CPOE) 与临床决策支持 (CDS) 系统可以减少儿科药物剂量错误. 关键干预措施包括系统定制和剂量范围检查,以确保更安全的处方.
科学领域:
- 儿科患者的安全性
- 医疗信息学 医疗信息学
- 预防药物错误 预防药物错误
背景情况:
- 儿童处方是一种高风险的活动,需要强有力的错误预防策略.
- 以系统为中心的防御,包括CPOE和CDS,对于安全使用药物至关重要.
- 剂量错误是儿科药物管理中的一个重大问题.
研究的目的:
- 评估与CDS功能集成的CPOE系统在尽量减少儿科患者药物剂量错误方面的有效性.
- 确定有助于减少错误的特定CDS工具和系统特征.
主要方法:
- 按照PRISMA 2020和SWiM指南进行系统审查.
- 在主要数据库 (MEDLINE,Scopus,科学网,EMB评论) 进行文献搜索,截至2023年9月.
- 包括对儿科环境中CPOE-CDS进行同行评审的研究;使用JBI和GRADE进行质量评估;为效果评估计票.
主要成果:
- 十七项研究 (2007-2021) 符合纳入标准.
- 剂量范围检查,剂量计算器和剂量频率检查是CDS常见的工具.
- 八项研究报告了剂量错误的统计显著减少;没有观察到错误的增加.
结论:
- CPOE-CDS系统显示出降低儿科药物剂量误差的潜力.
- 系统定制,CDS警报和剂量范围检查似乎是最有益的.
- 持续的研究和开发是必要的,以优化CPOE-CDS的可用性,并解决人类因素.
相关概念视频
Guidelines and Strategies for Safe Computer Charting
806
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
806
Dosage Regimen: Fixed Dose
1.9K
Fixed-dose regimens are a common approach to administer drugs to achieve and maintain desired levels of the drug in the body. In this dosing strategy, a specific amount of medication is given at regular intervals, often multiple times a day, to ensure a consistent drug concentration in the bloodstream.
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
Fixed-dose regimens can be used for various routes of administration, including intravenous (IV) injections and oral medications. For IV administration, a predetermined amount of the drug is...
1.9K
Factors Affecting Drug Response: Overview
2.0K
When it comes to infants and young children, they are typically administered smaller doses of medication in comparison to adults. This is primarily because their organ functions still need to fully develop, meaning their bodies are not as efficient at metabolizing or eliminating drugs. Additionally, their blood-brain barrier is more permeable than in adults. As a result, high concentrations of drugs can easily penetrate the central nervous system (CNS), potentially leading to neurological...
2.0K
Nursing Clinical Information System
779
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
779
Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K
Drug Dosage Regimen: Overview
3.5K
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
3.5K


