Electronic prescription: frequency and severity of medication errors

Detalhes bibliográficos
Autor(a) principal: Rosa,Mário Borges
Data de Publicação: 2019
Outros Autores: Nascimento,Mariana Martins Gonzaga do, Cirilio,Priscilla Benfica, Santos,Rosângela de Almeida, Batista,Lucas Flores, Perini,Edson, Couto,Renato Camargo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019001101349
Resumo: SUMMARY OBJECTIVE: To assess the frequency and severity of prescriptions errors with potentially dangerous drugs (heparin and potassium chloride for injection concentrate) before and after the introduction of a computerized provider order entry (CPOE) system. METHODS: This is a retrospective study that compared errors in manual/pre-typed prescriptions in 2007 (Stage 1) with CPOE prescriptions in 2014 (Stage 2) (Total = 1,028 prescriptions), in two high-complexity hospitals of Belo Horizonte, Brasil. RESULTS: An increase of 25% in the frequency of errors in Hospital 1 was observed after the intervention (p<0.001). In contrast, a decreased error frequency of 85% was observed in Hospital 2 (p<0.001). Regarding potassium chloride, the error rate remained unchanged in Hospital 1 (p>0.05). In Hospital 2, a significant decrease was recorded in Stage 2 (p<0.001). A reduced error severity with heparin (p<0.001) was noted, while potassium chloride-related prescription severity remain unchanged (p> 0.05). CONCLUSIONS: The frequency and severity of medication errors after the introduction of CPOE was affected differently in the two hospitals, which shows a need for thorough observation when the prescription system is modified. Control of new potential errors introduced and their causes for the adoption of measures to prevent these events must be in place during and after the implementation of this technology.
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spelling Electronic prescription: frequency and severity of medication errorsPatient safetyElectronic prescribingMedication errorsDrug prescriptionsSUMMARY OBJECTIVE: To assess the frequency and severity of prescriptions errors with potentially dangerous drugs (heparin and potassium chloride for injection concentrate) before and after the introduction of a computerized provider order entry (CPOE) system. METHODS: This is a retrospective study that compared errors in manual/pre-typed prescriptions in 2007 (Stage 1) with CPOE prescriptions in 2014 (Stage 2) (Total = 1,028 prescriptions), in two high-complexity hospitals of Belo Horizonte, Brasil. RESULTS: An increase of 25% in the frequency of errors in Hospital 1 was observed after the intervention (p<0.001). In contrast, a decreased error frequency of 85% was observed in Hospital 2 (p<0.001). Regarding potassium chloride, the error rate remained unchanged in Hospital 1 (p>0.05). In Hospital 2, a significant decrease was recorded in Stage 2 (p<0.001). A reduced error severity with heparin (p<0.001) was noted, while potassium chloride-related prescription severity remain unchanged (p> 0.05). CONCLUSIONS: The frequency and severity of medication errors after the introduction of CPOE was affected differently in the two hospitals, which shows a need for thorough observation when the prescription system is modified. Control of new potential errors introduced and their causes for the adoption of measures to prevent these events must be in place during and after the implementation of this technology.Associação Médica Brasileira2019-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019001101349Revista da Associação Médica Brasileira v.65 n.11 2019reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.65.11.1349info:eu-repo/semantics/openAccessRosa,Mário BorgesNascimento,Mariana Martins Gonzaga doCirilio,Priscilla BenficaSantos,Rosângela de AlmeidaBatista,Lucas FloresPerini,EdsonCouto,Renato Camargoeng2019-11-27T00:00:00Zoai:scielo:S0104-42302019001101349Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2019-11-27T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv Electronic prescription: frequency and severity of medication errors
title Electronic prescription: frequency and severity of medication errors
spellingShingle Electronic prescription: frequency and severity of medication errors
Rosa,Mário Borges
Patient safety
Electronic prescribing
Medication errors
Drug prescriptions
title_short Electronic prescription: frequency and severity of medication errors
title_full Electronic prescription: frequency and severity of medication errors
title_fullStr Electronic prescription: frequency and severity of medication errors
title_full_unstemmed Electronic prescription: frequency and severity of medication errors
title_sort Electronic prescription: frequency and severity of medication errors
author Rosa,Mário Borges
author_facet Rosa,Mário Borges
Nascimento,Mariana Martins Gonzaga do
Cirilio,Priscilla Benfica
Santos,Rosângela de Almeida
Batista,Lucas Flores
Perini,Edson
Couto,Renato Camargo
author_role author
author2 Nascimento,Mariana Martins Gonzaga do
Cirilio,Priscilla Benfica
Santos,Rosângela de Almeida
Batista,Lucas Flores
Perini,Edson
Couto,Renato Camargo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Rosa,Mário Borges
Nascimento,Mariana Martins Gonzaga do
Cirilio,Priscilla Benfica
Santos,Rosângela de Almeida
Batista,Lucas Flores
Perini,Edson
Couto,Renato Camargo
dc.subject.por.fl_str_mv Patient safety
Electronic prescribing
Medication errors
Drug prescriptions
topic Patient safety
Electronic prescribing
Medication errors
Drug prescriptions
description SUMMARY OBJECTIVE: To assess the frequency and severity of prescriptions errors with potentially dangerous drugs (heparin and potassium chloride for injection concentrate) before and after the introduction of a computerized provider order entry (CPOE) system. METHODS: This is a retrospective study that compared errors in manual/pre-typed prescriptions in 2007 (Stage 1) with CPOE prescriptions in 2014 (Stage 2) (Total = 1,028 prescriptions), in two high-complexity hospitals of Belo Horizonte, Brasil. RESULTS: An increase of 25% in the frequency of errors in Hospital 1 was observed after the intervention (p<0.001). In contrast, a decreased error frequency of 85% was observed in Hospital 2 (p<0.001). Regarding potassium chloride, the error rate remained unchanged in Hospital 1 (p>0.05). In Hospital 2, a significant decrease was recorded in Stage 2 (p<0.001). A reduced error severity with heparin (p<0.001) was noted, while potassium chloride-related prescription severity remain unchanged (p> 0.05). CONCLUSIONS: The frequency and severity of medication errors after the introduction of CPOE was affected differently in the two hospitals, which shows a need for thorough observation when the prescription system is modified. Control of new potential errors introduced and their causes for the adoption of measures to prevent these events must be in place during and after the implementation of this technology.
publishDate 2019
dc.date.none.fl_str_mv 2019-11-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1806-9282.65.11.1349
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.65 n.11 2019
reponame:Revista da Associação Médica Brasileira (Online)
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