Efetividade dos Sistemas Computadorizados de Prescrição Eletrônica e de Apoio à Decisão sobre os erros de prescrição em Pediatria
Abstract
Systematic review with meta-analysis, up to December 2020, in order to compare the incidence of prescription errors before and after the introduction of Electronic Prescription Systems associated or not with Decision Support Systems in different pediatric settings. In ten studies in the ICU, the reduction in dosage errors (a type of prescription error) varied from 15% to 30%. Two studies presented total error suppression. In wards reductions were 36%, 45%, 67% and 74%. The reduction was 7.4% in overall prescribing errors. There was clear evidence of reduction in the risk of dosing errors in pediatrics with the use of electronic prescription systems for the ICU, ward and outpatient settings.
References
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Ghaleb M. A., Barber N., Franklin B. D., Wong I. C. K. (2005). What constitutes a prescribing error in paediatrics? Quality Safety Health Care. Vol 14, n° 5, pages 352–7.
Kadmon G., Bron-Harlev E., Nahum E., Schiller O., Haski G., Shonfeld T. (2009). Computer order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. Vol 124, pages 935-4.
Kadmon, G., Pinchover, M., Weissbach, A., Kogan Hazan, S., Nahum, E. (2017). Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. Journal of Pediatrics. Vol 190, pages 236-240.e2.
Kazemi A., Ellenius J., Pourasghar F., Tofighi S., Salehi A., Amanati A., Fors U. G. H. (2011). The effect of computerized physician order entry and decision support system on medication errors in the neonatal ward: Experiences from an Iranian teaching hospital. Jornal of Medical Systems. Vol 351, pages 25–37.
Kim G. R., Chen A. R., Arceci R. J., Mitchell S. H., Kokoszka K. M., Daniel D., Lehmann C. U. (2006). Error reduction in pediatric chemotherapy: Computerized order entry and failure modes and effects analysis. Archives of pediatrics & adolescent medicine.
Litvin C. B., Ornstein S. M., Wessell A. M., Nemeth L. S., Nietert P. J. (2013). Use of an electronic health record clinical decision support tool to improve antibiotic prescribing for acute respiratory infections: The ABX-TRIP study. Journal of General Internal Medicine. Vol 28, n° 6, pages 810–6.
Mainous A. G., Lambourne C. A., Nietert P. J. (2013). Impact of a clinical decision support system on antibiotic prescribing for acute respiratory infections in primary care: Quasi-experimental trial. Journal of America Medical Informatics Association. Vol 20, n°2, pages 317–24.
McPhillips H. A., Stille C. J., Smith D, Hecht J., Pearson J., Stull J., et al (2005). Potential medication dosing errors in outpatient pediatrics. Journal of Pediatrics.
Nuckols, T. K., Smith-Spangler C., Morton S. C., , Asch, S. M., Patel V. M., Anderson L. J., et al. (2014). The effectiveness of computerized order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systematic review and meta-analysis. Systematics Reviews. Vol 3, n° 56.
Sard B.E., Walsh K.E., Doros G., Hannon M., Moschetti W., Bauchner H. (2008). Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. Pediatrics. Vol 122, pages 782-7.
Sethuraman, U., Kannikeswaran N., Murray K. P., Zidan M. A., Chamberlain J. M (2015). Prescription Errors Before and After. Academy Emergency Medicine. Pages 714–9.
Vélez-Díaz-Pallarés M., Pérez-Menéndez-Conde C., Bermejo-Vicedo T. (2018). Systematic review of computerized prescriber order entry and clinical decision support. American Society of Health-System Pharmacists. Vol 75, n° 23.
Trotter A, Maier L. Computergestütztes Verordnungssystem bei pädiatrischen Patienten (2009). Monatsschrift Kinderheilkunde. Vol 157, pages 160-5.
Cordero L, Kuehn L, Kumar RR, Mekhjian HS (2004). Impact of computerized physician order entry on clinical practice in a newborn intensive care unit. J Perinatol. Vol 24 pages 88-93.
Published
2021-06-15
How to Cite
SANTOS, Josiane L. B. dos; PASSOS, Sonia R. Lambert; BARBOSA, Natalia S. O.; SOUSA, Fernanda M.; NEVES, Luisa A. A. M.; MOTTA, Paula A.; CAVALINI, Luciana T..
Efetividade dos Sistemas Computadorizados de Prescrição Eletrônica e de Apoio à Decisão sobre os erros de prescrição em Pediatria. In: UNDERGRADUATE RESEARCH WORKS CONTEST - BRAZILIAN SYMPOSIUM ON COMPUTING APPLIED TO HEALTHCARE (SBCAS), 21. , 2021, Evento Online.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2021
.
p. 133-138.
ISSN 2763-8987.
DOI: https://doi.org/10.5753/sbcas.2021.16114.
