Efetividade dos Sistemas Computadorizados de Prescrição Eletrônica e de Apoio à Decisão sobre os erros de prescrição em Pediatria
Resumo
Revisão Sistemática com metanálise, até dezembro de 2020. Objetivo comparar incidência de erros de prescrição antes e após introdução de Sistemas de Prescrição Eletrônica associados ou não a Sistemas de Apoio à Decisão em diferentes settings pediátricos. Em dez estudos em UTI a redução em erros de dosagem (um tipo de erro de prescrição) variou de 15% a 30%. Dois estudos com supressão total de erros. Em enfermaria as reduções foram de 36%, 45%, 67% e 74%. A redução foi de 7,4 de erros gerais de prescrição. Evidenciou-se redução de risco de erros de dosagem em pediatria com o uso de sistemas de prescrição eletrônica para UTI, enfermaria e ambulatório.
Referências
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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.
Baysari M. T., Hardie R. A., Lake R., Richardson L., McCullagh C., Gardo A., Westbrook J. (2018). Longitudinal study of user experiences of a CPOE system in a pediatric hospital. International Journal of Medical Informatics. Vol 109, pages 5–14.
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.
Publicado
15/06/2021
Como Citar
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: CONCURSO DE TRABALHOS DE INICIAÇÃO CIENTÍFICA - SIMPÓSIO BRASILEIRO DE COMPUTAÇÃO APLICADA À SAÚDE (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.
