[Impact of medical prescription computerisation on the incidence of adverse drug effects]. / Impact d'une prescription médicale informatisée sur la réduction du mésusage thérapeutique.
Rev Mal Respir
; 20(3 Pt 1): 355-63, 2003 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-12910110
INTRODUCTION: Adverse drug effects are a significant public health problem. Prescription errors are responsible for a significant proportion of these adverse effects. METHODS: We have aimed to improve the link between generation of and interpretation of a prescription through computerisation. The prescription sheet, which is generated daily, was organised to allow care planning without the need to re-copy out treatments on the sheet. A prescription aid was available which was based on a core group of drugs commonly used in our respiratory service. The aim of the study was to compare the various types of errors observed during 6 weeks of computerized prescriptions (229 files) to a retrospective series of handwritten prescriptions of the service at an identical time (184 files) the previous year. The case-mix was identical for both analysed periods. RESULTS: The total number of technical prescribing errors in the 1,599 handwritten lines (49.27% error) was significantly higher (p<0.001) than the 1,805 computerized prescriptions lines (42.88% error). The errors of copying (p<0.001), eligibility (p<0.001) and incorrect spelling (p<0.05) were the main sources of error which were significantly reduced by computerisation. CONCLUSION: Computerised prescription is likely to reduce the incidence of prescribing errors and adverse drug effects.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sistemas de Informação em Farmácia Clínica
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Sistemas de Apoio a Decisões Clínicas
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Pneumopatias
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Erros de Medicação
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Sistemas de Medicação no Hospital
Tipo de estudo:
Evaluation_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
Fr
Revista:
Rev Mal Respir
Ano de publicação:
2003
Tipo de documento:
Article