Back to Search
Start Over
What is the impact of introducing inpatient electronic prescribing on prescribing errors? A naturalistic stepped wedge study in an English teaching hospital.
- Source :
- Health Informatics Journal; Dec2020, Vol. 26 Issue 4, p3152-3162, 11p
- Publication Year :
- 2020
-
Abstract
- Most studies evaluating the impact of electronic prescribing on prescribing safety have used comparatively weak study designs such as uncontrolled before-and-after studies. This study aimed to apply a more robust naturalistic stepped wedge study design to compare the prevalence and types of prescribing errors for electronic prescribing and paper prescribing. Data were collected weekly during a phased electronic prescribing implementation across 20 wards in a large English hospital. We identified 511 (7.8%) erroneous orders in 6523 paper medication orders, and 312 (6.0%) in 5237 electronic prescribing orders. Logistic regression suggested no statistically significant effect of electronic prescribing use or of study week; patient and ward had significant effects. Errors involving incorrect doses and illegible or incomplete orders were less common with electronic prescribing; those involving duplication, omission, incorrect drug and incorrect formulation were more common. Actions are needed to mitigate these error types; future studies should give more consideration to the effects of patient and ward. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 14604582
- Volume :
- 26
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Health Informatics Journal
- Publication Type :
- Academic Journal
- Accession number :
- 147644397
- Full Text :
- https://doi.org/10.1177/1460458219833112