AHRQ Health IT Update: Indication-Based CPOE
Agency for Healthcare Research and Quality (AHRQ) sent this bulletin at 03/25/2013 07:50 AM EDTIndication Based Prescribing Prevents Errors, Keeps Problem Lists Current
Requiring a clinician to link medication orders to patient health problems prevents wrong patient orders and keeps problem lists up to date, according to a study supported by the Agency for Healthcare Research and Quality. Researchers at the University of Illinois implemented a computerized provider order entry (CPOE) system that required the clinician placing the order to link the medicine to an indication in the patient’s problem list. The purpose of this requirement was to help ensure that orders were being placed for the correct patient by cross-referencing the main reasons that a medication is normally prescribed with the patient’s identified health problems. If no matching problem was found in the medical record, the prescriber saw an alert and was prompted to enter the condition. Researchers found that over a six-year period, there was an interception rate of 1 intercepted wrong-patient order per 4,000 electronic alerts. In 59% of the intercepted errors, the prescriber had more than one chart open when they started the medication order.
“Indication-Based Prescribing Prevents Wrong Patient Medication Errors in Computerized Provider Order Entry (CPOE)” appeared in the March issue of the Journal of the American Medical Informatics Association.
.png)
No hay comentarios:
Publicar un comentario