ArticleBMJ (Clinical research ed.)2000
Implementation of rules based computerised bedside prescribing and administration: intervention study.
Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
62 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Computerized advice on drug dosage to improve prescribing practice.The Cochrane database of systematic reviews · 2013Pooled it
- Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic health records.BMC medical informatics and decision making · 2013Pooled it
- Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.Journal of the American Medical Informatics Association : JAMIATrial
- Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.BMJ health & care informatics · 2024Article
- Does acute kidney injury alerting improve patient outcomes?BMC nephrology · 2023Article
- Benefits of electronic charts in intensive care and during a world health pandemic: advantages of the technology age.BMJ open quality · 2023Article
- Effectiveness of clinical decision support in controlling inappropriate red blood cell and platelet transfusions, speciality specific responses and behavioural change.BMC medical informatics and decision making · 2022Article
- Effects of computerized decision support on maternal and neonatal health-worker performance in the context of combined implementation with performance-based incentivisation in Upper East Region, Ghana: a qualitative study of professional perspectives.BMC health services research · 2022Article
- Electronic prescribing systems as tools to improve patient care: a learning health systems approach to increase guideline concordant prescribing for venous thromboembolism prevention.BMC medical informatics and decision making · 2022Article
- The clinical profile and associated mortality in people with and without diabetes with Coronavirus disease 2019 on admission to acute hospital services.Endocrinology, diabetes & metabolism · 2022Article
- Feasibility study of hospital antimicrobial stewardship analytics using electronic health records.JAC-antimicrobial resistance · 2021Article
- Bringing into focus treatment limitation and DNACPR decisions: How COVID-19 has changed practice.Resuscitation · 2020Article
- Development and Evaluation of a Clinical Decision Support System to Improve Medication Safety.Applied clinical informatics · 2019Article
- Inpatient falls in older adults: a cohort study of antihypertensive prescribing pre- and post-fall.BMC geriatrics · 2018Article
- Detection and analysis of drug-drug interactions among hospitalized cardiac patients in the Mohammed V Military Teaching Hospital in Morocco.The Pan African medical journal · 2018Observational
- The ICE-AKI study: Impact analysis of a Clinical prediction rule and Electronic AKI alert in general medical patients.PloS one · 2018Article
- Determinant of successful implementation of Computerized Provider Order Entry (CPOE) system from physicians' perspective: Feasibility study prior to implementation.Electronic physician · 2018Article
- Prospective, controlled study of an intervention to reduce errors in neonatal antibiotic orders.Journal of perinatology : official journal of the California Perinatal Association · 2015Article
- Assessment of legibility and completeness of handwritten and electronic prescriptions.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2014Article
- Multiple drug intolerance syndrome: a large-scale retrospective study.Drug safety · 2014Article
2 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo implement and assess a rules based computerised prescribing system with the aim of improving the safety of prescriptions and the administration of drugs.
designAnalysis of performance of computerised system plus questionnaire survey of users.
setting64 bed renal unit in a teaching hospital.
intervention: Introduction of the system into routine clinical use.
main outcome measuresNumber of attempted prescriptions cancelled by the system; proportion of warning messages overridden; users' comparisons of the system with conventional procedures.
resultsBetween October 1998 and August 1999 the system cancelled 58 (0.07%) out of 87 789 prescriptions on the grounds of clinical safety. In addition, 427 (57%) attempted prescriptions generating high level warnings and 1257 (8%) generating low level warnings were not completed. In a user survey 82% (31/38) of doctors and nurses considered the system to be an improvement on conventional procedures.
conclusionsThe system has contributed to safety and patient care. All prescriptions are complete and legible, and transcription errors have been eliminated. The system assists clinicians when they are writing a prescription by making available information on patients. The system supports clinical decision making and has been well received by doctors, nurses, and pharmacists.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.