ArticleApplied clinical informatics2020
The Impact of Technology on Prescribing Errors in Pediatric Intensive Care: A Before and After Study.
Article in Applied clinical informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of health information technology on prescribing errors in hospitals: a systematic review and behaviour change technique analysis.Systematic reviews · 2020Pooled it
- The Effect of Standard Concentration Infusions on Medication Errors in Neonatal and Pediatric Healthcare Settings: A Systematic Review.Journal of clinical medicine · 2025Review
- Physicians' Perspectives with the E-prescribing System in Five Teaching Hospitals.Applied clinical informatics · 2024Article
- Implementation of a national system for best practice delivery of paediatric infusions.International journal of clinical pharmacy · 2024Article
- Effect of electronic prescription system modifications on reducing prescribing errors in a military hospital.Journal of pharmaceutical policy and practice · 2024Article
- Mapping Injection Order Messages to Health Level 7 Fast Healthcare Interoperability Resources to Collate Infusion Pump Data.Applied clinical informatics · 2024Article
- Digital technology in medical visits: a critical review of its impact on doctor-patient communication.Frontiers in psychiatry · 2023Review
- Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.NPJ digital medicine · 2022Article
- Quantifying the Impact of Infusion Alerts and Alarms on Nursing Workflows: A Retrospective Analysis.Applied clinical informatics · 2021Article
- Development and Evaluation of an Intravenous Infusion Sequence Annotation System.Applied clinical informatics · 2021Article
- A modified Delphi to define drug dosing errors in pediatric critical care.BMC pediatrics · 2020Article
- Direct Observational Study of Interfaced Smart-Pumps in Pediatric Intensive Care.Applied clinical informatics · 2020Observational
- Morbidity and Drug Prescribing Pattern in Pediatric Outpatient Department of Kankai Nagar Hospital of Eastern Nepal.Sage open pediatricsArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncreased use of health information technology (HIT) has been advocated as a medication error reduction strategy. Evidence of its benefits in the pediatric setting remains limited. In 2012, electronic prescribing (ICCA, Philips, United Kingdom) and standard concentration infusions (SCIs)-facilitated by smart-pump technology-were introduced into the pediatric intensive care unit (PICU) of an Irish tertiary-care pediatric hospital.
objectiveThe aim of this study is to assess the impact of the new technology on the rate and severity of PICU prescribing errors and identify technology-generated errors.
methodsA retrospective, before and after study design, was employed. Medication orders were reviewed over 24 weeks distributed across four time periods: preimplementation (Epoch 1); postimplementation of SCIs (Epoch 2); immediate postimplementation of electronic prescribing (Epoch 3); and 1 year postimplementation (Epoch 4). Only orders reviewed by a clinical pharmacist were included. Prespecified definitions, multidisciplinary consensus and validated grading methods were utilized.
resultsA total of 3,356 medication orders for 288 patients were included. Overall error rates were similar in Epoch 1 and 4 (10.2 vs. 9.8%;
conclusionThe limitations of electronic prescribing in reducing overall prescribing errors in PICU have been demonstrated. The replacement of weight-based infusions with SCIs was associated with significant reductions in infusion prescribing errors. Technology-generated errors were common, highlighting the need for on-going research on HIT implementation in pediatric settings.
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