Evidence map›Paper›PMID 34728542›Full record

ArticleEuropean journal of hospital pharmacy : science and practice2021

The impact of paediatric dose range checking software.

Matthew Neame, James Moss, Jordi Saez Dominguez, Andrea Gill, Nik Barnes, Ian Sinha, Daniel Hawcutt

Abstract read
In one paragraph

Article in European journal of hospital pharmacy : science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Matthew NeameWomen's and Children's Health, University of Liverpool, Liverpool, UK matthewneame@nhs.net.ORCID 0000-0001-6069-2940
James MossInformation Technology, Alder Hey Children's Hospital, Liverpool, UK.
Jordi Saez DominguezInformation Technology, Alder Hey Children's Hospital, Liverpool, UK.
Andrea GillPaediatric Medicines Research Unit, Alder Hey Children's Hospital, Liverpool, UK.
Nik BarnesDepartment of Radiology, Alder Hey Children's Hospital, Liverpool, UK.
Ian SinhaDepartment of Respiratory Medicine, Alder Hey Children's Hospital, Liverpool, UK.
Daniel HawcuttWomen's and Children's Health, University of Liverpool, Liverpool, UK.

Funding

Department of Health
6 · The paper itself

Abstract

objectiveDosing errors can cause significant harm in paediatric healthcare settings. Our objective was to investigate the effects of paediatric dose range checking (DRC) clinical decision support (CDS) software on overdosing-related outcomes.

methodsA before-after study and a semistructured survey of prescribers was conducted across inpatient wards (excluding intensive care) in a regional children's hospital. DRC CDS software linked to a paediatric drug formulary was integrated into an existing electronic prescribing system. The main outcome measures were; the proportion of prescriptions with overdosing errors; overdosing-related clinical incidents; severity of clinical incidents; and acceptability of the intervention.

resultsThe prescription overdosing error rate did not change significantly following the introduction of DRC CDS software: in the preintervention period 12/847 (1.4%) prescriptions resulted in prescription errors and in the postintervention period there were 9/684 (1.3%) prescription overdosing errors (n=21, Pearson χ

conclusionDRC CDS software did not reduce the incidence of prescription overdosing errors in a paediatric hospital setting but the level of harm associated with the overdosing errors may have been reduced. Use of the software seemed to be safe and it was perceived to be beneficial by prescribers.

Indexed as

Decision Support Systems, ClinicalMedication ErrorsChildHospitalsHumansSoftwarecomputer assisted prescribing (CPOE)electronic prescribingmedical errorspaediatricsquality in health care

Identifiers

PMID34728542
PMCPMC8640401

What OpenQuestion holds

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Registered trials

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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.