The effect of computerized physician order entry and decision support system on medication errors in the neonatal ward: Experiences from an Iranian teaching hospital
- Kazemi, A.
- Ellenius, J.
- Pourasghar, F.
- Tofighi, S.
- Salehi, A.
- Amanati, A.
- Fors, U.G.
DOIAbstract
Medication dosing errors are frequent in neonatal wards. In an Iranian neonatal ward, a 7.5 months study was designed in three periods to compare the effect of Computerized Physician Order Entry (CPOE) without and with decision support functionalities in reducing non-intercepted medication dosing errors in antibiotics and anticonvulsants. Before intervention (Period 1), error rate was 53%, which did not significantly change after the implementation of CPOE without decision support (Period 2). However, errors were significantly reduced to 34% after that the decision support was added to the CPOE (Period 3; P<0.001). Dose errors were more often intercepted than frequency errors. Over-dose was the most frequent type of medication errors and cu...
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