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BMJ. 2000 Mar 18;320(7237):750-3.

Implementation of rules based computerised bedside prescribing and administration: intervention study.

Author information

1
Wolfson Computer Laboratory, Department of Medicine, University of Birmingham, Queen Elizabeth Medical Centre, Birmingham B15 2TH. P.G.Nightingale@bham.ac.uk

Abstract

OBJECTIVES:

To implement and assess a rules based computerised prescribing system with the aim of improving the safety of prescriptions and the administration of drugs.

DESIGN:

Analysis of performance of computerised system plus questionnaire survey of users.

SETTING:

64 bed renal unit in a teaching hospital.

INTERVENTION:

: Introduction of the system into routine clinical use.

MAIN OUTCOME MEASURES:

Number of attempted prescriptions cancelled by the system; proportion of warning messages overridden; users' comparisons of the system with conventional procedures.

RESULTS:

Between 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.

CONCLUSIONS:

The 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.

PMID:
10720357
PMCID:
PMC27317
[Indexed for MEDLINE]
Free PMC Article
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