Safety in the NICU: Preventing Medication Errors with Computerized Provider Order Entry

Donze, Ann; Wolf, Maggie

doi:10.1111/j.1751-486x.2007.00253.x

Cited by 3 publications

(4 citation statements)

References 20 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1). Medication safety was the focus of 22 articles, followed by clinical practice (10 articles), 18,[28][29][30][31][32][33][34][35][36] CDS (10 articles), 6,11,12,20,25,29,[35][36][37][38] implementation (11 articles), 22,[28][29][30]34,[39][40][41][42][43][44] and usability/alerts (4 articles). 12,[45][46][47] Twenty articles addressed two categories and only one article addressed three categories (►Fig.…”

Section: Resultsmentioning

confidence: 99%

“…4,5 The neonatal population is especially vulnerable and there is evidence that medication errors occur more often in the neonatal intensive care unit (NICU) than anywhere else in the hospital. 6 The goal of this narrative review is to examine the research literature addressing NICU CPOE in order to assess the impact of this technology on patient safety (specifically, medication errors) and implementation efforts, and to identify areas for further research.…”

Section: Background and Significancementioning

confidence: 99%

See 1 more Smart Citation

Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review

et al. 2019

View full text Add to dashboard Cite

Background Computerized physician order entry (CPOE) has grown since the early 1990s. While many systems serve adult patients, systems for pediatric and neonatal populations have lagged. Adapting adult CPOE systems for pediatric use may require significant modifications to address complexities associated with pediatric care such as daily weight changes and small medication doses. Objective This article aims to review the neonatal intensive care unit (NICU) CPOE literature to characterize trends in the introduction of this technology and to identify potential areas for further research. Methods Articles pertaining to NICU CPOE were identified in MEDLINE using MeSH terms “medical order entry systems,” “drug therapy,” “intensive care unit, neonatal,” “infant, newborn,” etc. Two physician reviewers evaluated each article for inclusion and exclusion criteria. Consensus judgments were used to classify the articles into five categories: medication safety, usability/alerts, clinical practice, clinical decision Support (CDS), and implementation. Articles addressing pediatric (nonneonatal) CPOE were included if they were applicable to the NICU setting. Results Sixty-nine articles were identified using MeSH search criteria. Twenty-two additional articles were identified by hand-searching bibliographies and 6 articles were added after the review process. Fifty-five articles met exclusion criteria, for a final set of 42 articles. Medication safety was the focus of 22 articles, followed by clinical practice (10), CDS (10), implementation (11), and usability/alerts (4). Several addressed more than one category. No study showed a decrease in medication safety post-CPOE implementation. Within clinical practice articles, CPOE implementation showed no effect on blood glucose levels or time to antibiotic administration but showed conflicting results on mortality rates. Implementation studies were largely descriptive of single-hospital experiences. Conclusion CPOE implementation within the NICU has demonstrated improvement in medication safety, with the most consistent benefit involving a reduction in medication errors and wrong-time administration errors. Additional research is needed to understand the potential limitations of CPOE systems in neonatal intensive care and how CPOE affects mortality.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Background and Significancementioning

confidence: 99%

Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Such systems can also be used to reduce errors in NICU [10]. Several commercially available and self-developed EHR systems can be used in NICU [11] [12].…”

Section: Introductionmentioning

confidence: 99%

A Web Enabled Health Information System for the Neonatal Intensive Care Unit (NICU)

Ray

Dogra

Saha

et al. 2011

2011 IEEE World Congress on Services

View full text Add to dashboard Cite

Information Systems are needed for modernization of ICUs to deliver better health care services. EHR systems can improve the work flow management in health care delivery. This work proposes a secure web enabled system based on a multi-tier architecture for carrying out routine and special operations of Neonatal Intensive Care Unit (NICU). The system adopts a service oriented approach for execution of various tasks that are performed for managing NICU activities. It also facilitates decision support systems for a number of critical tasks of NICU. A prototype of the system has been installed in the neonatology department of SSKM Hospital, Kolkata, India and the staff of the hospital including doctors, nurses, laboratory personals and technicians are using it in a regular manner.

show abstract

“…Stage 4 of the HIMSS model includes implementing clinical decision support systems (CDSS) and computerized provider order entry (CPOE) (). CPOE is designed to reduce medication errors (Donze & Wolf, 2007). Providers input orders directly into a computerized medical record.…”

mentioning

confidence: 99%

Electronic Health Record: Are You Ready for the Next Step?

Pomerleau¹

2008

Nursing for Women's Health

View full text Add to dashboard Cite

Safety in the NICU: Preventing Medication Errors with Computerized Provider Order Entry

Cited by 3 publications

References 20 publications

Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review

Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review

A Web Enabled Health Information System for the Neonatal Intensive Care Unit (NICU)

Electronic Health Record: Are You Ready for the Next Step?

Contact Info

Product

Resources

About