| Autor: |
Palchuk MB; Harvard Medical School, Boston, Massachusetts, USA., Fang EA, Cygielnik JM, Labreche M, Shubina M, Ramelson HZ, Hamann C, Broverman C, Einbinder JS, Turchin A |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2010 Jul-Aug; Vol. 17 (4), pp. 472-6. |
| DOI: |
10.1136/jamia.2010.003335 |
| Abstrakt: |
Many e-prescribing systems allow for both structured and free-text fields in prescriptions, making possible internal discrepancies. This study reviewed 2914 electronic prescriptions that contained free-text fields. Internal discrepancies were found in 16.1% of the prescriptions. Most (83.8%) of the discrepancies could potentially lead to adverse events and many (16.8%) to severe adverse events, involving a hospital admission or death. Discrepancies in doses, routes or complex regimens were most likely to have a potential for a severe event (p=0.0001). Discrepancies between structured and free-text fields in electronic prescriptions are common and can cause patient harm. Improvements in electronic medical record design are necessary to minimize the risk of discrepancies and resulting adverse events. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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