Impact of computerized physician order entry on clinical practice in a newborn intensive care unit
Autor: | Lynn Kuehn, Rajee R. Kumar, Hagop S. Mekhjian, Leandro Cordero |
---|---|
Rok vydání: | 2004 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Medication Systems Hospital Neonatal intensive care unit Dose Medical Records Systems Computerized health care facilities manpower and services education Pharmacy Loading dose law.invention Hospitals University Computerized physician order entry law health services administration Intensive Care Units Neonatal medicine Humans Medication Errors Neonatology Ohio business.industry Infant Newborn Obstetrics and Gynecology Gestational age Decision Support Systems Clinical Intensive care unit Drug Therapy Computer-Assisted Radiology Information Systems Clinical Pharmacy Information Systems Time and Motion Studies Pediatrics Perinatology and Child Health Female business Software |
Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 24(2) |
ISSN: | 0743-8346 |
Popis: | OBJECTIVE: To study the impact of computerized physician order entry (CPOE) on selected neonatal intensive care unit (NICU) practices. DESIGN: Retrospective review. SETTING: Nursing units in an academic health system where CPOE has been implemented in adult services since 2000 and in the NICU since 2002. STUDY POPULATION: Data from 111 very-low-birth-weight (VLBW) infants born consecutively within 6 months before and 100 VLBW infants born within 6 months after the implementation of CPOE were evaluated. The study is based on pre- and post-CPOE comparisons in medication error rates and on the initiation to completion time intervals for pharmacy orders and radiology procedures. The specific data subsets that were compared included caffeine and gentamicin. Radiology turn-around time (order to image display) for the first chest and abdominal X-ray taken following endotracheal intubation and/or umbilical catheter placement was studied. RESULTS: Statistically significant (p |
Databáze: | OpenAIRE |
Externí odkaz: |