Implementation of computerized provider order entry in a neonatal intensive care unit: Impact on admission workflow
| Autor: | Pamela Donohue, Alison K. Chapman, Christoph U. Lehmann, Susan W. Aucott |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Medication Systems Hospital Neonatal intensive care unit Adolescent Medical Records Systems Computerized health care facilities manpower and services Birth weight education MEDLINE Health Informatics Pharmacy Workflow Young Adult Pharmacotherapy Patient Admission health services administration Intensive Care Units Neonatal Sepsis Medicine Humans Medication Errors Young adult business.industry Infant Newborn Gestational age Middle Aged Decision Support Systems Clinical Anti-Bacterial Agents Drug Therapy Computer-Assisted Clinical Pharmacy Information Systems Female business Software |
| Zdroj: | International journal of medical informatics. 81(5) |
| ISSN: | 1872-8243 |
| Popis: | Objective The study objective was to determine if computerized provider order entry (CPOE) systems impaired or enhanced workflow in the neonatal intensive care unit (NICU) by comparing the timing of administration of the first dose of antibiotics before and after CPOE system implementation. Methods We conducted a pre-post intervention comparative study of the length of time between admission and administration of initial antibiotics in neonates before and after a CPOE system was implemented. Clinical information and timing of antibiotic administration were collected on all inborn infants, who were admitted to the NICU in the first 4h of life and treated with antibiotics, for one year prior to the implementation of computerized order entry and for one year after the implementation. Results Infants admitted to the NICU were similar in both periods (mean birth weight 2183g vs. 2091g, gestational age 33.3 weeks vs. 33.0 weeks). There was no significant difference in mean length of time from admission to antibiotic administration in the pre-CPOE group (131min [CI 124–139]) compared to the post-CPOE group (125min [CI 116–133]) ( p =0.07). The mean time to pharmacy verification for a subset of patients was significantly shorter for patients in the post-CPOE group (61±58min) compared to the pre-CPOE group (88±76min) ( p = Conclusions While the introduction of a CPOE system in the NICU did not significantly improve antibiotic administration times, the timeliness of an important aspect of the medication process, time to pharmacy verification, was improved. These findings imply other factors are impeding workflow. Further studies are needed to evaluate how CPOE systems combined with patient care activities affect workflow and overall patient care. |
| Databáze: | OpenAIRE |
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