Serveur d'exploration MERS

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.

Identifieur interne : 000213 ( Ncbi/Merge ); précédent : 000212; suivant : 000214

The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.

Auteurs : W James King [Canada] ; Naomi Paice ; Jagadish Rangrej ; Gregory J. Forestell ; Ron Swartz

Source :

RBID : pubmed:12949274

Descripteurs français

English descriptors

Abstract

Computerized physician order entry (CPOE) has the potential to reduce patient injury resulting from medication errors. We assessed the impact of a CPOE system on medication errors and adverse drug events (ADEs) in pediatric inpatients.

DOI: 10.1542/peds.112.3.506
PubMed: 12949274

Links toward previous steps (curation, corpus...)


Links to Exploration step

pubmed:12949274

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.</title>
<author>
<name sortKey="King, W James" sort="King, W James" uniqKey="King W" first="W James" last="King">W James King</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. king@cheo.on.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Paice, Naomi" sort="Paice, Naomi" uniqKey="Paice N" first="Naomi" last="Paice">Naomi Paice</name>
</author>
<author>
<name sortKey="Rangrej, Jagadish" sort="Rangrej, Jagadish" uniqKey="Rangrej J" first="Jagadish" last="Rangrej">Jagadish Rangrej</name>
</author>
<author>
<name sortKey="Forestell, Gregory J" sort="Forestell, Gregory J" uniqKey="Forestell G" first="Gregory J" last="Forestell">Gregory J. Forestell</name>
</author>
<author>
<name sortKey="Swartz, Ron" sort="Swartz, Ron" uniqKey="Swartz R" first="Ron" last="Swartz">Ron Swartz</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PubMed</idno>
<date when="2003">2003</date>
<idno type="RBID">pubmed:12949274</idno>
<idno type="pmid">12949274</idno>
<idno type="doi">10.1542/peds.112.3.506</idno>
<idno type="wicri:Area/PubMed/Corpus">002436</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002436</idno>
<idno type="wicri:Area/PubMed/Curation">002436</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002436</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002291</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002291</idno>
<idno type="wicri:Area/Ncbi/Merge">000213</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en">The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.</title>
<author>
<name sortKey="King, W James" sort="King, W James" uniqKey="King W" first="W James" last="King">W James King</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. king@cheo.on.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Paice, Naomi" sort="Paice, Naomi" uniqKey="Paice N" first="Naomi" last="Paice">Naomi Paice</name>
</author>
<author>
<name sortKey="Rangrej, Jagadish" sort="Rangrej, Jagadish" uniqKey="Rangrej J" first="Jagadish" last="Rangrej">Jagadish Rangrej</name>
</author>
<author>
<name sortKey="Forestell, Gregory J" sort="Forestell, Gregory J" uniqKey="Forestell G" first="Gregory J" last="Forestell">Gregory J. Forestell</name>
</author>
<author>
<name sortKey="Swartz, Ron" sort="Swartz, Ron" uniqKey="Swartz R" first="Ron" last="Swartz">Ron Swartz</name>
</author>
</analytic>
<series>
<title level="j">Pediatrics</title>
<idno type="eISSN">1098-4275</idno>
<imprint>
<date when="2003" type="published">2003</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Child</term>
<term>Child, Hospitalized (statistics & numerical data)</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Drug-Related Side Effects and Adverse Reactions</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Medical Records Systems, Computerized (trends)</term>
<term>Medication Errors (prevention & control)</term>
<term>Medication Errors (statistics & numerical data)</term>
<term>Physicians</term>
<term>Retrospective Studies</term>
<term>Safety Management (statistics & numerical data)</term>
<term>Safety Management (trends)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Effets secondaires indésirables des médicaments</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enfant hospitalisé ()</term>
<term>Erreurs de médication ()</term>
<term>Femelle</term>
<term>Gestion de la sécurité ()</term>
<term>Gestion de la sécurité (tendances)</term>
<term>Humains</term>
<term>Mâle</term>
<term>Médecins</term>
<term>Systèmes informatisés de dossiers médicaux (tendances)</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Medication Errors</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Child, Hospitalized</term>
<term>Medication Errors</term>
<term>Safety Management</term>
</keywords>
<keywords scheme="MESH" qualifier="tendances" xml:lang="fr">
<term>Gestion de la sécurité</term>
<term>Systèmes informatisés de dossiers médicaux</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en">
<term>Medical Records Systems, Computerized</term>
<term>Safety Management</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Drug-Related Side Effects and Adverse Reactions</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Physicians</term>
<term>Retrospective Studies</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Effets secondaires indésirables des médicaments</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Enfant hospitalisé</term>
<term>Erreurs de médication</term>
<term>Femelle</term>
<term>Gestion de la sécurité</term>
<term>Humains</term>
<term>Mâle</term>
<term>Médecins</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Computerized physician order entry (CPOE) has the potential to reduce patient injury resulting from medication errors. We assessed the impact of a CPOE system on medication errors and adverse drug events (ADEs) in pediatric inpatients.</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">12949274</PMID>
<DateCompleted>
<Year>2003</Year>
<Month>10</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>06</Month>
<Day>05</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1098-4275</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>112</Volume>
<Issue>3 Pt 1</Issue>
<PubDate>
<Year>2003</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Pediatrics</Title>
<ISOAbbreviation>Pediatrics</ISOAbbreviation>
</Journal>
<ArticleTitle>The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.</ArticleTitle>
<Pagination>
<MedlinePgn>506-9</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Computerized physician order entry (CPOE) has the potential to reduce patient injury resulting from medication errors. We assessed the impact of a CPOE system on medication errors and adverse drug events (ADEs) in pediatric inpatients.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">A retrospective cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary care pediatric hospital.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Pediatric inpatients on 3 medical and 2 surgical wards.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">CPOE system implemented on 2 medical wards and compared with 1 medical and 2 surgical wards that continued to use hand written orders.</AbstractText>
<AbstractText Label="OUTCOME MEASURES" NlmCategory="METHODS">Rate of medication error and ADEs before and after CPOE implementation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 6 years, a total of 804 medication errors were identified with 18 ADEs, resulting in patient injury among 36 103 discharges and 179 183 patient days. The overall medication error rate (MER) was 4.49 per 1000 patient days. Before the introduction of CPOE, the MERs of the intervention versus control wards were indistinguishable (ratio = 0.93; 95% confidence interval [CI] = 0.76, 1.13). After the introduction of CPOE, the MER was 40% lower on the intervention than on the control wards (ratio = 0.60; 95% CI = 0.48, 0.74). On average, 490 patient days are required to see the benefit of one less medication error using CPOE. We did not demonstrate a similar effect of CPOE for ADEs (ratio of rate ratios = 1.30; 95% CI 0.47, 3.52).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The introduction of a commercially available physician computer order entry system was associated with a significant decrease in the rate of medication errors but not ADEs in an inpatient pediatric population.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>King</LastName>
<ForeName>W James</ForeName>
<Initials>WJ</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. king@cheo.on.ca</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Paice</LastName>
<ForeName>Naomi</ForeName>
<Initials>N</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Rangrej</LastName>
<ForeName>Jagadish</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Forestell</LastName>
<ForeName>Gregory J</ForeName>
<Initials>GJ</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Swartz</LastName>
<ForeName>Ron</ForeName>
<Initials>R</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo>
<Country>United States</Country>
<MedlineTA>Pediatrics</MedlineTA>
<NlmUniqueID>0376422</NlmUniqueID>
<ISSNLinking>0031-4005</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002673" MajorTopicYN="N">Child, Hospitalized</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D064420" MajorTopicYN="Y">Drug-Related Side Effects and Adverse Reactions</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016347" MajorTopicYN="N">Medical Records Systems, Computerized</DescriptorName>
<QualifierName UI="Q000639" MajorTopicYN="Y">trends</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008508" MajorTopicYN="N">Medication Errors</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010820" MajorTopicYN="Y">Physicians</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D017751" MajorTopicYN="N">Safety Management</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
<QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
<PubMedPubDate PubStatus="pubmed">
<Year>2003</Year>
<Month>9</Month>
<Day>2</Day>
<Hour>5</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline">
<Year>2003</Year>
<Month>10</Month>
<Day>25</Day>
<Hour>5</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez">
<Year>2003</Year>
<Month>9</Month>
<Day>2</Day>
<Hour>5</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">12949274</ArticleId>
<ArticleId IdType="doi">10.1542/peds.112.3.506</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Canada</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Forestell, Gregory J" sort="Forestell, Gregory J" uniqKey="Forestell G" first="Gregory J" last="Forestell">Gregory J. Forestell</name>
<name sortKey="Paice, Naomi" sort="Paice, Naomi" uniqKey="Paice N" first="Naomi" last="Paice">Naomi Paice</name>
<name sortKey="Rangrej, Jagadish" sort="Rangrej, Jagadish" uniqKey="Rangrej J" first="Jagadish" last="Rangrej">Jagadish Rangrej</name>
<name sortKey="Swartz, Ron" sort="Swartz, Ron" uniqKey="Swartz R" first="Ron" last="Swartz">Ron Swartz</name>
</noCountry>
<country name="Canada">
<noRegion>
<name sortKey="King, W James" sort="King, W James" uniqKey="King W" first="W James" last="King">W James King</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/MersV1/Data/Ncbi/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000213 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd -nk 000213 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    MersV1
   |flux=    Ncbi
   |étape=   Merge
   |type=    RBID
   |clé=     pubmed:12949274
   |texte=   The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Merge/RBID.i   -Sk "pubmed:12949274" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Merge/biblio.hfd   \
       | NlmPubMed2Wicri -a MersV1 

Wicri

This area was generated with Dilib version V0.6.33.
Data generation: Mon Apr 20 23:26:43 2020. Site generation: Sat Mar 27 09:06:09 2021