[Impact of medical prescription computerisation on the incidence of adverse drug effects].

Abstract:

INTRODUCTION:Adverse drug effects are a significant public health problem. Prescription errors are responsible for a significant proportion of these adverse effects. METHODS:We have aimed to improve the link between generation of and interpretation of a prescription through computerisation. The prescription sheet, which is generated daily, was organised to allow care planning without the need to re-copy out treatments on the sheet. A prescription aid was available which was based on a core group of drugs commonly used in our respiratory service. The aim of the study was to compare the various types of errors observed during 6 weeks of computerized prescriptions (229 files) to a retrospective series of handwritten prescriptions of the service at an identical time (184 files) the previous year. The case-mix was identical for both analysed periods. RESULTS:The total number of technical prescribing errors in the 1,599 handwritten lines (49.27% error) was significantly higher (p<0.001) than the 1,805 computerized prescriptions lines (42.88% error). The errors of copying (p<0.001), eligibility (p<0.001) and incorrect spelling (p<0.05) were the main sources of error which were significantly reduced by computerisation. CONCLUSION:Computerised prescription is likely to reduce the incidence of prescribing errors and adverse drug effects.

journal_name

Rev Mal Respir

authors

Maurer C,Lecointre K,Cachin N,Latawiec K,Ouadfel F,Lahmek P,Fauvelle F,Piquet J

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

355-63

issue

3 Pt 1

eissn

0761-8425

issn

1776-2588

pii

MDOI-RMR-06-2003-20-3-0761-8425-101019-ART11

journal_volume

20

pub_type

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