Reducing prescribing errors: can a well-designed electronic system help?

J Eval Clin Pract. 2010 Jun;16(3):556-9. doi: 10.1111/j.1365-2753.2009.01159.x. Epub 2010 Jan 21.

Abstract

Rationale, aims and objectives: In this study, the aim was to investigate if an electronic prescribing system designed specifically to reduce errors would lead to fewer errors in prescribing medicines in a secondary care setting.

Method: The electronic system was compared with paper prescription charts on 16 intensive care patients to assess any change in the number of prescribing errors.

Results: The overall level of compliance with nationally accepted standards was significantly higher with the electronic system (91.67%) compared with the paper system (46.73%). Electronically generated prescriptions were found to contain significantly fewer deviations (28 in 329 prescriptions, 8.5%) than the written prescriptions (208 in 408 prescriptions, 51%).

Conclusion: Taking an interdisciplinary approach to work on the creation of a system designed to minimize the risk of error has resulted in a favoured system that significantly reduces the number of errors made.

Publication types

  • Comparative Study

MeSH terms

  • Drug Prescriptions*
  • Electronic Prescribing*
  • Humans
  • Intensive Care Units
  • Interviews as Topic
  • Medication Errors / prevention & control*
  • Medication Systems / standards*