FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2950957788> ?p ?o ?g. }

• W2950957788 abstract "Aim In December 2016 it was identified that there had been multiple reports of prescribing errors with intravenous aciclovir on the paediatric intensive care unit (PICU). After investigation it was concluded that prescribers choosing incorrectly from a drop down menu of drug and dosing options on the electronic prescribing (EP) system was the main contributory factor. From 01/02/17 the aciclovir drop down options were prioritised, with the most frequently used option appearing first, to encourage prescribers to pick the correct regimen. Methods The trust has been using the Phillips ICCA EP system across all intensive care units since 2016. Picking errors when prescribing are known to be a potential risk within EP systems, however tailoring these systems to guide choice also has the potential to improve patient safety by reducing the risk of prescribing errors. 1 Aciclovir has a complex range of dosing recommendations, especially in paediatrics, and incorrect prescribing increases the likelihood of subtherapeutic treatment or adverse effects. The aim of this audit is to assess whether changing the order of prescription choices on the drop down menu in the EP system reduced prescribing error rates for intravenous aciclovir. All prescriptions for aciclovir on PICU were identified during the 6 months before and after implementing the change, from 01/08/16 to 31/07/17. 65 prescriptions were included in the audit and were reviewed retrospectively using the EP system and electronic medical notes to assess whether the prescribed aciclovir dose and route was correct for the patient’s age, weight and indication as well as whether the appropriate drop down option had been selected by the prescriber. Dosing was assessed against recommendations in the British National Formulary for children and trust empirical antibiotic guidelines. Results Dosing errors were found in 22% (14/65) of prescriptions overall during the review period. Before the change was implemented 26% (9/35) of aciclovir prescription doses were incorrect, reducing to 17% (5/30) after the change. The overall dosing error rate was 14% (7/50) in prescriptions where the correct drop down option was chosen, in comparison to 47% (7/15) in cases where the wrong option had been selected, suggesting the importance of choosing the correct pre-set option to minimise prescribing error rates. In cases where doses were incorrect, the prescriber had chosen the incorrect pre-set drop down option for the patient’s age and indication in 78% (7/9) of prescriptions before the order change compared to 0% (0/5) afterwards. Conclusion These results suggest that prescribing error rates were reduced after making alterations to the order of prescription choices on the drop down menu in the EP system and that prioritising the order of these options may positively influence prescribing. Errors were not completely eliminated suggesting more work is required to further minimise risk. Reference Ahmed Z, Garfield S, Jani Y, et al. Impact of electronic prescribing on patient safety in hospitals: implications for the UK. Pharm J 2016;8:1–11." @default.
• W2950957788 created "2019-06-27" @default.
• W2950957788 creator A5046058556 @default.
• W2950957788 creator A5057348736 @default.
• W2950957788 date "2019-06-19" @default.
• W2950957788 modified "2023-09-24" @default.
• W2950957788 title "P029 Audit of aciclovir prescribing to assess whether changing the order of drop down box options in an electronic prescribing system can reduce prescribing errors" @default.
• W2950957788 cites W2091671665 @default.
• W2950957788 doi "https://doi.org/10.1136/archdischild-2019-nppc.39" @default.
• W2950957788 hasPublicationYear "2019" @default.
• W2950957788 type Work @default.
• W2950957788 sameAs 2950957788 @default.
• W2950957788 citedByCount "0" @default.
• W2950957788 crossrefType "journal-article" @default.
• W2950957788 hasAuthorship W2950957788A5046058556 @default.
• W2950957788 hasAuthorship W2950957788A5057348736 @default.
• W2950957788 hasBestOaLocation W29509577881 @default.
• W2950957788 hasConcept C162324750 @default.
• W2950957788 hasConcept C177713679 @default.
• W2950957788 hasConcept C187212893 @default.
• W2950957788 hasConcept C187736073 @default.
• W2950957788 hasConcept C194828623 @default.
• W2950957788 hasConcept C197934379 @default.
• W2950957788 hasConcept C199521495 @default.
• W2950957788 hasConcept C2426938 @default.
• W2950957788 hasConcept C2776409557 @default.
• W2950957788 hasConcept C2777288759 @default.
• W2950957788 hasConcept C2777519982 @default.
• W2950957788 hasConcept C2779450786 @default.
• W2950957788 hasConcept C2780727368 @default.
• W2950957788 hasConcept C3013748606 @default.
• W2950957788 hasConcept C3018060332 @default.
• W2950957788 hasConcept C512399662 @default.
• W2950957788 hasConcept C71924100 @default.
• W2950957788 hasConcept C98274493 @default.
• W2950957788 hasConceptScore W2950957788C162324750 @default.
• W2950957788 hasConceptScore W2950957788C177713679 @default.
• W2950957788 hasConceptScore W2950957788C187212893 @default.
• W2950957788 hasConceptScore W2950957788C187736073 @default.
• W2950957788 hasConceptScore W2950957788C194828623 @default.
• W2950957788 hasConceptScore W2950957788C197934379 @default.
• W2950957788 hasConceptScore W2950957788C199521495 @default.
• W2950957788 hasConceptScore W2950957788C2426938 @default.
• W2950957788 hasConceptScore W2950957788C2776409557 @default.
• W2950957788 hasConceptScore W2950957788C2777288759 @default.
• W2950957788 hasConceptScore W2950957788C2777519982 @default.
• W2950957788 hasConceptScore W2950957788C2779450786 @default.
• W2950957788 hasConceptScore W2950957788C2780727368 @default.
• W2950957788 hasConceptScore W2950957788C3013748606 @default.
• W2950957788 hasConceptScore W2950957788C3018060332 @default.
• W2950957788 hasConceptScore W2950957788C512399662 @default.
• W2950957788 hasConceptScore W2950957788C71924100 @default.
• W2950957788 hasConceptScore W2950957788C98274493 @default.
• W2950957788 hasLocation W29509577881 @default.
• W2950957788 hasOpenAccess W2950957788 @default.
• W2950957788 hasPrimaryLocation W29509577881 @default.
• W2950957788 hasRelatedWork W1853165150 @default.
• W2950957788 hasRelatedWork W1971936417 @default.
• W2950957788 hasRelatedWork W2000015731 @default.
• W2950957788 hasRelatedWork W2028058174 @default.
• W2950957788 hasRelatedWork W2049528547 @default.
• W2950957788 hasRelatedWork W2065271765 @default.
• W2950957788 hasRelatedWork W2079783428 @default.
• W2950957788 hasRelatedWork W2104310272 @default.
• W2950957788 hasRelatedWork W2315429841 @default.
• W2950957788 hasRelatedWork W2508666778 @default.
• W2950957788 hasRelatedWork W2585438511 @default.
• W2950957788 hasRelatedWork W2730423567 @default.
• W2950957788 hasRelatedWork W2784347041 @default.
• W2950957788 hasRelatedWork W2784870754 @default.
• W2950957788 hasRelatedWork W2994705235 @default.
• W2950957788 hasRelatedWork W3042911619 @default.
• W2950957788 hasRelatedWork W3052288342 @default.
• W2950957788 hasRelatedWork W3156523905 @default.
• W2950957788 hasRelatedWork W3159902786 @default.
• W2950957788 hasRelatedWork W2113674737 @default.
• W2950957788 isParatext "false" @default.
• W2950957788 isRetracted "false" @default.
• W2950957788 magId "2950957788" @default.
• W2950957788 workType "article" @default.