Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis
Journal
Arch Pediatr Adolesc Med
Publication Date
2006 May
Volume
160
Issue
5
Pages
495-8
Summary:
- HIT Description: computerized provider order entry (CPOE) system More info...
- Purpose of Study: the impact of a CPOE system for pediatric chemotherapy on process errors
- Years of study: 2001-2004
- Study Design: pre-post
- Outcomes: impact on patient safety
- Settings: Pediatric Oncology section of the Johns Hopkins Children's Center
- Intervention: comparison of processes of care before and after deployment of a CPOE system for pediatric chemotherapy administration
- Evaluation Method: chart audit using a paper-based survey tool before CPOE implementation and a web-based direct entry tool after implementation
- Description: modification of an existing pharmacy system (RxTFC Pharmacy Information System; GE) to meet the needs of pediatric chemotherapy
- Strategy: implementation guided by the results of a failure modes and effects analysis (FMEA) conducted by a multidisciplinary team of physicians, nurses, physician assistants, pharmacists and IT staff
- Quality of Care and Patient Safety Outcome: After CPOE deployment, chemotherapy orders were less likely to have improper dosing, incorrect dosing calculations, missing cumulative dose calculations and incomplete nursing checklists. There was no difference in the likelihood of improper dosing on treatment plans and a higher likelihood of not matching medication orders to treatment plans.