Ollivier Valérie, Thelcide Chloë, Simon Claire, Favier Mireille
Pharmacy Service, G. Doumergue Hospital Medical Center, 5 Rue Hoche, 30029 Nîmes Cedex 9, France.
Pharm World Sci. 2004 Jun;26(3):178-9. doi: 10.1023/b:phar.0000026801.14162.3c.
To compare completeness and quality of orders written before and after introduction of a preprinted medication order form for investigational drugs. Completeness of physician's orders for investigational drugs was compared during two successive periods: before and after implementation of a preprinted form for these orders.
Orders were checked for six elements: pharmaceutical company's identity, protocol's name, patient's identity (i.e., initials), investigator's signature, order's date, and drug designation. Each element was categorized according to three quality criteria: mistake (wrong information), omission, or imprecision (incomplete information). A total of 536 orders were evaluated corresponding to 268 orders and to 4824 quality criteria in each period.
During the baseline study, 228 (85%) problematic prescriptions were detected. Of the 4824 quality criteria evaluated, 422 (8.7%) errors were recorded. Common types of errors were omission of pharmaceutical company's identity, mistaken protocol name, and omission of patient's identity. After the introduction of the order form, 13 (4.9%) prescriptions contained errors. Fifteen (0.3%) quality criteria were not in conformity with the standard. The common types of errors were omission of patient's identity and order date. Physician's orders for investigational drugs are more complete when they use a preprinted prescription form than when they use traditional orders.
The introduction of a preprinted order form for investigational drugs prevents potential medication errors and contributes to patients' safety.
比较引入预印本研究用药物医嘱单前后医嘱的完整性和质量。在两个连续时期比较医生开具的研究用药物医嘱的完整性：这些医嘱的预印本形式实施之前和之后。
检查医嘱的六个要素：制药公司名称、方案名称、患者身份（即姓名首字母）、研究者签名、医嘱日期和药物名称。每个要素根据三个质量标准进行分类：错误（信息错误）、遗漏或不精确（信息不完整）。每个时期共评估了536条医嘱，对应268条医嘱和4824个质量标准。
在基线研究期间，检测到228份（85%）有问题的处方。在评估的4824个质量标准中，记录了422个（8.7%）错误。常见的错误类型是遗漏制药公司名称、方案名称错误和遗漏患者身份。引入医嘱单后，13份（4.9%）处方存在错误。15个（0.3%）质量标准不符合标准。常见的错误类型是遗漏患者身份和医嘱日期。使用预印本处方形式开具的研究用药物医嘱比使用传统医嘱时更完整。
引入研究用药物预印本医嘱单可预防潜在的用药错误并有助于患者安全。
