School of Nursing, Hashemite University, Zarqa, Jordan.
J Pediatr Nurs. 2010 Apr;25(2):108-18. doi: 10.1016/j.pedn.2008.10.002. Epub 2009 Apr 8.
Continuous infusion medications are associated with fatal adverse events in pediatric intensive care units. The effect of computerized orders on detecting infusion pumps programming errors has never been studied. Using a crossover design, we examined the effect of using computerized orders for continuous infusions as compared with that of using handwritten orders on nurse ability to detect infusion pump programming errors, time required to verify pump settings, and user satisfaction. The computerized orders saved nurses time but did not improve their ability to detect infusion pumps programming errors. Nurses preferred computerized orders. High error rate was related to manual calculations and inconsistent use of computerized orders.
连续输注药物与儿科重症监护病房的致命不良事件有关。计算机医嘱对检测输液泵编程错误的效果从未被研究过。我们采用交叉设计，研究了与手写医嘱相比，使用计算机医嘱对连续输注的影响，比较了护士检测输液泵编程错误、验证泵设置所需时间以及用户满意度的能力。计算机医嘱节省了护士的时间，但并未提高他们检测输液泵编程错误的能力。护士更喜欢计算机医嘱。高错误率与手动计算和计算机医嘱使用不一致有关。
