Faculty of Pharmacy and Alternative Medicine, The Islamia University of Bahawalpur, Bahawalpur, Pakistan.
J Clin Nurs. 2011 Nov;20(21-22):3233-45. doi: 10.1111/j.1365-2702.2011.03714.x. Epub 2011 May 31.
To examine the incidence of prescribing errors in a main public hospital in Pakistan and to assess the impact of introducing electronic prescribing system on the reduction of their incidence.
Medication errors are persistent in today's healthcare system. The impact of electronic prescribing on reducing errors has not been tested in developing world.
Prospective review of medication and discharge medication charts before and after the introduction of an electronic inpatient record and prescribing system.
Inpatient records (n = 3300) and 1100 discharge medication sheets were reviewed for prescribing errors before and after the installation of electronic prescribing system in 11 wards.
Medications (13,328 and 14,064) were prescribed for inpatients, among which 3008 and 1147 prescribing errors were identified, giving an overall error rate of 22·6% and 8·2% throughout paper-based and electronic prescribing, respectively. Medications (2480 and 2790) were prescribed for discharge patients, among which 418 and 123 errors were detected, giving an overall error rate of 16·9% and 4·4% during paper-based and electronic prescribing, respectively.
Electronic prescribing has a significant effect on the reduction of prescribing errors.
Prescribing errors are commonplace in Pakistan public hospitals. The study evaluated the impact of introducing electronic inpatient records and electronic prescribing in the reduction of prescribing errors in a public hospital in Pakistan.
检查巴基斯坦一家主要公立医院的处方错误发生率，并评估引入电子处方系统对降低其发生率的影响。
药物错误在当今的医疗保健系统中普遍存在。电子处方在减少错误方面的影响尚未在发展中国家进行测试。
在引入电子住院记录和处方系统前后，对药物和出院药物图表进行前瞻性审查。
在 11 个病房安装电子处方系统前后，对 3300 份住院病历和 1100 份出院药物单进行了处方错误审查。
为住院患者开了 13328 种和 14064 种药物，其中分别发现了 3008 种和 1147 种处方错误，纸质和电子处方的总体错误率分别为 22.6%和 8.2%。为出院患者开了 2480 种和 2790 种药物，其中分别发现了 418 种和 123 种错误，纸质和电子处方的总体错误率分别为 16.9%和 4.4%。
电子处方对减少处方错误有显著影响。
处方错误在巴基斯坦公立医院中很常见。本研究评估了在巴基斯坦一家公立医院引入电子住院病历和电子处方对减少处方错误的影响。
