Cheung Stephanie, Hoi Sannifer, Fernandes Olavo, Huh Jin, Kynicos Sara, Murphy Laura, Lowe Donna
1 Mackenzie Health Richmond Hill, Richmond Hill, ON, Canada.
2 Vancouver Island Health Authority, Victoria, BC, Canada.
Ann Pharmacother. 2018 Apr;52(4):332-337. doi: 10.1177/1060028017740140. Epub 2017 Nov 3.
Dangerous abbreviations on the Institute for Safe Medication Practices Canada's "Do Not Use" list have resulted in medication errors leading to harm. Data comparing rates of use of dangerous abbreviations in paper and electronic medication orders are limited.
To compare rates of use of dangerous abbreviations from the "Do Not Use" list, in paper and electronic medication orders. Secondary objectives include determining the proportion of patients at risk for medication errors due to dangerous abbreviations and the most commonly used dangerous abbreviations.
One-day cross-sectional audits of medication orders were conducted at a 6-site hospital network in Toronto, Canada, between December 2013 and January 2014. Proportions of paper and electronic medication orders containing dangerous abbreviation(s) were compared using a χ test. The proportion of patients with at least 1 medication order containing dangerous abbreviation(s) and the top 5 dangerous abbreviations used were described.
Overall, 255 patient charts were reviewed. The proportions of paper and electronic medication orders containing dangerous abbreviation(s) were 172/714 (24.1%) and 9/2207 (0.4%), respectively ( P < 0.001). Almost one-third of patients had medication order(s) containing dangerous abbreviation(s). The proportions of patients with at least 1 medication order during the audit period containing dangerous abbreviation(s) for patients with paper only, electronic only, or a hybrid of paper and electronic medication orders were 50.5%, 5%, and 47.2%, respectively. Those most commonly used were "D/C", drug name abbreviations, "OD," "cc," and "U."
Electronic medication orders have significantly lower rates of dangerous abbreviation use compared to paper medication orders.
加拿大安全用药实践协会“禁用”清单上的危险缩写导致了用药错误并造成伤害。比较纸质和电子用药医嘱中危险缩写使用率的数据有限。
比较纸质和电子用药医嘱中加拿大安全用药实践协会“禁用”清单上危险缩写的使用率。次要目的包括确定因危险缩写而有用药错误风险的患者比例以及最常用的危险缩写。
2013年12月至2014年1月期间，在加拿大多伦多一个由6家医院组成的网络中，对用药医嘱进行了为期一天的横断面审核。使用χ检验比较包含危险缩写的纸质和电子用药医嘱的比例。描述了至少有1条用药医嘱包含危险缩写的患者比例以及使用频率最高的5种危险缩写。
总体而言，共审查了255份患者病历。包含危险缩写的纸质和电子用药医嘱的比例分别为172/714（24.1%）和9/2207（0.4%）（P<0.001）。近三分之一的患者有包含危险缩写的用药医嘱。在审核期间，仅使用纸质用药医嘱、仅使用电子用药医嘱或同时使用纸质和电子用药医嘱的患者中，至少有1条用药医嘱包含危险缩写的比例分别为50.5%、5%和47.2%。最常用的危险缩写是“D/C”、药品名称缩写、“OD”、“cc”和“U”。
与纸质用药医嘱相比，电子用药医嘱中危险缩写的使用率显著更低。
