Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1395
10
1
gregorian
2017
1
1
31
1
online
1
fulltext
en
The impact of computerized physician order entry on prescription orders: A quasi-experimental study in Iran
Preventive Medicine & Community Health
Preventive Medicine & Community Health
Original Research
Original Research
<p><strong>Background: </strong>One way to reduce medical errors associated with physician orders is computerized physician order entry (CPOE) software. This study was conducted to compare prescription orders between 2 groups before and after CPOE implementation in a hospital.<br>
<strong> Methods:</strong> We conducted a before-after prospective study in 2 intensive care unit (ICU) wards (as intervention and control wards) in the largest tertiary public hospital in South of Iran during 2014 and 2016. All prescription orders were validated by a clinical pharmacist and an ICU physician. The rates of ordering the errors in medical orders were compared before (manual ordering) and after implementation of the CPOE. A standard checklist was used for data collection. For the data analysis, SPSS Version 21, descriptive statistics, and analytical tests such as McNemar, chi-square, and logistic regression were used.<br>
<strong> Results: </strong>The CPOE significantly decreased 2 types of errors, illegible orders and lack of writing the drug form, in the intervention ward compared to the control ward (p< 0.05); however, the 2 errors increased due to the defect in the CPOE (p< 0.001). The use of CPOE decreased the prescription errors from 19% to 3% (p= 0.001), However, no differences were observed in the control ward (p<0.05). In addition, more errors occurred in the morning shift (p< 0.001).<br>
<strong> Conclusion: </strong>In general, the use of CPOE significantly reduced the prescription errors. Nonetheless, more caution should be exercised in the use of this system, and its deficiencies should be resolved. Furthermore, it is recommended that CPOE be used to improve the quality of delivered services in hospitals.<br>
</p>
Computerized physician order entry, Prescription error, Public hospital
396
400
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1821-5&slc_lang=en&sid=1
Mohammad
Khammarnia
m_khammar1985@yahoo.com
200319475328460034063
200319475328460034063
No
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Roxana
Sharifian
sharifianr@sums.ac.ir
200319475328460034064
200319475328460034064
Yes
Department of Health Information Management, School of Management and Medical Information Sciences, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Farid
Zand
zandfarid@gmail.com
200319475328460034065
200319475328460034065
No
Shiraz Anesthesiology and Critical Care Research Center, Department of Anesthesia and Critical Care Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Omid
Barati
omidbarati40@gmail.com
200319475328460034066
200319475328460034066
No
Department of Health Care Management, School of Management and Medical Infor-mation, Shiraz University of Medical Sciences, Shiraz, Iran.
Ali
Keshtkaran
keshtkaa@sums.ac.ir
200319475328460034067
200319475328460034067
No
Department of Health Care Management, School of Management and Medical Infor-mation, Shiraz University of Medical Sciences, Shiraz, Iran.
Golnar
Sabetian
sabetian@sums.ac.ir
200319475328460034068
200319475328460034068
No
Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Nasim
Shahrokh
shahrokhn@sums.ac.ir
200319475328460034069
200319475328460034069
No
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Fatemeh
Setoodezadeh
fsetudezade@gmail.com
200319475328460034070
200319475328460034070
No
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.