8/11/2019 RQ2E06A03_Assignment 1_HLT605_The Effect of Computerized Physician Order Entry

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Evaluators comment: Front page missing. Partial analysis done for the case. Suggestions and

adding new portal could have been much more explanatory. Genuine suggestions.

Mars: !" of #"

The Efect o Computerized Physician OrderEntryand Decision Support System on MedicationErrors

in the Neonatal Ward: Eperiences rom an!ranianteachin" hospital

!ntroduction:# This case study is a$out the medication errors in neonatal in !ranianteachin" hospital% The error rate in medication dosin" error in anti$ioticsand anticon&alscent 'as ()* Which 'as not si"ni+cantly chan"e aterthe implementation o CPOE ,computerised physician order entry - 'ithoutdecision support system,DSS-% .ut errors 'ere si"ni+cantly reduced to)/* ater the decision support 'as added to CPOE%

ANALYSIS:#

There are medication errors 0 transcription errors in the hospital 'hichare responsi$le or prolon" hospital stay and increase cost and mortalityrate% Potential ad&erse dru" e&ents occur three times more oten inne'$orns than in adults%

1ter the CDSS installation2 There are some elimination o the sel

reported dose calculation errors o anti$iotics in N!C3 $ut despite o the$ene+ts implementation o CPOE is challen"in" $ecause o physician

8/11/2019 RQ2E06A03_Assignment 1_HLT605_The Effect of Computerized Physician Order Entry

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resistance and hi"h cost physicians complaints 'ith the systemsrecommendation is lo' and ma4ority o the 'arnin"s are i"nored% When the CDSS is installed alon" 'ith DSS in hospital 567 calculator isused or neonates 'hich is $ased on creatinine clearance $ody suracearea2 a"e 0 "estational a"e% .ased on all a$o&e inormation the clinical

interace unit calculated the patients speci+c appropriate dose andre8uency2 and compare the result 'ith the prescri$ed dose andre8uency% ! the dose is not 'ithin the normal ran"e the DSS inormed theprescri$er a$out the appropriate dose and re8uency $y "i&in" a 'arnin"messa"e that as9ed or correction%

Schematic &ie' o the CDSS architecture2 and is interaction 'ith theprescription system

RECOMMENDATION & SUGGESTIONS:#

They need to impro&e their decision support system so thattranscription errors can also $e eliminated rom hospital%

8/11/2019 RQ2E06A03_Assignment 1_HLT605_The Effect of Computerized Physician Order Entry

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The !S should $e such that it can $e easy to use $y health care

people % Proper trainin" should $e "i&en time to time or nurses and doctors

so that paper 'or9 should $e restricted rom the hospital so thaterrors are ne"li"i$le%

Their should $e proper chec9 durin" clinical rounds so that potentialad&erse e&ents1nd medical aults at the time o prescription is minimised%

NEW PO7T1;S:#s children and orphana"e children%

)- Child health care lie insurance portal:# this portal can $e addedin !S so that parents o ne'ly $orn child in&est in the policies o

health insurance or their $etter uture o the child