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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
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Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

机译：在儿童急诊科中使用预打印的订单以减少处方错误：一项随机对照试验。

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OBJECTIVE: Medication errors are common among pediatric patients and in emergency departments (EDs). Such errors may lead to prolonged hospitalization, unnecessary diagnostic tests and treatments, and death. The objective of this study was to determine whether the use of a structured order sheet reduces the incidence of medication errors in a pediatric ED. METHODS: The study was a randomized, controlled study that was conducted in a tertiary care pediatric hospital. Eighteen days were randomized into 2 study groups: days during which the regular blank order sheets were used and days during which preprinted, formatted, order sheets were used. All patients' charts from these days were reviewed by 2 medical students, who extracted demographic, clinical, and therapeutic data into a database. Two pediatric emergency physicians, blinded to the form used, reviewed the database and independently decided whether an error had occurred and the severity of the error. RESULTS: Within the study period, there were 2157 visits to the ED. A total of 2058 (95.4%) charts were available for review. A total of 411 (52.2%) orders for drugs in the ED were ordered on the regular form, and 376 (47.8%) were given on the new form. Drug errors were identified in 68 (16.6%) orders when the regular form was used and in 37 (9.8%) of the orders on the new form. Using the new form was associated with a significant reduction in the risk for an error (odds ratio: 0.55; 95% confidence interval: 0.34-0.90). CONCLUSIONS: The use of a preprinted structured order form significantly reduces medication errors among pediatric patients in the ED.
机译：目的：用药错误在小儿患者和急诊科很常见。这些错误可能会导致住院时间延长，不必要的诊断测试和治疗以及死亡。这项研究的目的是确定使用结构化的医嘱单是否可以降低小儿急诊科用药错误的发生率。方法：该研究是在三级儿科医院进行的随机对照研究。将18天随机分为2个研究组：使用常规空白订单的天和使用预打印，格式化订单的天。这些天的所有患者图表均由2名医学生进行了审查，他们将人口统计学，临床和治疗数据提取到了数据库中。两位儿科急诊医师不了解所使用的表格，对数据库进行了审查，并独立确定是否发生了错误以及错误的严重性。结果：在研究期内，有2157次访问急诊科。共有2058个（95.4％）图表可供查看。常规表格中共订购了411份（52.2％）药品订购单，新表格中订购了376份（47.8％）。使用常规表格时，有68份订单（16.6％）被识别出毒品错误，而在新表格中，有37份（9.8％）订单被识别为毒品错误。使用新表格可以显着降低出错风险（赔率：0.55; 95％置信区间：0.34-0.90）。结论：使用预印的结构化订单明显减少了急诊科儿科患者的用药错误。

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