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題 名 | Prevention of Chemotherapy Prescription Errors with Hematology/Oncology Computerized Physician Order Entry System--Experience from a Medical Center=建構電子開方系統改善化學治療處方錯誤--一間醫學中心的經驗 |
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作 者 | 劉惠文; 李興中; 高啟蘭; 曾景平; 劉漢鼎; 林從慶; 宋詠娟; | 書刊名 | 臺灣癌症醫學雜誌 |
卷 期 | 27:3 2011.06[民100.06] |
頁 次 | 頁100-112 |
分類號 | 419.26 |
關鍵詞 | 電腦化醫師醫令系統; 化學治療; 處方錯誤; 電子化病歷; Computerized physician order entry; Chemotherapy; Prescription error; Electronic health records; |
語 文 | 英文(English) |
中文摘要 | 背景:國泰綜合醫院血液腫瘤科與資訊部開發化學治療的電腦化醫師醫令系統(CPOE)以改善化療開方的錯誤。 方法:CPOE系統於2008年四月上線,我們收集使用CPOE系統前後的記錄並分析化療處方錯誤之改善。 結果:整體的化療處方錯誤率從CPOE上線前的4%降低到CPOE上線後的0.71%。從2007年四月到2010年十二月,在CPOE組有54個錯誤,而非CPOE組有410個錯誤(p<0.001),且CPOE組與非CPOE組的錯誤率各為0.33%與3.63%。CPOE系統使用前一年最常見的錯誤是「日期錯誤」,其在CPOE使用後大幅降低;但「劑量錯誤」成為CPOE使用後最常見的處方錯誤,儘管錯誤率從CPOE前的0.98%降到CPOE後的0.26%。 結論:本院的CPOE系統經測試對臨床工作為便利、安全、有用的,這個系統更可以提供完整的電子化病歷與學術研究之用。 |
英文摘要 | Background: Chemotherapy is high-risk procedure in Hematology/Oncology practices. We designed a computerized physician order entry (CPOE) system specifically for prescribing chemotherapy in order to reduce prescription errors, thus improving patient safety. Materials and Methods: Healthcare failure mode and effects analysis (HFMEA) methodology were used to evaluate chemotherapy prescription and dispensing processes and several kinds of prescription errors were identified. A Java-based CPOE system for chemotherapy prescription was designed in cooperation with Cathay General Hospital’s Information Technology Department and has been on line since April 2008. Records prior to and after the CPOE system usage (April 2007 to December 2010) were collected to analyze the improvement of prescription errors. Results: After instigation of CPOE system in Cathay General Hospital in April 2008, 96.0% of chemotherapy orders were prescribed through this system as of 2010. The total prescription error rate was reduced from 4% before CPOE to 0.71% after CPOE. There were 54 errors in the CPOE group and 410 errors in the non-CPOE group (p<0.001), with error rates of 0.33% in the CPOE group and 3.63% in the non-CPOE group from April 2007 to December 2010. The most common prescription error was wrong date prior to CPOE online, which declined after CPOE. Wrong dosage became the most common prescription error after CPOE usage; however, this error rate was still lower compared to prior-CPOE dosage error (0.98% before CPOE and 0.26% after CPOE). Conclusions: Our CPOE chemotherapy prescription system has been demonstrated to be userfriendly and convenient in daily clinical practice, with improved prescription error rate. This system also provides complete patient health records for practice and can be data mined for academic research. |
本系統中英文摘要資訊取自各篇刊載內容。