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Journey of medication reconciliation compliance in a lower middle-income country: a retrospective chart review.
BMJ Open Qual
April 2024
Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
Objective: There were three main objectives of the study: to determine the overall compliance of medication reconciliation over 4 years in a tertiary care hospital, to compare the medication reconciliation compliance between paper entry (initial assessment forms) and computerised physician order entry (CPOE), and to identify the discrepancies between the medication history taken by the physician at the time of admission and those collected by the pharmacist within 24 hours of admission.
Methods: This study was conducted at a tertiary care hospital in a lower middle-income country. Data were gathered from two different sources.
Diuretic drug utilization in neonates: a French prescription database analysis.
Front Pharmacol
March 2024
Néonatologie, Réanimation Néonatale et Pédiatrique, CHU Saint Pierre, Saint Pierre, France.
Article Synopsis
- Diuretics are commonly used in neonatal wards, despite little proof of effectiveness for several conditions, prompting a study on their use rates in a multicenter French cohort.
- An observational study included 86,032 neonates, finding an overall diuretic exposure rate of 8.5%, with significant variation across different medical centers (2.4% to 26.5%).
- The main drugs used were furosemide, spironolactone, and dopamine, often prescribed for fluid retention, but practices differed among centers, sometimes exceeding safe dosage and treatment duration limits.
Design, implementation, and evaluation of a CPOE system in a cancer care setting: A case study on the gastric cancer patients.
J Educ Health Promot
February 2023
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Background: Chemotherapy is a complex, multi-disciplinary, and error-prone process. Information technology is being increasingly used in different health care settings with complex work procedures such as cancer care to enhance the quality and safety of care. In this study, we aimed to develop a computerized physician order entry (CPOE) for chemotherapy prescribing in patients with gastric cancer and to evaluate the impact of CPOE on medication errors and order problems.
View Article and Find Full Text PDFComparison of computerized provider order entry specific transfusion indications versus the use of "Other".
Transfusion
April 2023
Department of Pathology and Laboratory Medicine, Donald and Barbara Zucker School of Medicine at Northwell, Greenvale, New York, USA.
Background: Computerized physician order entry (CPOE) systems are one way to reinforce evidence-based transfusion indications for blood products. The new CPOE system that was implemented at our institution allowed healthcare providers to select "Other" as an indication and provide reasons for transfusion outside of accepted guidelines.
Study Design And Methods: Transfusion order records for packed red blood cells (RBCs), platelets, and fresh frozen plasma (FFP) from high product-ordering areas of Long Island Jewish Medical Center and Cohen's Children's Medical Center from April 2021, when the new CPOE system was implemented, to November 2021 were reviewed.
Pursuing appropriateness of laboratory tests: a 15-year experience in an academic medical institution.
Clin Chem Lab Med
October 2022
UOC Patologia Clinica, ASST Fatebenefratelli-Sacco, Milan, Italy.
Appropriateness in Laboratory Medicine has been the object of various types of interventions. From published experiences, it is now clear that to effectively manage the laboratory test demand it is recommended to activate evidence-based preventative strategies stopping inappropriate requests before they can reach the laboratory. To guarantee appropriate laboratory test utilization, healthcare institutions should implement and optimize a computerized provider order entry (CPOE), exploiting the potential of electronic requesting as "enabling factor" for reinforcing appropriateness and sustaining its effects over time.
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