The Effective Use of Total Parenteral Nutrition Order Program in Preterm Infant Patients using CPOE System
Keywords:
Medication Errors, Parenteral Nutrition, Preterm infant, Computerized Provider Order Entry SystemAbstract
This study was to investigate the effects of a Parenteral Nutrition (PN) prescription program for preterm infant patients using a CPOE system developed by pharmacists on Medication Errors (MEs) and comparing the percentage of MEs detected between before and after implement of program. The study employed a retrospective design, with the sample group is PN prescriptions for preterm infant patients from pediatricians at Sungaikolok Hospital. In this study, researcher was searching and detecting MEs from PN prescription during two periods: before (Fiscal year 2023) and after (Fiscal Year 2024) that analyzed Baseline data analysis by using descriptive statistics and comparing the percentage of MEs detected between before and after using the program Fisher’s exact test and t-test statistics were applied to test the difference in the percentage of MEs detection between the two periods.
The results showed that before the program implementation, MEs were detected in 26 out of 526 PN prescriptions. The MEs identified were attributed to the prescribing process (92.30 %) and the transcription process (7.70 %). After, the program implementation, MEs were detection 7 out of 546 PN prescriptions, with all MEs resulting from the prescribing process. The rate of MEs (from A to I levels) decreased from 4.30 to 1.14 per 1,000 items. A statistically significant reduction in detected MEs was observed after the program implementation compared to before (p < 0.001), and the ME rate from A to I levels after program implementation was significantly lower than before (p = 0.002). In conclusion, the program developed by the pharmacists effectively reduced MEs in PN prescribing.
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