Dose range checking in a computer order entry system.
We recently implemented a computer order entry (COE) system which uses decision support for dose range checking. In addition to providing decision support at the point of order entry via "alerts", the system tracks data regarding the occurrence of alerts related to dosing errors. We reviewed the dosing alerts for a "high risk" medications in a COE system. Telephone alerts were more likely to trigger alerts. There were more low dose than high dose alerts. Some alerts could be avoided by adjusting the threshold.
Rich
David
D
Pediatrics, Columbus Children's Hospital and Ohio State University, OH, USA.
Menke
James
J
Fisher
David
D
D004360:Drug Therapy, Computer-Assisted; D006801:Humans; D016347:Medical Records Systems, Computerized; D008508:Medication Errors / Q000517:prevention & control; D008510:Medication Systems, Hospital; D017010:Reminder Systems