Computer-supported weight-based drug infusion concentrations in the neonatal intensive care unit.
This article addresses the development of a computerized provider order entry (CPOE)-embedded solution for weight-based neonatal drug infusion developed during the transition from a legacy CPOE system to a customized application of a neonatal CPOE product during a hospital-wide information system transition. The importance of accurate fluid management in the neonate is reviewed. The process of tailoring the system that eventually resulted in the successful development of a computer application enabling weight-based medication infusion calculation for neonates within the CPOE information system is explored. In addition, the article provides guidelines on how to customize a vendor solution for hospitals with neonatal intensive care unit.
Giannone
Gay
G
Siemens Health Systems, Malvern, PA 19355, USA. gay.giannone@siemens.com
D001835:Body Weight; D016303:Clinical Pharmacy Information Systems / Q000458:organization & administration; D003659:Decision Making, Organizational; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D004360:Drug Therapy, Computer-Assisted / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006785:Hospitals, University; D006801:Humans; D007231:Infant, Newborn; D007262:Infusions, Intravenous / Q000379:methods*; D007363:Intensive Care Units, Neonatal; D015931:Intensive Care, Neonatal / Q000379:methods*; D007591:Joint Commission on Accreditation of Healthcare Organizations; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D008508:Medication Errors / Q000517:prevention & control; D009716:Numerical Analysis, Computer-Assisted; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D011367:Professional Staff Committees / Q000458:organization & administration; D017751:Safety Management / Q000458:organization & administration; D012985:Software Design; D014481:United States; D014584:User-Computer Interface