Computerized N-acetylcysteine physician order entry by template protocol for acetaminophen toxicity.
Some medication dosing protocols are logistically complex for traditional physician ordering. The use of computerized physician order entry (CPOE) with templates, or order sets, may be useful to reduce medication administration errors. This study evaluated the rate of medication administration errors using CPOE order sets for N-acetylcysteine (NAC) use in treating acetaminophen poisoning. An 18-month retrospective review of computerized inpatient pharmacy records for NAC use was performed. All patients who received NAC for the treatment of acetaminophen poisoning were included. Each record was analyzed to determine the form of NAC given and whether an administration error occurred. In the 82 cases of acetaminophen poisoning in which NAC was given, no medication administration errors were identified. Oral NAC was given in 31 (38%) cases; intravenous NAC was given in 51 (62%) cases. In this retrospective analysis of N-acetylcysteine administration using computerized physician order entry and order sets, no medication administration errors occurred. CPOE is an effective tool in safely executing complicated protocols in an inpatient setting.
Thompson
Trevonne M
TM
Toxikon Consortium, University of Illinois at Chicago, Chicago, IL, USA. tthomps@uic.edu
Lu
Jenny J
JJ
Blackwood
Louisa
L
Leikin
Jerrold B
JB
D000082:Acetaminophen / Q000506:poisoning*; D000111:Acetylcysteine / Q000008:administration & dosage*; D000284:Administration, Oral; D018712:Analgesics, Non-Narcotic / Q000506:poisoning; D000931:Antidotes / Q000008:administration & dosage*; D006801:Humans; D007262:Infusions, Intravenous; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000517:prevention & control; D012189:Retrospective Studies
D018712:Analgesics, Non-Narcotic; D000931:Antidotes; D000082:Acetaminophen; D000111:Acetylcysteine